DOJ-OGR-00015798

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AIRCRAFT MAKE AND MODEL AIRCRAFT IDENTIFICATION MARK POINTS OF DEPARTURE & ARRIVAL | certify that the statements made by me on this form are true. PILOT'S SIGNATURE REMARKS, PROCEDURES, AIRCRAFT CATEGORY MANEUVERS, ENDORSEMENTS PAGE TOTAL $3 [c1 ; AMT. FORWARD 33.1) $336 TOTAL TO DATE ee DOJ-OGR- 00015798

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