Date Aircraft Make and Model Aircraft Identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l Mies Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . Date Aircraft Make and Model Aircraft Identification Mark From To Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings WhLUd"}' f S i n - ^ i r t 9 0 1 S5* $ \**> f a s O f l , 3 ^ y n i - j 5 X , 6 T ynrw&*z \ 1 I < \ i P f t E T i< W r^t3 M I V h \( It e> n IC 1 / T^t3 Ib3c CLliOt' L r > 0 l T - . r V / V P t o - * A N c 7 j K . o v E ^ I * r a H V \ i f \ O S " / b i t »/\ e> 1\ u * < S f t f Mi i / i 1 b U < > A £ \LV m u 1 I S B A G u Si T£l3 H ; i l< \< C| 3 n u 1 I V M t f l O f ( W - T - A ^ CAopi-V- V 5 C ? , N o r»VCV:/llAJ3-> V\OM^£- W V f e j ^ i - o f e > \ 1 " M \ j l l It. i \ \ <l \ 1 4 TftVr/VlJft J L l T t j r f l X ^ . r - f t f t C i A W i P f t C t W ~b 1 1 certify that fie statements made by me on this form are true. Page Total V 3 1 $ 1 certify that fie statements made by me on this form are true. Amount Forward M I S S o i l 3 1 1 3 i 1 certify that fie statements made by me on this form are true. T o t a l t o D a t e i i o z sr 3 3 1 0 1
Date Aircraft Make and Model Aircraft Identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l Miles Flown Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . . Date Aircraft Make and Model Aircraft Identification Mark From To Miles Flown Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings ft-12.1-31 ^ 1 ) ( 1 2 . 2 - u i.£c> \ A 6 |b>35> \/ $ 3 d 5 X , 6-y M \^ \ \ l b 1 * -j<^(Ox*, <a 1 \/\ n p e r 2 ^ \ 6 \ ^ \\ 1^43 2 \ 4 \ \ 0 n \i u 2 ^ 2 1 b 2 - ° \ Vl X o b 3 I Si 2 6 1 56., ft\ e f t 0 ^ f c , « ^ i P A - V & C . \/ H n T£» \/\ b w l l IW* a/v H \/\ \V < % 1 certify that the statements made by me on this form are true. R l n r s S i g r a M ^ ^ ^ ^ ^ ^ t ^ ^ ^ ^ ^ ^ ^ ^ ^ Page Total 1 certify that the statements made by me on this form are true. R l n r s S i g r a M ^ ^ ^ ^ ^ ^ t ^ ^ ^ ^ ^ ^ ^ ^ ^ Amount Forward ? 3 3 1 certify that the statements made by me on this form are true. R l n r s S i g r a M ^ ^ ^ ^ ^ ^ t ^ ^ ^ ^ ^ ^ ^ ^ ^ T o t a l t o D a t e H|S2 4 3 102
Date 19 Aircraft Make and Model Arcraft Idenffication Mark P o i n t s o f D e p a r t u r e ft A r r i v a l Miles Flown Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . . Date 19 Aircraft Make and Model Arcraft Idenffication Mark From lb Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings r W ^ l " V <-& :v % 5 f W 9@? W T c u t V \ M L S 3 - < V o 3 5 " u 5 to ( i - n D ^ M fl- T r b r T T f Y . a n 1 & \ o it 5 \ 3 \/^ 1 r 1 Kb u U T ^ 6 r 1 Ho Vl \t l o s t \L M P r 5 < ^ & \ * vV 1 / 2 . 3 ? > \ X V I °1 T \ X 5 7 i \ \( U 3 \ v L G 6 L G @ •«oc^.VCcf>/iW-"3t.A £ > > T , \ / M o n PUTCaX Zi>*Z>liC ~C~+&\ 1 M K H / H M 0 nx. U \/\ is* a a 1 certify that the statements made by me on this form are true. Page Tola! 8 4 3 1 3 Amount Forward fc347 3 3 1 1 8 11 Pilot's £ T o t a l t o D a t e s 3 3 11 Pilot's £ 0 103
