DOJ-OGR-00015852.jpg
Extracted Text (OCR)
| certify that the statements made by me on this form are true.
\
Pilot's Signature = Ls2,
Pa ge Total
(esr gy [1 |
Amount wid. ward
== = 22, ||
Dat Aircraft Make Aircraft Points of Departure & Arrival Miles | Fight | Remarks, Procedures, Number Aircraft Category...
194% and Model Identification Mark |— Flown} No Maneuvers, Endorsements of Landings ' :
11 |Gils46 |NIes8yE| PRT | PBI [ore |_| |o
nm 1CY¥2\ NIOSGM |PBT <2 | q
\1 | cu2\ v4 KA TIX l
\a|_* M Trx | CRG 6
\S} ou v: [CRG LAL g
\3 v) }LAL PBy il
JQAIG\MSIS INIC8IE | PBL CMY ho yaa)
2 iw Vi LUK mYous: /\lot | 4
QU; iu 1 TES PRT \e2 | 224 L
2S |C\12_ |NISRR | LNA-PGi-LAID \ lo
25| \! LNA | LNA_ g |
71. \\ | UWP -PRI-Lavp : Fil |
26 |G\sae |NGo@qz | PRT Tee 103 2/3
er v\ “(ce | ear (ou 25]
3 (|Gnsa8 |NGoese | PEE [TEs Ws 2/3}
= |__™ no fye8 dL B&D (Neb (
1 ™ [Béo Tés lo 7
F206 4
Total to Dat
ee ae r Se00
55
DOJ-OGR-00015852
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