Date tej— )11>4. Aircraft Make and Model • Aircraft identification Mark Points of Departure & Arrival Miles Flown Flight NO. Remarks, Procedures, Maneuvers, Endorsements Number of Landings Aircraft Category…
From To Pr Tic ?Lott, G Lat.-a Re-J-16-4-
1 .1 (3 -111 • 1 f‘i 9 °SSC? 05 — V i\I 1 1 fl f ” ri6IM \ / 2_
-?f\i f 6 1” cr•A :36,6.,4, m.
9 s&,c,r,s,
1 k L. .
50 To OriPt.1;-e&I)3c5- Lia(c.c 11-_5-s- \)'V N 26_- Gr, _ f 1 I . i • V •0, f- 1_2_c.._ 2 61 ! 'I, \-)1S'i\i 3 3-c-.,c, oil, E, . V -) 1.5, .( i t ‘--IFJ•) P b .. i LI -1-=i6-1'''m 1 / 1 i C
3 ei C- - \ -1 2 AA LkLl -/ 1-1-1A- t 6,5, 0 dr6C4.-4-01; +Ai— CA _
1 ks -“Tr’, i G-N\ 1zp_aa” 1 / 1
7- \ t( t t VI 1-) C`fRK .iu1—
—) L5110 0 J6.— / C, A1,-. A LAR¶
- -7111 L-1D 1U.V3-1-41.- 5 5- 0_5 l( \ 1 . 6-1)(k ik’ kltr -1\•) C’.1 36’n ( 4…cIt p a.T.11-tz- ’). 0 2, •i-p, ,…2-./,5,/ OCT 5 Lt i i PK . Nk OA .3- c.. M .-2. 4,-6-…,-A ry Ltzi 1 / 3 -1 ,,, \31r IJ Z-Pr- /v.:, I certify Pilot’s that the statements made by me on this form are true. CI_ , Signature cbot,,e)i Page Total I 1/114. Amount Forward 6611 1-21’ 5.3-2-1 3 3 l ‘l 2- ( Total to Date t:),Att:‘7- S 3’3 2_. 6 3 ‘3 \ i a_