Date Aircraft M a k e a n d Model Aircrafl Identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l M i e s R o w n R i g h t No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s N u m b e r of L a n d i n g s A i r c r a f t C a t e g o r y . . . Date Aircraft M a k e a n d Model Aircrafl Identification Mark F r o m T o M i e s R o w n R i g h t No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s N u m b e r of L a n d i n g s 2_ 0 L A / A S * T 2.1 \ * I • 1 * ft %c\ p e n 2 . H 3 G H Y L Iter •x.1 I P C X T < i 8 2 5 2 . 1 i Z U N / -2- 1 3 ) vc /v\fjPP u v 1 5 3 l< H 3 p o r 2 _ b - b \i \ « K2k •2_ & 1 \<. U T ^ T 3 — — i \ 0 t t \/\ 7. "1 \ 4 v n P 6 X M l 3 ^ . o r , 2 , s V( u T ^ S ltD2 X G \«1 \\ i > Kn3 ? / i 2 . 7 H \ \ * ^^-m^»_M* _^ ^ — v / i 1 x \ i t v \ 1 / °> 1 certify that the statements m a d e b y m e on this form a r e true. P a g e Total 3 i - 0 1 certify that the statements m a d e b y m e on this form a r e true. A m o u n t F o r w a r d e \ i i s ! s r 3 1 certify that the statements m a d e b y m e on this form a r e true. T o t a l t o D a t e 3 5 1 2 S f 104
Dale Aircraft Make and Model Aircraft Identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l Miles Flown Flighl No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . . Dale Aircraft Make and Model Aircraft Identification Mark From To Miles Flown Flighl No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings l i s T ^ t 3 V * \ * / v v i V It77 n Xh% 3" A * 1 / ) 4 X & \ < v \ 2.-2.1 \ D 3 6 u X 5 3 0 U 1* u f ^ L f P 6 2.2? / | c i 4 u it 22-H It w 2 0 5 8 - ML V \ I °\ - \» V ( 2 2 1 l / l °\ sr u vt X ! £ V £ 3= u M y H \\ 23c 2 J M \* W " L u U v J Z 2 , n v( \/ ~I 8 u H 3 f ° ^ 2 3 3 l / l I 3 I t \l 73H 9 u e r f * * 2 2 ) ^ 1 / X b \i I l certify that the statements made by me on this form are true. Page Total S r i 2_ • 0 l certify that the statements made by me on this form are true. Amount Forward s u n 3 \m 0 l certify that the statements made by me on this form are true. T o t a l t o D a t e 1 3> 3 \X5 0 1 0 5
Date Aircraft Make and Model Aircraft Identification Mark P o i n t s off D e p a r t u r e A A r r i v a l Miles Flown Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . . Date Aircraft Make and Model Aircraft Identification Mark From To Miles Flown Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings 731 2 , 1 - u u T E S T P a t 2 . 3 c 1 / 1 1 Z 5 \\ p e r 2 . H 2 - 5 u \\ f i 3 x 2 _ 5 OCfL i V \ ft i 1 * u \ v< \ / i 3 t l i t p e t \/ U i t M If u 3 C - , G f ^ 4 S K J I S J U l i p i I \/\ x H l< u p & i \m \/\ 2 . 1 U £ 6 £ T E S T 1 / Z 3 ft M p e r m \/\ 1. 1 \ \ ^ ( r l - * \ ; 3 w e o P » ' A ^ o * <Vf**Mr v f ^ - r . N M V i o J i ^ y 7 H l< " 1 H \ < m \/ 2 _ S »\ lfc£to a t P e n a m ^ W*1 a L l I S w •3. 5 " I certify that the statements made by me on this form are true. Page Total 0 I certify that the statements made by me on this form are true. Amount Forward 3 1 ^ I certify that the statements made by me on this form are true. T o t a l t o D a t e faT*f ^331 S 3 3 I X S 1 0 6
