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Date Aircraft Make Aircraft Points of Departure & Arrival identification Mark — _ = From To 19'U! and Model Mites | Flight —| Flown | No. A-41Gisqs |N%loRTE |TEB TESS lis = V¢ ae | T£S5 PRC WS % | ¢ a | PBL {cB \5 a ak TES SAC 1ST VWs S8er, —_| af an7be | Ofer coe | Gis C103 we (4 90766 ow cee Wis | cov 3st A 3076¢ AEE (cu CS Gs HA nabs 4 fc¢ Ue“ lf , Ce Wi" ~ 30766 z dee (23 , = mtSy) OC \WG f tes \t OCCx ‘¢ : ie ‘i [LPO VGC | certify that the statements made by me on this form are true Remarks, Procedures, Maneuvers, Endorsements Number Aircraft Category... ofLandings }+— — = Pilot's Signa = "24 0sP 2! \ Amount Forward bi2 5 a ] Je > |S] 4 Tease 4, ali 2 SH] PA 2 Total to Date 59 DOJ-OGR-00015856