•
• ,..:4K143
Date ig•—•• IC..:31 	Aircraft Make and Model 	Aircraft Identification Mark 	Points of Departure & Arrival 	Mlles Flown 	Flight No. 	Remarks, Procedures, Maneuvers, Endorsements 	Number of Landings 	Aircraft Category...
From 	To 	L‘C f IAA& 	Cri-CASE 	W---1-rc.c.
YtuLL 	.--•v-- 11 SI 6 	f\-)91-Cis-:. 	Ces 	sç 	kg-i-763---5-E-J- 1 ---c51- 5 C-P"%rlit:ailf+D)2,-9v
5A 	1-6": 	--26..jCs-An j  c.'_,i3F-r A C74"3,R610 	\ /
23 	1 , 	t • 	P 6 	-1-1:53- 	ts?-s- 	.-1''' 	v 	2. 	5
r5 	1,531 	5-6 - , 	kV, 1 	2 	L
lc t 	I, 	t.1 	9,a .. 	'5‘? 	Ic32- 	C'' 	VI 	1 	$
1
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-7 	0 -ill -3 I 	N c(c)c.)sc, 	f)
1 	t c 	, , 	.\,,_ G (A 	PtC3 C< 	i
\ LA 	C---H1\ (5 	N't 0536- 0 	e o 	_.3 Pr N 	'el f)”.) 1"6/0 - •iO3-syto AC:v.1" C.C>AA pc--tA Nic_,,i c vs-ec.V_ s rait5c:C.TuR.,%-i 	\ 1 I 	- 3 	C
\ k'( 	) 	), I,. 	3- r). 1\-) 	A PI\ 	j-c.,A) 4i Nmq-, rA IN NO— LO (4- • Al 1;70' C-3 , 13- 1( it-ni" - ) wrs.,v.0 L.-1$ /,'ONL- 	1 /i 	--
2)/vPrS'aPH,-, PA PYAI V - 	1 /j 	% 	i
L.--- 0 	A.8 q 	so...,,›,71,-/) r•-' M Pr x1.9- 1-1.7.1.A azrs0 C-1 (...,-,..-7 01Cr 15 ed-sa IY:coNi 	t .7 1 	C
i I 	N2A) 	I_Lf. Ro 	ro,t) PC PrIs-y_gt 7- 5 0_5- 	/1 	7
qp 	V5-c73-1')I 	1G•P,ct.dt1 ToPPOJ11.111N) Mrh/40 	1 7
I certify Pilot's Signature 	that the statements made by me on c 	this form are true. r)  	Page Total 	ICA1 	4._.I t+ 	5
Amount Forward 	 	2_ s-ii- 	i 	3 	k I a_ 	6
Total to Date 	ii0.0-t So C.,‘16%3— 	I,