Dale Aircrafl Make and Model Aircrail Identihcatwn Mark P o i n t s o f D e p a r t u r e & A r r i v a l From To Miles Flown Flight No. 2 H 7 R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s |S*i TO Number of Landings A i r c r a f t C a t e g o r y - 2 . 2 ? > e a t 2.b 2_a L V T T S T r P , S K , L V 1 3 7 . 2 . ~i_V |L«->' i 1 T ^ t 3 P E L itfib a Z 2 _ 3 _ = 2 ^ X 5 \ 2 _ \ 1 U L V 2 Z f 6 £ z 1 ^ 3 ^ 23> 2 . 4 2 1 1=1 U 3 2 5 3 0 , f t W L V T 7 1 Z 7 51 3 2 3 4 2 . 1 certify that the statements made by me on thisform are true. Riot's Signature Page Total Amount Forward T o t a l t o D a t e 6-lS<> 3HY ^ 4 8 S 107 3 B X 5 " x s
Dale Aircraft Make and Model Aircraft Identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l Mies R i g h t N a R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . . Dale Aircraft Make and Model Aircraft Identification Mark From To R i g h t N a R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings IW7 \/ 2. Ife<f8 \/ s k l ( \/ \ 1 w \ \ % 6 \t I* \/\ 2_ 3 n / ^ £ ^ - a . o 4 \ l v i ^ m - 0 . o n U VI 0 \> \ l / * £ P r 0 \ o w ^ n r i cftfr c g c ^ i . awb •>> o \ 1 Hot- o b \/\ 2 - 3 P 0 C a b \/\ X yt \/\ 2. H \< \< U fc& \/o b \ 1 M \t 2 , 13- U v l f a r V % 1 certify that the slatementsmade by me on this form are true. Page Total l A 42. 3 1 certify that the slatementsmade by me on this form are true. Amount Forward ( £ 1 S O 3 1 certify that the slatementsmade by me on this form are true. T o t a l t o D a t e 1 3 •3 108
No text available for this page
Dale Aircraft Make and Model Aircraft Identification Mark Points of Departure & Arrival From To Miles Flown Flight No. R e m a r k s , Procedures, M a n e u v e r s , E n d o r s e m e n t s Nurrfcer cf Landings A i r c r a f t C a t e g o r y . . . M O W 1 P 6 r L V 2 . 7 P 6 X u\7 5 2 D u TOT P 6 X TV- \ z ± . 5 6 - I f f i f l 1 3 \ 1 ^ 1 L A S 2 . vl p a r 1 _ 5 L V L V \ 7 i 1 1 4 ^ 7 T 3 3 . 3 6 U p a * T ^ 3 p e r H2t 9lt*ZS iX-T. S i t . L . V 1 1 2 - 11 - r v - 3 ^ 2 . T 1 «5f 2 ^ a u L f ? 6 3> H x l 1 L V / a A t certify that the statements made by me on this form are true. Pilot's Signature. Page Total £ 5 3 Amount Forward 3 3 U S Total to Date t i n U S n o
D a l e Aircraft M a k e and Model Aircraft Identification Mark P o i n t s of D e p a r t u r e A A r r i v a l M i e s F l o w n Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s N u m b e r of Landings A i r c r a f t C a t e g o r y . . . D a l e Aircraft M a k e and Model Aircraft Identification Mark F r o m To M i e s F l o w n Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s N u m b e r of Landings •if "^"^ — ^ V 5" b \ v \ v T £ S T 0 . 6 2 - 2. H lb *« \* P S * 4 \3 \ \ V > V\ 4 7 \ l \ ^ \ "i \ * l i* it P B * H - X H i* vc M 1 - v \t 2 . 6 B \/\ H 3 *f i« >i P 0 1 3 X h x i •5" TOT A / 8 »< M fej: 7 X o *53357 \ * ) ( X L - '—/73%M &/ I * ) ( *S \/\ p 4 * ) ( ft T . f H - r j J ' V - V A A ^ 0 u r 3 r . 0 > u — A \ ? 3 * ) ( \o \ * f e e -3ci<EAift « i r * ^ i » i ^ / ^ ' o M Uc' \/ X 5" * ) ( \% —> * ) ( Yb s * ) ( 1 certify that the statements m a d e b y me o n t h i s f o r m ate true. P a g e Total s> 1 Z % 0 1 1 certify that the statements m a d e b y me o n t h i s f o r m ate true. Amount F o r w a r d cm7 3 3 3 U s % 0 1 1 certify that the statements m a d e b y me o n t h i s f o r m ate true. T o t a l t o D a t e &1« 4 3 111 % 0 1 111
