j é ey 45N meee +n “nts gis a wee Aircraft Points of Departure & Arrival SR Identification Mark Flown eke} J See Sete leer ne somemnaeniatent's en ee ee a i Remarks, Procedures, on : Maneuvers, Endorsements i ae ane a! on Date Aircraft Make and Model @ 5 | S ws ; jJ pe wd 2 ft Ud [ple ae | =a ie ~ Ht [ ‘ 1 + me GS [wy) Ww V4 Siar ~ _ 7 eb: ~ c - Col L4} rt} TT". BIAS E TNSAGB IN AOA PRE C= vsiB Ll 4c TAI TS —-|— > ~ ==) NA OATE a =) N S) 3 O re pie YP wD \( x va) c 79 a ISS sh i: a pat uk - ” = ~ = +N, 12 oa Pes | canlify that the statements made by me on this form are true. Page Total Amount Forward Total to Date Pilot's Signature DY» HOUSE_OVERSIGHT_022816