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Date Aircraft Make Aircraft Points of Departure & Arrivat Miles | Flight palate, Procedures, Number Aircraft Category... “19-7 | and Model identification Mark Flown } No. Maneuvers, Endorsements of Landings j 2.65 re Arvercond gad eu. “2A [B-729-ay| 4oarEl CMp Py ESS. re SSK 3h 2s) z TESy Mle Poa 3d wate ha NEE COA BBS, LZ at 2% 1A + PBI Te | padres Sf 24 | 25). uM o Bk. Ves OC Ae Ee ee INE 21S ttt ; ——+— Rese ee “i “he ; T1G-NS48 [NP 40456] M T\ SEK | fee". : 1h fe 7 uA M TOW CNM\y eH] SE OK, 7 es —+ nie : re ah stem [eee | heed S255, aes Zio) 2 | qf ut PAL TIST ce Ves | SOK, TD ley REACTS : \ vA 2 jap oy isi «_[tssy [ves 1 eS OPO ee ee? nS \4 v Mt [VE | TEST | ey 3S) GM SK EA = A\ oF 24 i 4 TIST PAL | (lesa gy] SG eed POT [STev. Cre Kore | A 2.| TI 2 \ i PBs [troy beg Te Bicm (Eker eee 7 p25 Teoul— = ae a eee A BU Uwe DRuNGl, MM i i TT Jan] . = \rsy PBL Oem LEG? ane LM \Z\ | 2, a V4 PAL rom gr i) cat Ceci Bulky wee . wy | | aT VA yt TsméM “fF [nee JG cy, 30,GM, G4, VM BR “| | 4

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Date Aircraft Make Aircratt Points of Departure & Arrival Miles | Flight ‘Remarks, Procedures, Number Aircraft Category... ~“4g-——-_ | and Model Identification Mark Flown} No. Maneuvers, Endorsements of Landings D a Tou (enn ik 2.00 From To FALK PLS Co Une| peer he “He |B727-4.\Wqeete | PBE SEK 2H3/FSBUNM, SK, TO ; Th 216 2 23 1 = TEK PBL nM NPA (eo eee eon LA | & |_| 26 [esis INacwqe [ear TER Vey 5) B5,NM, TO ia 2m [| 28 KC as Tes cea [en 81,4, 9K, 10 aid AiG rr : a ca ge ra A . [eas EF tS wi vi “TESe TES Ki 8) SLB NM TO, SK, : \7 ma Ss s ey TER Beno 1 ¥ o Ve VC Keo TH tests ALAN Dee WoW TF2. Lv | | | Sas : TEU) LAPT Liu eeisk L ale, | {_[B-17-314 | NGoSae | Par SEK SEAT, SK, Gy ol 5 | i: ye VA | SEK | LEPB DEAS SREB, Auge WERER, Lv 4 ; = a e LéPB | CGR QUBE EM, 5B RTO, AW a G UW \7 v ve Boe ES FY | puso S08 7D NA AW LY, i [s | uC TERK PRI QUA TE BUNA, SK. TD, ch = es iP ae ne VN a> a ue [eBxr TAY Bs BT NMS TO, ae? my wee 316 24 yA re ACY MRY [ (28 SE scala FOREST Sawic iz vy S14 L 2 es : ARYL VINY asap NMI SK, TO bah 3 a \ 4 VN [Ame [bss E/N STP cy, | | oe 7 = KBR [ae bs BeieM NM IEKiTO | ee =, es us vb VEX VBr 255 3S )NM, TD VE LO Cont ew cM a. ! certify that the statements made by me on this form are true. Page Tota! 7 \ S 7 Ss Z l Qe . Amount Forward 1s Cy (3% \ 5 3 i. | Ls Pilot's Signature. VU : e Abe. ee 3446 AES 8 3 > \ 2S

Date Aircraft Make arf and Model 2, OOM

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Aircraft Points of Departure & Arrival Identification Mark ee

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Remarks, Procedures, Maneuvers, Endorsements

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Number of Landings

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Aircraft : Miles | Flight “Remarks, Procedures, Number Aircraft Category... T8277 | and Model identification Mar| eee No. Maneuvers, Endorsements of Landings o ~ freaon| Gomet [Regus ae 1G\64B INGoase co Br fee (677 32, NPT D ae v | YA ve TER | 8é0 weqB| Te, Ip Goes _ i mm Reco Ca ey qe, TY rae eee S TéB VCE 704 JaUDE SENN os Bl n ([PBr frrsy ie [6,705 VC,NM aan [6 “721-2.60 1S EMUL EEL Mh Ler | yxy AREY SS Ruut Sothté oe aoe Mr | Mx RODING TC RRIN-COREUIR CR J es ie [ce [pre Miah couee CR | \& a vt Mee MICy IR [ Bey COREA or jel 8 i “i MP Moe es AS COPE T Ope Ree Ge | 1, G-NSIB IN G0qse] Tres TP Br ti apr] BE, SK ONC nT Bann Naoase) pa ey. nap LSE NMAD, wy u [see eee pa SUB, NAD cy ey GA\SIB pete 8x5 TIST Ios SHB, NM SK TO Lv 7 Mt (GB27- i NAo@sxe | Par [rey PB ESN, RP ERE Le 7) iS \e \y TEM BED 2se |e): Sk Laney SUMMERS in a vi a rT QGD PAY Lote [3e,sK Lv 4] \ leer [see | fa Soe semerex 7 vA vi TE Xe PBX hen AE WON MARS CPSTEEN, NM

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Page Total

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Total to Date

| certify that the Statements made by me on this form are true.