•ate 1 ^ Aircraft Make and Model Aircraft Identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l Miles Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . . •ate 1 ^ Aircraft Make and Model Aircraft Identification Mark From To Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings v.\w.r<: 1 / 7 4 n w 2.o i« \ v 3 f K / i h 2-S \ \ i* Lepft 1 b 2 5 IN j \ 2. I 1 M P 6 t has ) L V X. b x s p e r ^ £ , 3 K L » W A r A u ^ ^ uv/ a . I V e e r - m I I LX/ \ / l X \ N M°| l G M LV \ H \> L 3 : T LV G-MS^6 0 1 M £> O M u \ / 2 . \ V v p e t \H u M » fifty • | \M ll ^ * 113"! \ t 1 * 6 6 P , fVO'RfcrV L v / M <b£.v ITS rVDflfcrV LV/ 1 1 certify that the statements made by me on this form are true. Page Total f / 3 1 certify that the statements made by me on this form are true. Amount Forward 3 3 1 certify that the statements made by me on this form are true. T o t a l t o D a t e 4- 3 3 fas 112
Date Aircraft Make and Model Aircraft Identification Mark P o i n t s o f D e p a r t u r e A A r r i v a l Miles Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . . Date Aircraft Make and Model Aircraft Identification Mark From To Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings G-W3& 2. at ZD -3 Pip 'wmz HA* vA 2_ b 2_o »v 3 AX \/ \ 0 2 3 2_ 3 2b per nm CVM, crK L-V 2. H 2S 0 _TFY\ 2. \4 CPs \ k5 >« \ 7 \5 M > 1 1 1 1 | 2A T X 5 T 'V/i 2. * 1 \\ TX5T 1 \ 1 T 5 5 T 3-^.1 MS\C L\I f\>H^Gyv\ T t t -LSI - W e L5JT L V TX3T I/. b I * T Q P f f ^ l / l 3 2 3 u M ,OfA, G-^ 1 g t.v/ r ^ Z "7 h \ 1 I t ? @ r rrs\ 2 7 1 certify that the statemenls made by me on this form are true. Page Total \ 3 1 certify that the statemenls made by me on this form are true. Amount Forward j 4 T o t a l t o D a t e 1 3 1X1 j 4 113
Dale Aircraft Make and Model Aircraft identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l Miles Flown Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number ol Landings A i r c r a f t C a t e g o r y . . . Dale Aircraft Make and Model Aircraft identification Mark From To Miles Flown Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number ol Landings \~fSh i - V ft \ < V T 5 3 L V \ / l & \\ 3)o s , 4 )\ n 3 t f L . V z -a ? 1 i i ( p e r 3 d U - V 2 , 3 ] h M ?> \ < 3 n \/\ 1 H 3 t* \ i < ? 6 I t _ V X 1 1 \ t P 6 1 5 I f n ^ i ^ c t y i 3 i ; ^ f > £ ^ ffcJ^ p a r i * * * * > \ / l \ 1 \ 4 M T - P & T \/\ 2 . 1 \<\ \ \ m ^ / 7 h 2 . H p e r . P€>x: s 1 \ \ to \ / | ? 4 b r W t Q r 5 1 o \\ C t C C L i X L r ftPAZc-fett f i ^ ^ ' H ™ 2 _ S $ P B t f ^ j ^ \ 6 p j L * * * * f f » Y V S \ ^ \ V / v \ D W £| M O W \ 1 certify that the statements made by me on this form are true. Page Total H3 1 4 1 certify that the statements made by me on this form are true. Amount Forward 3. 4 1 certify that the statements made by me on this form are true. T o t a l t o D a t e mi • 3 3 4 114
