g. Total 3 3 I s' if I Amount Fonserd _ olio 40-ii 4 3 3 1 13 TWA to Dot* bioxin 434. 1102_5- 33 1 1€ ' EFTA00213357 Date 1 o ,C473 Fiume Make andModel Aircrew Memetication Mark Points of Departure & Arrival Palos Flown Flight No. Remarks, Procedures, Maneuvers, Endorsements Number