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Date 19 	Aircraft Make and Model 	Aircraft Identification Mark 	Points of Departure & Arrival 	Mlles Flown 	Flight No. 	*Remarks, Procedures, Maneuvers, Endorsements 	Number of Landings 	Aircraft Category...
05-3 	From 	To
N'Rfi LAMe 	6- La-.-r,. 	N_4--_- ,..1:
1 Ow? 1,0 	6 ---1 221 -31 VY 	N 9 b'2,2-Z.-. 	LE )f Pt' 	I._ c...-. MO 	cUS, 	-3(---IMI .544rIf'r "4- .C3 :Lt.) 44-4-4_,---11,1M..._ r&..:, t' i 10 1 -../..-4,4 	2— 	2_ 	.._.„
'2. 	v l 	I t 	t_Ci•-• MO 	Z..\(' 	.'s.- 4 .1cici.:S-4.,:3,11).Jv 1....-v.. 19-1:.,"k4i., L. ,...., it ,.,1,Nr.4., . 	7 	(,
2_2_ 	I( 	, k 	:.3 C - 	r 6 ff 	:3-6_ i 1,1,(7..G. et)7> tic.x,,,,, 'T ' Anr...714.(Z.. 'ICC' (3061!•11. If 00/74: 	\./ t 	26
.), 	6- 1 154\ 6 	N cioci.-s-C-f 	V 6 	T6.6
.-i- SI. 	101 	'''•' .(il 	14 	b
TUPJ 	t 	1 \ 	.1..6-1--
LA 	\
Lk 	(3 \--Y-i-k.;1 	Lk cil Cy iv\ 	-v Ls-5- 1 	-34. • I v414,u),04...-,(4:1-,t) 	1.
f.,) 	1-,E 5-c
.-1 	(3..-\\‘5iAO 	-y1.-s-c- 	9 '6 '. 	1 cA \ 	:3'4 ,M) Ni C" 	1, 	45
Nplo9se..
‘ LA 	1 c 	\ l 	-Te-43 	LyUL 	Rpt43 	-16--.1 Pc.., ea 4-, iwo, c„ ;,.,‘ 	\ 	2_,
C "?L-ft— 	P 0 '' 	16,4 4:3-4::.., 	0.,...x... of,,via: („ m 	30
gs,1-4-- 	sK_, 113-:3isrrec..---i.„0./ 	8
vl 	ci) -12:1.-1.01k 	N.) 9D 	pf5I, 	mtofip) 	.,L,‘
Q..02.„j(L./ 	i 6 )v‘ Mr \14.--
\I 	4:- 	3 	t 	I_
2-SA 	1 k 	•-V:7-.5 	:IS c`r: 	a.blo
2 	lc. 	It 	.1 (--14- 	9 1P.) 	')-61.1.cit'_g" 	t/ 	-2_,L1
-} 	(,- \ 1/4 56\ 65 	Nclom -6-.- 	N" 	1-4:-_-13 	10.6 	....T4--- Jail') 	\ A 	a_ 	(..,
11/4 	k,f 	-v" 	(VT) 	'2— 	LA
l 1 	i(44-t, 	1
t"I 	5 l 	c e -• 	-\--6'S 	"1-4 5 	\/
\ 	I 1 	\ On 	1 ,
\ tA 	\ k 	1 1 	1613 	IV\ TV 	\ 6,4CEP' 	V 1 	<61
I certify that the statements made by me on this form are true. 	Page Total 	........."-la 	Ll 9 	9 	I.
Amount Forward 	teti 1 il/)11 	4 i 01- 	S 	-1, 	3 	I V&
Pilot's Signature___________________ 	& 	 Total to Date 	ed..)U5 (9 11 4.1 	el - . 1152_4 .3
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