Dale Aircraft Make and Model Aircraft Identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l Miles Flown Fight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number ot Landings A i r c r a f t C a t e g o r y . . Dale Aircraft Make and Model Aircraft Identification Mark From To Miles Flown Fight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number ot Landings T P 6 T " T O 3 2.51 35M ^ / • » > t c , p ^ o e e f t i / l ^ "1 A\ M 2 . 8 V M *-* u n \/\ 1 b 5 L V \/ 1 a l / l % 2 . 3 \J\ l h \ l i> IT7I 2 - 3 \ o X T£r3 IT* L V \/\ % V2. fe-irvbw T £ S T V 3 i t >i n .W G-M3°IP i m U ^ " , A f \ S\<* CIV 1 / 2. 5 1M i ( H 11TB ^ ( fin SK. L V / z L H U IT«3| L V \ / l 2 . 5 o w 2 . 0 nsfc V A H / 1 certify that the statements made by me on this form are true. Page Total 5o f H 4 / 1 certify that the statements made by me on this form are true. Amount Forward E m * < n n 0 3) 3 H 4 / 1 certify that the statements made by me on this form are true. T o t a l t o D a t e H 3 3 1 2 S H 4 115
Date Aircraft Make and Model Aircraft Identification Mark P o i n t s o f D e p a r t u r e A A r r i v a l Mies Flown Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number QlLanrJngs A i r c r a f t C a t e g o r y . . Date Aircraft Make and Model Aircraft Identification Mark From i b Mies Flown Right No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number QlLanrJngs 2 . 5 » i TOY T < £ 0 n c n k ^ . P i M , b e B B B I Art 1 / ) h i \ \ / ) X G 2D i t - J r r d G - M , £ M \ / l \ u m f l G - W ' D ^ J I ^ O ^ \ / l \ X l« i \ •TC-6 n ceJ3£-.SK..06.T/9TrftA>Nft- 6 W 2 i i n r e t T d B V ; 2 , \ v v / ?> ft < w l 1* W T«^@ 1 / ) 3 2 . H SOP m 4 3 f c . S,< , 6 8 A M ^ r T ^ ; ^ H \ / i 3> 3 \ 5 I I l l l / l 2 _ 3 22. \* P 6 £ 2 _ 5" 2M * 1 £ r 3 f o K \ ( J ^ i p ! T LA/ \ / l 0 2-M U l l s a * l - T ^ D S LA/ V / i a j t .» u / A W Vacfl 3 £ . O 6 . S K . . 0 ^ A LA/ II .\ IBID r ? i i \ ) PBP Wn| l / l b *!? I f 11 AW: T & 0 L l 8 MAR- ~1_ 0 1 certify that the statements made by me an this form are true. ~ _ 5 t W fid***. Page Total MS H 1 certify that the statements made by me an this form are true. ~ _ 5 t W fid***. Amount Forward f } 1 certify that the statements made by me an this form are true. ~ _ 5 t W fid***. T o t a l t o D a t e D 3 116
Date Aircraft Make andMoctel Aircraft Identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l From To Miles Rown Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . . _ 3 _ 6-M54 6 T £ 6 T 11 n T E S T ten \ 4 I LV/ 5fe tew 3 18)1 8 2 P i t per T E S T 3 ^ , 0 6 , S H . J X / A 2.4 T X 3 T T * 0 3 2 ^ 11 T d 8 i e z 3 3 ^ ft 2 J _ If '22. i t T^8 0 £ p T£6 >i4e 1834 1A ± LV LV Q ) / Q 7 3 1 2. 5 2_ n 66P 16 L.V Ife3 3 a T £ > T 3S2, I certify that the statements made by me on this form are true. ^ 1 | ' 1 1 ^ M t . ZAW; UM 3 . 3 Amount Forward 3 1 Pilars Sionaiu Total to D a t e bi&o 3 3 117
Aircraft Make and Model Aircraft Identification Mark P o i n t s o f D e p a r t u r e & A r r i v a l hrorri To Miles Flown Flight No. R e m a r k s , P r o c e d u r e s , M a n e u v e r s , E n d o r s e m e n t s Number of Landings A i r c r a f t C a t e g o r y . . \es3B 3> T ^ 6 \83 c U / 3 6 . 11 it T£6 I94d tv 3ZL 3 1 1 A A 6 ^ 0 L V T£8 3^3 3 * . 3 S i I 3-i)l ii T«TJ",'V 35b H£6 \ l >l 1 S « 3 ..„>»<», SUSOP TOflfi, iircftivr, NO^-Pfi LftHQpNCi rp\,TtXWttil <"foX>jAX/ 2 _ 5 11 I I l l * LV 6^o T > 6 T 5$ CT . LftftTW 4-1.1% rr Suw»c«S L V 3 \ 1 6 G D . i L V L V 3 SVC i L S . I certify that the statements made by me on this form are true. Pilot's Signal Page Total Amount Forward T o t a l t o D a t e e 118 3