23 Date Aircraft Make and Model t Aircraft Identification Mark Points of Departure & Arrival Miles Flown Flight No. Remarks, Procedures, Maneuvers, Endorsements i\-)9 cAsz--6_ E.-6-nf3 EGO 1"3 LF?f3 L C-,--115L't G-- tt sck 6 Ni CIT.& 1.1 (--40 .'(5 '06x) 13\ n2 Number of Landings t./l Aircraft Category... t 133 1. Pi, nit.- 13.73- kt 1( 1*(-2 ILS`f rJ Lrf)-2_ it C It I \ I=;)-<urK c1(3 j\jr R)CY. N rl1 -7 5 6. 5 tst3______ IS-c(c Lc- 1511(r, r. rLLj to Lpo G _ c;.L , Deul, • 113 te\-11:1, ki .00 S L.M _____V .> NN6ft?-t. , flu4v4v70 LA-kna. ri, c Lrwt ri(),Lqiug, 4LCI" A 110\Y-- Le65 Rio) 1,1o" \LID 50(1‘u ')c /)110t)(-': PW5 r.)1) L/r)-1- P.Abri kt_\\t Pt (.)s ())3c,v&,- 114-\ 3-s7p,,+1.1:1-7.)(3:)[5(-31-13(1l.)(-2 3 --‘;53.6:- ri • ____MMIPMEIMM PR /1- LILA 5(4 6 ,f-)5 OLA: PIO ;DI ,61.,___________________________________________________________ =lc's) et -1 c--F) Oci 1 \ I certify that the statements made by me on this form are true. Pilot's Signature L f Page Total /‘ 5/ Amount Forward Total to Date 6SS 3 fr..D-ot) 6S3B 3 1 t 1) HOUSE OVERSIGHT 022816