itis) ioentifiet in item 4 abcive andbescribec on Ine reverse or attacnmerns nereto have been mace in accoroance with the reouirements of Pan •43 of the U.S. Fecieral Aviation Regulations anc mat me informatioh furntsned herein is irue anc correct to the DP—S1 Of my knowieope. . . Pursuant to the authority given pei-sonispecified below.