OE - 6 23 I NL IS N NAME & CER FICATE NO. NEXT SCHEDULED INSPECTION DUE: C C " US 10 rani 6c ---‘ TYPE INSPECTION (60,100, ETC.) r-,T 5 so Jo s° C 't) ( DATE: ANNUAL INSPECTION DUE DATE: SR2p 0( PILOTS AND MAINTENANCE RECORD PILOTS ENTER DISCREPANCIES - MECHANICS ENTER ALL MAINTENANCE