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Date +9-- 	Aircraft Make and Model 	Aircratt Identification Mark 	Points of Departure & Arrival 	Mlles Flown 	Flight No. 	t Remarks, Procedures, Maneuvers, Endorsements 	Number . of Landings 	Aircraft Category...
Afgf11)06-. 	Gt_f_reze. 	(-}C.:LIC -Pp
From 	To
59 B 	Ncl cAcs' 	(i0 	i_c__ C). 	lim 	-/ G Iv \. 1 	V L
it 	1 i 	LC .0 	1.6...- 0. 	ts1 3% 	3'./ Gm( 	1 A 	2. 	I
.(z1;._,__r -1 	1 k
\
-2_2_, 	,, 	,( 	eo---,_• 	Tex 	igi4, 	.-e.'-/ GM 	1 A9
-23 	ik 	, l 	76--f3 	Lfe 6 	1411 	3..-/ 	/ 	(., 	-1
LE:e 16 	 	(4.2. 	i 	V 	5 	9
•D-5 	1 , 	, ‘ 	c%) 1 (, 	""'EE` 5 	i')‘-13 	) 	2 	-1
-1-6--- 13 	P6T- 	I-V N-1 	i CP -• \
\C 	C- \ T2- 	i\-) ILI Li (='\/ 	-42L13—/-1-N4 	?Of i-i'k 	\ 	C.11-1_ VOVT PL.V.: .c)(2_c3;J
LC GI 	(3-1-2:.--) c.u,s,,,-, N S-051..5 	I./ \ 	2_ 	9
Pi\ C 0 	a--) 'V Al 1Y510 MONO .-- 1._10 S-1(2 UM 4: Arr
\ 9 	k ( 	1 f 	/V(_ C) 	I---N 1>r 	- 	---) 	1 	Cl
2:2 	6- 11C-Ci 0 	NCio8Z7Z: 	PO 	.--t-L.51-- 	‘445- 	se./ 6- i 	\_/' 	/. 	L
PS,sT-- 	•
7 -5-3-"
(--->, 	L-q 1- \D 	Nci•M5G-rA 	.5Th(- 	D \A.) 	.3,„1.-5,v,,,,I.3 )LC.,)Sirr-661c-Per cl),-41,-cc--0-.901-a.- K.; ,...2.i. 	. k / 	.3 	0 	_
)-1.1t) 	S T...NQ L016-0- 	l\A c-,- i\A 	pA &L-., iv\ 	s-rouh 1 51-*--r..-0 NAZA5, (7 t- ks c. ti.0 5 TP:RTI Tur?..r.-35, - c..,......,13; rx.,...,„..,-,,, v 1 c...vie- otze-.., .. 	2_ 	5— 	-
\ 	I ( 	t I 	I t 	en , re-tc,),_:-Ntcri_oe- Crz,caci 0 N.C7 4 1‘.., 0 &Pe P-Vf (''('NorWA,C--Q-A9 Pils-,I R..e.„10.) N; RrDi_ fI te.PPRetic‘k 	3 	0 	-
I l 	C r .....) 	iv al^ 	•-..^ eu-,,, ,,,,,, .0u,,,-.1- r 6c...t. Id r--AczetC-i'm (sr .-,f'-- ,C.ViCt_r.1.) (.,- ir-OPPo1)4-1-1--t AA.A.AN ft- t- !lc:. ia.*E;713 r' 	_,._ 	-7 	-
• 	,c..c.i.q.:i. e -. Ds mc,,, '..< • ,,,„c., ,..,c.: 60 p).10440 park) Sloz.P T.-4..N5,1%?al 	op A r ,.,- 	--. J
I certify that the statements made by me on this form are true. Page Total 	61 	S-2_ 	Li 	6 (,
Amount Forward 	6-5S 1  	SU3-1 	L+ 	'3 	3 	\ 1 7-
C. j Pilot's SIgnatur au,.1/2.,4,, (2,e.:_c. a...A/2_ 	Total to Date 	6361 G6 Lt 1) 	V:kCi 	16 	..3 	1  	1 \-_1_
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