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PILOT'S SIGNATURE ....___,.,Cl.1:1,t) e!t&-~~~ TOTAL TO DATE -¾.' :~f,·,1 I ·{¾~ l ,....).,ct1 I I l':i 21 OAT£ 1g(\ :3 AIRCRAFT MAKE AND MODEL AIRCRAFT IDENTIFICATION MARK POINTS OP DIPARTUII 6 FROM AnlVAL TO r't~ FLT. NO. HMAHS. PROCIDUHS, MANIIIVHS. INIIOIISIMINTS NO. LOG . ' "1 Al CRAPT CATIOOIIY c_._ - - - . I '7 \-L l'2.S ,..'(" -:...~e: 1(;$ '-.J\) - i . - _. (,..,..,...,Li_.,-"(.• . \ ... '") - \-, . l c.,, \.:i '> " C- v' ,, 1: '- _.,;v\,;. I I 3 (! ') c,. \' " \ \ ')0,-f '\L'-- Y.~ '..., ,,~-, .. >c.. ,...~'""- I-I LI \l\ \ l I I ') L') .\ - {'. ") ,""J \ I I '-1 ~~(,.' .-, L , -- :;_, ,, \( \ .\ I ( l( I' I'\'.')(:' ) J \- r ) L \ .__ .... I')~! ,<:.:)? \-)--; 'I ) l.: I:. ~::. -)v ''!. ,.... ' "'-" .......,.., ,-, ........ , ,J ),("i ~l'-''->~c... •1 .. ....,...,._" ,~'-', r ,.,. l....,, : "•''>!'( R_c., I ;t I " ' I ,, ' \ '' 'I LI -, -- -- ,;- 1 - - ' 1 .. - -1 I t \+'1, 1L1 < "- 'JI 'I ,·, '.,Cf I . 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' c\ \ L-j I -I \ I certify that t11• 1111•-:i.•nts made by me on this form are tnt.. , PAGE TOTAL 'f. ~1 ) _ , 1, . -L.. )., 'I PILOT'S SIGNATURE ,.,.....__ • ' "'· ! j ,..... ,.._ l ~/..,._,_ AMT FORWARD TOTAL TO DATE •";.... ..... ..;1, • 1 " ?,- ..,., ) 1 -\\.. \ I "1 't ,, l..J..'"I' 22 POINTS OF o•AatUII & AHlVAL REMARKS, PROCEDURES, AIRCRAFT CATEGORY DATE AIRCRAFT MANIUVHS, ENDORSfM~NTS AIRCRAFT MAKE IDENTIFICATION FROM TO MILES FLT. 19'-13 AND MODEL MARK ~OWN NO NO. . LOG. '.t.::r-.S\.. ,,.., L-.. N\(Lc..-, ru1~.:f, <::,d' . "3:-~(;.:'"-Y, t:\\P,Ll'>s·.l, :ib'!.Sl'1' Y'l"'f.. <<.>"". r,_ .... (3:-i: n,.., \B \\-:-,)l~;-i"'"' N C\c,-:,~L; f~\L I\Jt:::\,v 7{12.. \ f!l'l,.v, ,,......~.... (t"..1.;,.., ... ¥.) 'Ii I •_, \ '- I \' :i'~rC..', G \'l t:u.. 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 § \ ] 28 Date~ Aircraft Make Airaaft Paintsof Depalure & Arrival Miles Right Remalls, Procedures, Number Al,craft Category_ 19~ and M>del ldenlficalion Ma111 Flown No. Maneuvers, Endorsements o/l.andilgs From To AlRP..'tt ~v._ -;I~fi:~C;'( C~S,-<:"t;r'J :srM- '·2.S \\S\'.l.