Date 4g,-- 	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 	rAlfZPI-PA; 	6.01(PIZ- 	4(...:Llt
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I certify Pilots SignaturE 	that the statements made by me on this form are true. (---\ r.,..- .1 e _..) C0t.cijk .,-' 	Page Total 	104 	1.6 	6
Amount Forwed 	0'44 LPI t.s.k 	`11(6.c 	7 ) 	3 	11c - i 1-s
Total to Date 	611-N-6)15 	9331. 	5 	.\