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Date Aircraft Atk Aircraft Points of Departure & Arrivat Miles | Flight | Remarks, Procedures, Number Aircraft Category... : ¥ and Mode! identification Mark Flown | No. Maneuvers, Endorsements of Landings . 20st [rene fire ond Gen [Weaazad y "37 [aansin INGoSxe | PBL TaeK i263 [34 81,47, 70 tok a: on ie cee TeX yoy LYSE PONS K LM, WG a eile We Ode ee Des eI ch 2.]4) = > - T ae oe =F of ee Vfsr [vers [bane eo dl L&I Q, | ac a vt LEPB | EGGW | qe em MASK tH A oO ve vi EGGW 11 Kk ¥R pwebeem, NMIAISK ae We fal ye 7 LYOR [LEMS 2S 3C Grr, SLB, NPS aa [le \u \c | yt L¢ery GYQ 4 Zone MA, aK Ey Ss <b \4 | : ele | Cio Pr 21 Pee eal 4 fu fe S| GA\AB [Nooqre PRL PHT | __ [87] Row EN, | Wi | 1 vi ut rar VER EIBI,NA TD Lv AE ZIP 1 fee EEE ie CLP O72 on as N s PBr | assy (io BET OE TD vl eb : 1 ; - : oR a al : {tess | Tes Vrowecy aloe ANZA aeD We , vl TEB AVM fT Til er 3 LV] : uy K . VN PBF | ing Re ,8T, ms,wm Ae LY | 21) ‘i ce PB . TER YTS 1 BT N9, AM, TO Lv | \ | j A Bi Af ON res Ben se, AS 5 Lv vb wh BED ToS Ub) 3G, WN, SK Lv

Page Total Tq 4S Amount Forward aad © 4% iC Totalto Date | an Au 748

Date Aircraft Make Aircraft Points of Departure & Arrival Miles | Flight Remarks, Procedures, Number Aircraft Category... and Model identification Mark Flown | No. Maneuvers, Endorsements of Landings BG From we [amet ccm [Aeaeay WG MSs INdowre | TER Vow | mise, SK PERN 9 ib] ui Mow |? Br | nw 32 )3K Lv D | \% ie VWI Goexe | pat TEX ATYS#) Si 9.0. GOLmay, TA 215) =i \s | _ = see oy 2793] 3E BINS, SF TD ey) 3 AL r Jo) : Teoy | PBT Zz Be IRS pants wt) EA 22S 2A |G U6 [NIOTE| PBe | Tes hast SE), MS, ivi | 2k pe ee sar mdse NM SEO wh) [ld a Je VG Ne SOE LAS Hq om MAS, mM SE 4SGMGENS, é R| i | b L a . t PLAS SB & Ve SES VM SK, Sc mucne, eR ee | u rl Vt ‘[s8¢ 2] [PxSe (32 Te prs, NM 30 5EM: OT: Mie ER | u 1 vl ASE PBI ‘| _ley 3E,M>, YM, SK SEMGENG GY \/O- nf p85 ee | has gyre ic 5 vt Niet PRY ST SLY Vea, LY [7 \a BATH WY \Adngse | PBT a Tio: 2a IG rook NM TK, Ste Fiance a | \ \t Ey: | PB i VG Re, BY, NM SK, x os STave Anes] ae ve . PB 1. SE anys KM, B45 a \/ | D4 \t vt Tee Ler T18) TE) 3, 5K een PEL Lees [Le EARTH a H » VK VA _[L&ers Lar is 214 aod WA , is 17D 2, A Uk LoYe | LPAL [Kms M4 SK, TD oy

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Date Aircraft Make Aircraft : Points of Departure & Arrival Miles | Flight Remarks, Procedures, Number Bivcratt Category... F9~— | and Model identification Mark = Flown} No. | Maneuvers, Endorsements of Landings - aoe | From To Arps] deat | Acton maT | ¢ Qeterne |. Isv eR }> jlo B22 AiR N {COVE | CL > \ OL Bees |e 4 FE) prea AvetEw rin Vy : ; y cy mao eee JE, Lin fey L. WA : y 8 4; a a K | Prey ype: Bei x aguts lah 2 ae ie HA i" 1 Co¢ L..- Ky i a 3G i Va a eK L$ PER L. al Se KMS > Da SLA. past. as A LFPR LIVE Rey aN SS, OM Da yn v4 | 5 rK JAX acu . rn ; Gs NIE | PBe | Tes LV] q} oot " T4838 | PBT PBI FE TK, Nm NOTALTE Lv Ne v . AP OR ge get ie ge es : See a { } ue \ Bz \ 2) ~j Se aM iv ie \ LSet ssuicm| tisy | bs" o eas EME! s) u ee AS oa, id Lhe 1 CO sae be 4] ae Ce. NIA a 7 heey cam | CLAS NSAB INA Ody“ | Tesy 168 sini Lv 1 N. - moO oh : me fir. ? $ TON, SFP P52 11 Nei Dimewope ORW |Oew | | ee Rote eter souk Me © \ yA ee ies NA nw Ae ree A PRVORTS ey 2 SAG IIs tut Ga OT r {CO NEAMAS Bey Qc ooh: uy Sy een = a PLA Trescee ; J DK iz | Ay

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ait Points of Departure & Arrival Miles Flight Remarks, Procedures, Number

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