$'-100 N9SB:n~ "TC::8 DCA SSS" ~Q;.11 I/l 8 :x.... " ~j:'f'D:,,J '2.S h OCA !'AO Ss"~ W<-tOt:./' h \\. ss, 5PIU&NAJ \~ill.(: (.. '2.~ 3-AO ,cSB ,-:tOt:J,J ,, :tG:., P AVll"1 O E:\l,:fO I l'lflU.J l.~ .SU\ ~o " , t=6 C.fll\" ' \/1 \ IY -:t6, p~)I) n~ '3o I' \ ' C..M\.\ PGJ. S'S<:t ",M..~ \/ I 2- IS W~NC. Al- 7 GUs9o N 906:rC::. S~\J Sf1"1 s c.in,-i:: Z-/2_ 2. 2. \I '6 \( $(-\'\J SAV C. 'lll1:?.C.Zl- Vlol,~(:;-'"i<::5r1 '~'f'l"O L) / 4- 5 \ l ' ( SA\J Sf\\J 0 V~uU.. °W'" ~\.CC' 2../ 2- \ \ \\ \\ fiL \\ s r:\\/ SA'J E \,.JR(:'I.1., 'WOl.f<:•1(..-sr pj:U.,, (;,4"1"fe 'L/ l.. s S<d'tf'I L.Af\l~ f.lL. C \\ '' ' \ SA" f>BJ: (~/)T~ 1/1 \I \C . :I'c &M AL- \~ PBt: MDW s&q 1 t'.rPTTo \/ I )_ 15 !'IL- \1 \4 \\ MOW CM\-\ rS1o :Y:, """ (.~{TI:, 1 f\t,.. \\ H ~'=I SCPi-\tt- 6~l)Dl..<: \b ~M\-\ MOW S7 l 6.MTo \/l 7 512 :r<=:., 56PI%~(; ll.!ll>Oi.u, At.. II I I \6 MOW AS<= fi:l~NC..~ s&t.OJ.""'- (Jn'-rc l/I '2.. 3 573 ~, 5 c:,O \llt.G. tlM>O""-) A{., \\ I\ \i ASG: ,\JC. -,M_,-W-tw. (;..~1"1'0 \/ '2.. )< IS1 "\ ".IC::: 1G ~ , Of\W~ ()c.v~o 2.o \\)(. TE:B L1 ' ' \ \I \ l 1~,<'.:.I"\ !\I,. '3o ,t-e $(-\~ S1S GM--To \/ y I ~r ,, \\ 151b -:Jt.:J C:: I '.l, RCl6<../?'Po.,I At. \ SA(=- {1SG: C,/.l'?TD \/ I b l( I( \ f\ SE:. p5 }: 5:11 ::r~J G f"\ &'}fu.o I/ I 1 Lj I certify that theslalemenlS made by me on thlsfonn are true. Page ~--2..L. llllal 2..5 --=-,,~ . Arnoool Fonward S~'>- b\q'o "> Pilot's Slgnatl/l9£> CU.'tc.-\ J> 5~ •G1.1.s I 29                - I -- ' I I I - . . I - I I - I - . - I I . ' j 1 - 8 - - . . I - I , I, I . - I ' L - - • - -- - ' I  

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  .+     30 Dalt~ AiraaftMal(.e Aircraft Poillts of Depawre a.Antwi Miles Ai\trt Aenartus, ""-eel-, Nurroer Aircraft Categ-,._ 19_ and Model lden1ification Marll Rown No. ..___., Endonemelltll rJ Lardings F,om To Al,RPi,I.'.\~ · \S G-\\S96 NqD~'.:\<2 Sf\V SP.\/ ~o '1~f~~ ~$A-s:i:<>,. A~ l / I \ \5 \\ \\ Par. bo\ R~rm:.,.. C, ' Ii ) I \B H re-r 'TE:8 l:.cr2. '.:I~J GM, :I~~'( \/ 1 'S' ,, 'X<:., \ ~I..