=sum k/ i 2. LI I awry pkaskywn that the stainets made by me on this forrn are true. a4»:-i (2a 167(4-'2-- Page Total 111/ 11 35 - I Amount Fonatcl 63 1 1+ II>s. 3 3 3 i I,. Total to Date t!k - ir.,0 -I , 8),At, II 3 3 ‘ ii 7_ EFTA00154118 Rodgers000110 Date la— 2ott Aircraft Make