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Date 19XX Aircraft Make and Model G1159B Aircraft Identification Mark N9083G Points of Departure & Arrival From To Miles Flown Flight No. Remarks, Procedures, Maneuvers, Endorsements Number of Landings Airplanes Aircraft Category 9 T6B DAY 693 1/1 1 3 9 DAY CMH 694 16 CMH T6B 695 1/1 1 3 15 PBI T6B 698 1/1 2 3 21 T6B TST 699 1/1 3 3 22 TST PBI 700 1/1 2 5 23 PBI T6B 701 2 3 25 T6B CMH 702 1/1 1 2 26 CMH PBI 703 1 8 29 PBI MIA 704 1/1 3 29 MIA ISM 705 1 5 29 ISM MIA 706 1 6 29 MIA T6B 707 2 4 30 T6B SAF 708 3 7 1 SAF T6B 709 1/1 3 3 11 PBI T6B 711 1/1 2 3 16 T6B CMH 712 1 0 17 CMH JFK 713 1/1 1 5 17 JFK T6B 714 1/1 3 I certify that the statements made by me on this form are true. Pilot's Signature David Rodgers Page Total 12/8 32 2 Amount Forward 5773 6418 7 Total to Date 5753 6450 9