(. 2.o \\ T<=6 C.M (,o3 \ I \ I " Wi 2., CM" P8J. ~~JG/V\ \ 1'1 ·2-~ l \ ,, f6t ,ea (;p5 ~,Gft\ '2 0 6Zl I\ \\ ,<==B bc..t\ (:d. :I<: \/1 b ,, Z.7 \' be..~ PB"£ ~1 ~Ga, Sa9~ 6.l-00¼ \/1 '2. 0 \I -:5~, ~~r1c....-s) R~,<,1' ~l " PBJ: ·TG.l'.3 &:£, t/ 1 4 N~ ,, "' 'tt-6 f>t3-J: "69 -:If::.1 GM. '2. I H ,, r e-i: ~6'3 b\b °3sJ GI'\ \/ 2 \j \I ,<="B . '3'(:: I \\ CM" b\\ \ r2 \1.. \1 ,, C/f\~ ('8r. b\l. :It:: \ -~ \L\ \' \\ f'(3,: 'T66 b\3 :IG1&""' \ / \ L- 3 \7 ' \ ·,e-f> . tA-0 bl4 ~e:..1 GM , " \1 \r l( WD f' a~ :I61G-M 2.. 0 ,, \'1 II fB1: SB~G- Gil:. :fi:1 6M LI '1 ,, \ \ S\3G.G- Sa &L. Gll -;rt:., CM /, 45 ,, '2-2. \. \ SBG,L 5()£1- bte ·~c., &M l/I 1 0 I certify that the statements made meon llis lolm are true. Page Tolal '1/1 3'7 14 S,\<:> Amount Forwan! 0 (:,2_(,1.. 14- 1-, S-741.. Pdors Ssn1WM J tc~l Total to Date ~~., 61.<f-t i Date Ai'cmft Make Aircraft Points of Dellarture & Arrivat Miles F1iltit Remarks, Procedures. Nunt>e< Aircraft Catesorr~- 1~ and Model ldertilicadon Mark Flown No. Maneuvers, Endorsements cl Landirgs I\Jtj,) From To '~i..."•" -::l°6i G-M '2S" G\1S-q6 Nqcs_~l=; SA<=2 SART 6. Ic:, \/, \ s ,, \\ SA~1. ,NCC. b".l.e ~,G-1"'\ \7 5 1 '2.S \\ -tNC.C (.) e, '.l: 0.., .-:I"G.J &M '2_ b I " '2.'1 \\ \\ f'Bi: 'TC:::6 ~2.2. ::I6, \/ L... 3 1,;j 'to \-\s.\:2.$,1~ NC\~~~ Pf.IL r~.r bl.b 1"1::5-r ~~1.-\+1' V\ - J..Q_ (~\\S9t"l l\l 9oR·t"G:. SA'\J °\ffi (:gi RE9&SJ?TiorJ \ 5 (;.~'.:S{:.1 Sc:,rn54 t,zwu., f'.~"° :S.N!:";.f1k \b \\ '\ -tee ft'BJ:° V1 2- y ~f" t.A~it. :;rv,:,o _11_ HS,2..s-1()0 N9S'c:rC:: Pt?>i:. s cr-r- ta\ lll'.c.:'."<;>~:r 1/, 3 12 ::I"~ \'1 G\\596 f\)969 :rf rB r. ·,ce l:,12 2. I.{ (.,.13 T6J.(;;vA (:\r,i.-:ic:~S:.o ", l~vSt11-T1 ~ \ G-\\~-q 5 N9o«a:SG "T66 PB J: 'T, - tJn""o, .- ,•~... , A ') 4 \'{<-t<;3 '.l.. y(;,.,.~Lb -rO.,J \ ' \' rs-,: T<'.::S C:.14 4~, I 2 I?.. . s l\ \\ ,e::e, C..M l-' b'35 :si:::, 1 ~~Lt: \/ \ '2J \\ ~% -,:SG J \ t1=MfrL.C.- 5 .' Cr...'\-t r~ i::. 0 ~'":L-.S,c:.:,,ll;..;:.G(:(;.~~-w:..