111- Totad to Date t ra WV) eit 3 3 '‘ to . EFTA00151137 Date 40_ 1 4:4)( Aircraft Make and Model Aircraft kientelcaton Mark Points or Doper ure & MOW Mlles Flown FtIgN Na • Remarks, Procedures. Maneuvers, Endorsements Number of landings Aircraft Category... From TO 4 a Pc AA- GA-M-4 1c-