DOJ-OGR-00015857.jpg

Date. | Aircraft Make Aircraft Points of Departure & Arrival Miles | Flight et and Model identification Mark — = Flown | No G IG-\S98 INGoaxc Hee BEO We | : B¢o ACs) Ns <n. : Tee OcA Ver . Ss - OcA PBr hy 64 2 PRT AKC | iW 0 oe. \ |PSx TE® iv (5) < TES PART \7s ‘ 2 We hs e (32 Te ‘ Wir 4 " TER POL in? jo} * — [PBL | TeR eA iM] : Tee | 551 v4 is i " 1 {ot PAax Woe (b : PRs CAN Lisl Qo} J VG TST | NS CHIE | NIGBG | PAL - hasyro- 0Sr | certify that the statements made by me on this form are true Pilot's Signature —_ — Remarks, Procedures, Maneuvers, Endorsements 60 Number A of Landings } ircraft Category... GcULLpcKe \ Page Total / Y- IAG % Amount Forward ey 71 32% | bjio2 1727. | | Tatat to Date S444 ye 3 DOJ-OGR-00015857