-u..0s..'.~"'lX= e~u;· 8 II f>6! i.AD b>l :;;: p~.., . • - · ·-· " ... \ '1 " bl5 .l<.:. I ~e,~;r:::t .3Q:...(.. ~C.,..., c-W}'ft>,c.'LJ 8 \I \\ tAo \ct:, 7 <>~'l :fL 1 /'i'lf',~V:.. ~(':>\C"S-1', G-1"'1 I f<:M~ \7 \3 \ I \\ ,~e, rer. '1.. Lj \ <. tl Pe~ ,G..6 640 ~e,, GI", l'l/0oy S'TG:wqa_.,- 2. 1 \( . \ q ~, :IC::.) Cr /It' ·"tc::B f'~T -~, '2.. 3 2.. \ I\ \ \, PBz \~C> ~l. .:re: I G-M 'J._ ')_ Page Total I certify lhat lhe~~ • • ··~ o•= vi+ Yl s Amount F01Ward bl.'t'i 8 Pi10f11Slgna1·- Q1,~\ ~lct'lA.- Total to Date ~\ ~~i-41 ?, \ 32 Airuaft Make AilO'aft Points of Depatwe & Arrival Miles Aight Remaitcs, Proce4tres, Number Alrc:nft Category_, and Model ldentficalial Mari< Flown No. Maneuvers, Endmsements of l.an(jngs :If'lfV From To f-hRp._-,. ., '2.:-) G-H5'H~ N 9 o'o.:s<=. 1--rc=.6 CM" \/1 \ \ I \ I 2..3 C/\'\~ ,t:A3 ~4Y 36 l 4- ii \, ' '"tt:6 De.~- b'-IS :IG.1 LV6~ l/1 1 '2..8 l\ \' De.A l-f-H) b46 RcPtsnrc.rJ 2J -2~ h \\ tAP CM~ ~1 Rl:P6S;:Ji=.o ,J -, ·2._& \, \I b4b ::r& 2. CJv)" PB-i: c::J ~-z.... \ \ G HS'\ R~c:.i;tla... 11t1~i,.,~Nt- -SPrJ . - S-tr'\\;L-~1<:C.. b D \\ N9o8~ Per l"E:.8 b'i\ ~I ::\f"O'( S,~W~ I/ 'l. 4 q \l \\ 'T(;:.B (36.5 ~L, ..., &/V\ 1 A"'P'f \/\ 1 b53 61'\ {,)f'lo'{1 \-tC:NC-'f ~.::.:.c::11.:.,q: \( I\ '\ (305 TcB \ 0 \o\ 6s;4 :re;, GM 1 Af\loy, \-tc/112'1' Rt)S.Cv5,~-~u;~ 9 ll 1~13 p ~1- 2 3 \1- I ( \( P{)-r. ""fC::6 l£6" '.16, Gf'\1A~t)"f', t+6111J?>f~"r.>~J:, I k~u: \/ 2 3 \,( H 60s (£k -• He:~ ~'1 RoSc:-v~i::-y 4 \ '"2... 'TE6 V \( \( (£7 RC;PaSt?J:l>» C\ ~",.,,"" pNSJ'u.'."llu• \"1- ~OS · SR"-' ·2 3 J"\~R \ \ I \,( Sl1'V ·,EB b'>8 R<::P\\5;:-rp rJ \I' \ 5 I\ \I ·,e6 ~(,~ :t(; >6-,fV'\ I (\ f"~'(I :ci~lt. L\ \ 65.:9 \ 2 'l \' SAY re,~ ::r& I G-f"'\, .f>,r,J PY 1.. 5-. :lyl", b \\ \\ PS1. ·\be, Gbl :r<S, &M, Af'IO'( '-'~tl...~"1 \/J I)... 3 01\-\lC,- '!,v,1'-'-' \( "- \bf, bt.'2.. .. 8PGS ~1 J'.'o:J 0.f'_ /W,H G<,./1(1- ()c,:,:_ V1 :2_ b Page Total ~6 __}] 4 ·- Amol.111 Forward .... 