‘ Amount Forward n-s5; iGii).. Cr 3 3 11 Z. '3 6, Patel to Date b$1-1 4o i ri t-f- %M t) S (1) k l '2— EFTA01723866 Date -rgr— 1..t.V)— Ancratl Make and Model Aircraft !demiStation Mark Points of Departure & Arrival Miles Flown Flight No. Remarks, Procedures, Maneuvers, Endorsements