3 9 I certify PlaS SiDelattrt drat stalemenis made by me ( : 4 a te' on this term are true 1444. • - vziv,efamtorPeOgioua 51 /4 l il 1 11 Amoum FOIWard wi t, wi t, 73 %It Ca 3 ?) Tidal to Data t1- See) 0 3 ,l i i EFTA00151100 Date .4ø-- lØSQ. Aircraft Make and Modd Aircraft Idera