6141 ' ..eu:~~-~~~ , - Total lo Date 1~"~1 6~1~ PIiot's Signature l 33 Aircraft Make Aircraft Points of Deflatwe & Arriwl Miles Righi "-ks, Pl'ocedures, Nurmer Airer.aft Catego.,. h ~s and Model Identification Mark Aown No. Maneuvers, Enclo-nts ct landings From To A:i:~9 .. -,,.c￾I'\~ G ~-"' nsqe N9c6~<c Sf-1"\/ ~e, l:t:.3 R6(-\Z.:uµrJ IJ<:\\Ic:i: Sc.(>w v.,.;n,n.,;1 \/ I \ 1~ I q \ I \ \ .:S.&, Gf"\1 A,rJ Dy '2 S1:'4 ·-i. -t'=B \)S'! C:k4 ~;t,Q,;,,1'-' \"2- \\ \ \ PGJ. \t:'3 (-k: ~, GM I (.\rl P1' 1/ ·J.. s: \t II bl-,(,. .::K:. J ~\I\X:°it-r,'O~VJ:~ /7.&r\!\' LI '(),..,-f \b TC.:-B re,t J._ L \\ \ \ ,68 (:k.7 :fC:-1 Rv~iL> 1 LvB~1 Li f'A'l' \<'I r~1 2. \ t ~<f..J ~f?!"IS )<c::\J(:'7' 2..\ \• 'f6.43 Pc..B- ll:.8 l/1 (d 2.\ \I \ I oc...c~ "T~B 6(£t .::r<S, ::ff}r,Jr;S \<. G \I<;'( 1/, l:, It ,, "2.2.. ~6 ?51- be $,GM :2.. u - H I ' pt:,'[ ·Te:.B (:£1., t Gf'I\, PtJ D'<, :l"~bi'~ ftvt-'~ \/ '2 3 l:£3 r:I~!C6~, A-NP~ jG~~/lr-11 5,'l:.-"\k.,, \3 \\ 1 \ ' \IS:6 PBr. ~...; I .-.~\,£,, 3 I( \l pS;: Gh4 ~(:;1 A~,'.lc-;>Nlry\~ i:>.~-i-s-11 \b ·,c:::C> \ ~Bw \/ '"}._ u \( $,G-1"'1 AJJD'-( 2L.> 'l \(;:;\) ~Br: j(,~<; 2 '2. 2~ l\ ·,E::6 686 Pf3 r:. :r~, Ptl'-' P'-( 1/ '2. l " 2.7 \ ( \l ·T65 5'1~ 6fn ~(;f &f\ J [\('1 Dy L\ V '29 I I ,, NGW btit -:It:- I G,.,.f ~lY'-( '/, \ 't ~c,j \ ' \ \ rJC::w ~~-C D'bq ::!l:., Gf-1\, Pt-rv oy \ /I \ 3 \( \ l '90'L (fto :s-0' 0 lo( \ / 1 '1... \ L\ \( ll -r(2f3 PG C Un ~&- 1/ 'J.. ,, i II (>~z: T&'3 b't'2 .::r~, &M J._ ') I cemfy that the statements made by me oo ttis fonn are true. Page Total 1~/ b yo 0 Amoont Forward 6:,1~ ·7 ...........<t) e.,utcl ';h bi.\\'6 a,__,.,__ Total to Date 1 34 Dale Aircraft Make Ain:raft Points of Departu,e a Alrival Miles Fi!tJt Remartrs, Procedures, Nunber Aircraft Category_ 1~ and Model ldentiticaticn Mark Rown No. llaneu-, Endorsements d landirgs From To ~S'i,..'l,-,0 °I G\,sq(3 N'1CB::i~ ·,cs DBY (§13 :IG: \/1 \ 3 9 le l( DAY CM\-\ b~t.1 :SG: 3 ,, ,, C.M\-\ 16.B bqs :S~., '!.~.!} -i_-,:.c'j,&p./1\Pt.J' \6 l/1 I 3 \~ 11 t I --v \1-r. 1""66 l,9~ ::t~, GM, fl\/Hh'- G,PSjL--yJI/ \/ <'].. ::J~M \i \( ,~ bo/1 :!bJC::M a... ,,_.. .. t/, '21 --n5J 3 3 2'2-, ,J:5-r 1'8J: \M:.