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Date Aircraft Make Aircraft Points of Departure & Arrival | Miles | Flight | Remarks, Procedures, Number Aircraft Category... 1971) and Model Identification Mark | = |Flown|No. | Maneuvers, Endorsements of Landings JuL From To ATROLO NE \ [Gs48 INGosTE| PBI |TEee | {ay \/\ 2 {51 iol © | [ema [SAF 944 fi | 3 oi \t M mt |PBESS | POL loos Zi) | | ret __¥* | Scpucaca |DEW Hou 3 Jol | 25 a : cos: \4PN 3 b 24 vi ) LORW CoS. | 3 lof ot | (> | C-421B_ |[pw4o0R8GM | ZeR- SAf-2or |__| s11| Y fy 7 | | SAE LOR = VA \4 4 | G\USIB |NACBTE/PRT [TVC | jee | 2) a) “yes — [PBT | hoy ; 2 (3) _ a] = . | POT IMV \WisS VA 2. |S fos | Ky [teen Tot YA 1 22 ee | SAE TEB | how | Fs 3 1\5] 2 “w | ow [Tem [Cok | fer Ws s < = vt Cok |MVY \o2» | U 23) ne [MV [PBT | hex \/ 2 |G | certify that the statements made by me on this form are true. Page Total \s/ 14 AO |b Pilot's Signature K_/ ! YA Weyer Total to Date E678 | 1003/9 J 49 DOJ-OGR-00015846