Dare 40—.1 	Alitraft Mite and Model 	Airmen DantlfloatIon Me* 	P0141 s of Departure a &rivet 	Kea Fkreh 	Flight No 	Iternerlie, Prooeduree, Mantiereret Itelereenuonie 	Number of Umdlnpa 	Aircraft Category...
WP4.014t 	Gait—St 	11,64,74
From • 	To
G • 1*113 	9.661:ic-- 	isc-0 	T643 	...4 	(3-1A 	1 0
6 	I, 	Tea 	---.
1 	I. 	It 	PIC Y 	166 	2_citE 	el) 	VI 	1
lb . 16 	13-12-1;b114- 	NeloBa'E 	\1 G2 q 	LC C? 	lttl 	--irw- LV 	11 	-----
6 •it59 i' 	Ncifs9C-. 	135T - 	6 wg
zoo 	LV 	—
gi 21 	ti 	1 i 	CA/Lig 	551 	z011 	1_\/ 	2. 	o
ii 	4 	5 Si 	1 1sT 	zoo, 	LV 	2_ 	q 	—
2013 	LV 	\/i 	.3.1 	--.
L5" 25 2.(., 2-0 	1) 	IT-51. 	1-6.6
S-7(2 	NP1 	jvl 45 	K \Ai T.. 	1.-V
c --it. 	/,..)clelisc,e% 	rk vul-- 	RXD 	LV 	z_ 	i
1-1,V 	fDt 	Ly 	44......:__ 	CONFIDENTIAlt 	rt
• " 	" 	P Pt 13 	P6
Cr-415416 	N90615" 	1-60 	1-/-51- 	2.014 	LV 	-3 	S
I. i 	TT 5/ 	TB 	tog. 	131} 	3 	Li
15 yi , 	It 	I 1 	1 5-1' 	T615 	2or) 	1-V 	VA 	''.3 	7
it 	4 	-1-6 3 	E i N 0 	2.603 	‘....V 	. 	6 	i
18 2_S- 	ii 	%1 8T/JtJ 	LEP 5 	-.AI 	t_.v 	1 	6
usle) 	1-V 	1./ 	14 	2.
" 	It -TLRO 	1-1-6G
1. 	t, u...6G. 	L&SA 	2.624 	LV 	\ 	Al
I cerrfy Mat the etelernents wade by me on Mr 1014141111,1o. Piktre Signature (4AR‘41( .114111'2' 	Page Total 	4 h 	-39 15 	15
AnlooN Formard p 9 	Icki.c. 	9. 3 3 	1 (>5 	9
a ,,-, ....... ,t,„„ 	. ,,,,.,1 	ot 3 3 	h-r, 	44-