>i LII-N 1. 11 \t 1ro :S<::::J GM :l~~ \/ 2'!> \· \\ PB-r- ·-rt:f> -,,,, ::se:,cJV\ ' ·2 7> <l.t:f'\ :t.c:, I I \ \ ,t::13 CM\.\- /()°) :Tl- 'Nc.,'?.OuN \/ \ 2....- J-.b ll \ \ C.]1/\\} ~l) \ 10?, :3"~ \ B 1 C, u l I 96:i: f"\J:0 '1<>'-i ~&, G-1"'1 \/, 3 ~J G-r\, 5,c..__f"TO'I:. C,ut,/..",,e c;'~~- 'AC, I• \\ fv\'t-._Pr :r'5M 1t>S- \/1 '.5 2,q \ l :36,.Gi-\, 'St:/J~ rfl/\{U, M•,q'-'~u.-,·2.P/l'Y ' ( 1.5}"\ /V\~FY lot:. b ,en ~C:; &f'I\ ANlJv s~_,.,p,(l.<. 2'1 \( I t /V:lr. A -rE:;1"-l I I , I 'J_ 4 :::v"' \.l 100 l~, ~r" I PI.SI 1"'~1' Cri-t.W(. I \t '\~0 3 - ., I I l-\ \l 5(-\~ ,83 7u-1 ~,~ I"', "'\ f"'l'K'( G-C.ti'~1. y\ 1 ,? \I \l ".S'G::: ,1 ('~f \f=.5 1 \\ V 2. ,, j'"(:. J ::>E:f'liJ'CK:C\, I~ " \~ C../V\\.Y ·1\1.. \ l.) \ I \ \ 'J"G.. 1..J'1::.r.l~L 1, c.. ("\ \~ -T(,-K 11\~ '/1 \ \ ,, ' -- 17 -s~,, ,C::.~ 711+ \/ \ 3 I certify that the sla!Bnents made by me on this fonn are true. Page Tola) 12../R :,2 2 Am<Ult Forward 641'6 1 .-"\~-, ""'_g<l!\,~ .:..- Total to Date ~.:;i:;6\ Y-\5~ 9 35                I I J J 1 I I I I J I l l l - J I l j J l J ' . -l -- -. . - I -- - J - l -1- l j t= I J - l r-- .--- - l l - r￾I - I I 'J I - j j ;--· l f'I -- r- j .., - ...r,,"' - . l ' - j J ' J I J J J J_, . I l I J J j_ I l j L I +-- I I I . 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36 Date Aircraft Make Aircralt Points of Depature & Aniwal Miles Ai~t Renlatcs, Procedures, llllmber Aircraft Categori,- and Model ldertificatioo Mark - Fbm No. Maneuvers, End-t• oll.an<ings AV6- Fran To (\11(;?NI(,. J"t,: 1(.-,N\ 1 f\~ f/\11"'4\ (:('$]1::tl', -"'ll;\i.:.(.D,'l\"~rs 3 .. &\\sqt?, N9c<a.r~ Pf>r Tt:6 7Lfj (lbJ\fqi..o -ut,.1:.'1 (:: ,th'r '1~Ufl\P. "I:(:,~ /)<J,'f.Jr ·•' -1/ ·2 3 Js;n • f \4 \\ Tee f'l\\JY 142. :s-~ \J \ b ~~I"\ I\ H 1ct} :!'C::. , \ f1A)' l, \L-\ M\JY 1"66 \l I \ ~'=, I PA>' Slo,... \ b T G6 Cf"\~ 71..~ W..10CIII \ I ' \ I \, J'G.' \f!'iJ. 3-s:M \7 " CM~ PB-r 1L6 ~«: N LO ~I G-JW\ 1 CH~1--"'" ta;,1)-1'1'4)1.,Uf 2..l..\ \l ~e,1. "fc:<3 14'- ' \ Jl 2 s " 7ct1 H :s6,G-,,\ c:"as:s~"'", ;«;~Jll..