1 I certify Pilots Signet:2e that the stalemenls made by me en this form are INe. c. i n CliLICR IC - .....e .-2-- Pas Total , k , 9 /6 93 i Nnoon, Forned t 42±; quit\ ci 3 -3 Total to Date g .tt Cnn a 3 .' i EFTA00188972 Date ',or—. Pe1- Aircraft Make and Modal /acre Idsedificati