Date le— Aircraft Make and Model . Aircraft Identification Mark Points of Departure & Arrival Mlles Flown Flight NO. Remarks, Procedures, Maneuvers, Endorsements Number of Landings Aircraft Category…
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- p r ‘2_34 -…i.-’ (C”. a. i TE <. . C iv\ a ., , -)_3(.. 14,- 1 S— I certify Pilot’s Signature that the statements made by . ( D .„„…, ” — J j2L-1 me on this form are true. ,. , Page Total i !:.;(t5 z — Amount Forward 6.11b .i C 9 1-1 i •-•,— `‘.— .’N ..2, J Total to Date 1..,) ’!AA . LO-C),S- 1 ?) ’ 1 1…- ,