&l>f, n:.-a~,.tm 2.....,- "1 c:°13 f' Bl 2 b " \ \ I6J"M, c ~ft~iJ'c- "(;;~rcal')ur; Oc.&:Af U 'l'\ ~61: \C::(3 1~ l/1 2 3 " 1 l\'1 'l'"-a.oPlv-.O ~ -r~ fl\fb:.. (iJ,\\, f"'Y,, no,\.\, ~ , \ ( Tt6 M..\J'( ~ ""-t n C.0~ "' \/ l '=, ,. " 1so .:lt:. -: :> I \ (_ MV'f 1"68 ~, 6M, O'l~~l,.._ ~{::pl~~4" \ 1 I '• ·1l=:f\ f~t: 1 5\ 2. -i.l. ,, I( :U1&-t'V\1 c,~~~,." '(..J.;'""f.f.t"-'< l\ \'62: ,t:'6 "1S"2 ,1 2. 1"2 :fG,J 1~ ?,._r~~.1)11I b 1t:e CM\\ ,s, ,;, \ 0 " " \l \l :r~, G-M \?, '-M~ -,~6 751¼ \ 1'2 ,, \\ , ss :If, AS, S·rt::w '< ('fW- '4- ,~fl ASE V 1 -~ 9 \ l,. \( SA~ 1Sl. S61 ~5 " \Ii b \1 ,, \t SfW (-\¼ 151 S{:: I {.)'5 I fv'/'M't' <:Q. r:f(~ ,;, (, le I\ 1 58 :re.> A'S, ""'"'T" &~1,,r, ,. \f' f>~)' \·1 (-\$~ ·Te'3 \/1 "3 2 \( 1 l 1S4 :f<i:1ot"1 t l:. f>A">' 2 \ -re.a (\Se t /1 \ 2 I ce<tify tllat the statenents made by meon lhiS form are true. Page Total 1v,, 31 4 Amount Forward IS"½~, ~4~7 7 Total to Date 'V [,S")C, ·~ .. - 4=') ~ I 37 Oate .Aira'aftMake Aircraft Paints of Depature a. Arrival MIies Fligtt Remarks, ProceduNS, Number Aircraft Category- ,~ and Model Identification Marl< Flown No. Ma....,vers, Endorsements of Landings ScP From To Ai.RfUI',.. 1~ ~,Glll\1 S9f'l1 '2.\ c;. 11.5'i (-', N'lt:>'2-.~G CM\\ ,<=8 \ \ -e. \ \\ ·'1t..e '7S"1 1l.l ~&fl\ 2. 2 " \\ \ \ ~"=, C:,,f"\ :lP' 2.5 rsi- ,t-6 71:.2 ~:I )/ 2. 2. )\ ,, C?(.-i: l"'i::-,;:..~, 3.tJ-'\ 2B "1L='6 f61: ht:.3 :re, G-Jf\ ,~-r~.t\)':'1"~~ W....'l."1?1.?I '2. 2 lb4 ~, G,c:J'I(.:; ~.,. l..\ f>'3c '1l::'6 2 2. II " I I \t ~(::;, <,-~ b ,£5 f>Gt: 1b5 2 2 ,. ,, hl,.t, q :3c;-J Cs-IV' ~ir- ,~f> \/ 3 ~.,... No p.t)~~..c:.a.,- Ti> re~ .I l( ·,e::13 PB..r: '"1,.1 ("-,pi't. I~ A . u-T~ r..NS~-·-rA,J c.... ,_ .. lb~ :t61 Gfll\ 22. 'I \1Sr ,e:e ·2- 2 l \ :Sc! f'l'J\11..,,, (fpS-,c..-i,,.,, ~f'l,:;,4~ la-~#~ 2.L-\ ·,-c-6 P6-r: hi>'l I i:#~rJGi.--; ...~-..~- 1- '2.. " n7., ~, H'l~"'~ GvvPf!IV'>'1 ~.•»<, 2c, \l •• \l 6J: "ti:;6 2. 