S
Date t9—.7. 	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 	porivt 	c,_,-Lat'a 	1-LL
LC\ 	G-12-.1-31 1. 	N 01 ),.-._•.,:.-e- 	1...s; PO 	E.:1:6.(-, \,,v 	14L. 	c- Pi 5 A ,(3 cAhs L.4.-ss L., 	:re-., 	/I 	G\
i PriS'arl-r-A OIVid
`JC•1" 1 	1 	6-\:V 	Lc95 	ALI-) 	/VT'•C-4 3. 4.Ly.)1,4.:Pm ,-;,,, MI^ Lo'r3 (--• 	1 	0
..) 	1_ Cr (3 	:3 c 	,,- 	ALL-3 t;•^Ar 4,- u • 6' 	S 	i
3 	1 e 	1 ( 	7 S2)_. 	r 0 )"' 	i 49 	al=i (...v,r64. ,....a.i.v.v..4. ut,,v,t-c..y., S•t•mmdAY)) 	-7.) 	L+
i\vcitlY----.': 	(f.):)-C-.- 	Tex-3 	1,3(.1:simi 	_Li nc.fr) ,o, 1 c-c.- A.1.4:L., 	, 	3
ini,&,<A,i.),
`-k 	\ I 	II 	c)PD--ocC-- 	- K' -GI_ 	„, 15"--11 	tv•IW-X- Pas- ) 4.g. - 1, pc,_ TL-s sr.r-lci-Lk c...)Aa r_PC-' t 6o De.4,,Ao Sct 	I /
9'3 t 	-1-&—e 	,,,p„, 	16,,,m a 	0
i) 	,, 	i , 	"rtz: 6 	Tv-a-c 	ti* 	3.6") 	3 	--)
I
1 f i 	2 	i,
i) 	. , 	cf.. .._.:-.c._ 	..31:: \(:. 	.•-, PA'i-V c?, ' 	1•1.32,.i0 N‘-si:t •v., 4 stru..), 5 Luu., 0..1.-6.0 J, 1...f:, • 1 i"::.,-.1‘,. q) riWiz• v,•,• -LOpki- 	_ i ....___ 	I , ,--
\ • 	1 ( 	\ 1 	‘11\ FAI 	ci.s? -.Vc. Y- :11).) 	5)-',-if,i_.:. ij. lit. . r:141_: (VerPottLi4 •V(:)-t., ).113-4.•'^-0, (IMCarAL.,...0,--•-•- f)i.:.14....:'11 c.C..t:M.,4('Lii-ri- 	") 	•
3 ( 	I 	, i 	. , 4) \\) v 	t••7 z's C- Y- .7,)') 	6.,":--LP',.. -.•'-'111'", 5;'):.t-f-,' Lc: C'. •-6L-r,( rkrkc,,),-,A, Po-r.st-t • -'I.- :,--PC - ',P.M?. ' c. cl• Mk- nri-414-7LIk 	at ....) ." 	..._ -. 4.....,
N•154J ) 	1( 	(\i'l - 0-.- 	c? D')- 	-V LS) 	\(7(..,1.3c•-:. 	• f 	/ V/ I 	-, — 	-1 ?
i
1.:; 	C.) --1 1-- ) -1- Qt.' 	`-) 1_ . r\ v; LI,. I ()%1- 	/\•I\ 1_(1') 	, A‘ • 1..„ c... ..„rfkic..). f •••-• I • 5_, VI' 	pour*L.,, t_,..c_Nu c.INE.,:-L4:.,:::. Le, bt•ul.....is.L.0:11-ihl',., (:: fik,x1/....Z.,,,:,(0C.,;( ‘.*: v ;' '71f, .NLI,S 	-.) 	fj
L 	I, 	\ I 	pA t P- 	\A „rm.. i , 	_.••,r, (4_,,,./ ..cu 011ef..4-LY,T.L.-, lip.,‘i VN-e-rbev's , ,..,...,,..,,_ L J.4_, ,..„..." , e, all.0 '1114.2.*.rp,e.,',.11-,- -,j1 	.)___ 	c")
\k) 	& -\\:7—C-A(73 	1 C,, ,r1. • •-...• , N 1 u 1..‘1/4.... 	7 t-S1- 	---\•,'".7.6 	i'..fl . 	N.._ • ,. ktsp,;:l/ (, i, s,- v f••rfi , ' YV'-' .... :, I' ...- • : 	 	'-i
• s 	, ,. 	1 • 	Tczcs 	-71-.s'---.1 	, ill r; 	.... . : i....„: , ,.• . I , ( „0.„.., oxo,„, 1,7 , V ',„. i. 4..0;(..,* 1 V ...).v,,..p...--, ‘..---0..Le. 	7, 	6
k .— 	\ k 	, • 	f-..'r- i'r.. •.f. t _41.
I certify Pilots 	that the statements made by me on this form are true. 1 . ,-,..../ -, ; I - . I ( .( • NC,• 1. • '___. .: .  .•. -,. , Signature  ---... i ,  	Page Total 	CI ---' I .---a. 	I - 	- 7;
Amount Forward 	6C5t.ti
Total to Date 	us-t, 1 - 	(...$).-1'0 • '' '