3 G~, AS l'~~.JG.u., \ -~ I \ I \{ 'T66 $(\(- h11 J I q t, ,. \\ h,1- NOV ~~JG.fr\, As, Luss, t>AS~L \ SAY l'~-r 3 3 713 !:'SC=J (r/II\I <:; LJ..t; ,'III f\S " 5 \.t ()f\., r: 1"l-e. 2. H \\ TE:13 P6 ·c n1"' 2. ·-i. - I\ \( rnr.:r&- \', fClr: PLfr \/ \ :1 \1 il "I PC+)- -te:B iJ1b :Ye i- ,, j \( rrn ~ti: lb 1<213 ofW \ 3 \1 \,\ "' DP.,y C.,M\} rns :re: \/ I 3 I certify that the statements made by me on this !Offn are true. Page Total l-{ I ?.Ci S' Amount Forward ~ ~,.. b5\C\ Total to Date -·-~qj!½~ Q .. I~l,SS~ b ~\u 38 I Dale Aircraft Make Aircraft Points of Departure & Arrival Miles Flight Remartls, Procedwes, t-llrmer Aircraft Category._ ,~ and Model Identification Man< Flown No. Maneuvers, Endorsements at Laroilgs From To (\ .... - ,. \"1 G\1596 N9o<o.se. C-M~ \'BL 11'1 :re 2. <.) 2..o :I~, AS 2~ \,t '' PC3-i: '1GB '1?.c ? 2..\ H \, j(;:f, ~a;:- 1&\ :Ji::J BS, G.vf't 1C.l./.r,t'1 0~'1, \ ~""" ?- l..) 26 ,, f>B-r. ·,t=a 1e2. ~,('wrf° G'ilL~ r,~J':;:~~':'JJl'i ?.. :t ,," \ t 1f>3 ~, So-Niu 8zl1DU.-, ~'-'> 2.'1 Tc:6 c.~~ \ 3 -~ ::s~, l'jWOI.& \t CM\\ f>B.C ig-. \/\ ")_ t) ""l, ' " ' pe-r . 't=B 1ff~ ~i...1 5c,?j},Z:t 8~VDL.<:a 2 ?. DC-<.. \I s l\ \ I ,~B p "(l..,.. ,Bi, :r<E., '1S -i \'(qi. \• \• J;~c:G-/1\· e,we:,u,~1.:ftJ ~'=--A...,.\<.:J.. :SA>J PSr_ ·,e=S lITT ' ""- ,~.... ~;. O~VIVI JJ 2.. \ ,, \( 1&, :r<=1 4 Sa>~:t',(,: GJ-ool.k '1't.6 {>8r ?- S'" 7fM ~e::., AS, :Sc-r~a.. '3:LA:>LG- \ l '1 \ ' re,r ,fs 2 B 1, ~() ::l'{.:., e, rA, Oi::6u1t~,} \ 1, 't ,c:B PB! ?- '°\" \ I ,, PG-r SAF 1q~ ~,c-1'\ \ I I 4 0 0 '2\ H \( $f)C: 1qt ~,c~ I / I 2 0 ' AY.. \( "23 LA)( ,e~ l'il 4-- 4 II - \j ?...~ ~G-13. r'B r. 71t> :sG:- 2.. 3 'l.~ le \\ t>Gi: C \\,\\\- 7q~ $,CJ\'\. i I I -2. 0 2..'c II l( C.M~ ·,C::6 800 r(:J & fV\ I I 1L \.( T~:(3 pf., 1: ~, :r~ 2..' 3 0 I certify t1at the statemerts made 1¥ me on this lorm are trne. Pagelolal 4/ t.r 44 11-- Amol.lll Forward -#>~-; (;sSB lo Piorss~~)cvu1J Total to Date ~~'\ 6bt>2. 'o 39 ¨$£ÑkN* "             I 1 - '\ . ' . ..... s . , . - \ . - - · - -. ' . -,,.,. _.,. ... --. ;.;i,,i\ ...... ., ,.- cp-,r- - . 9-?:I !....

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