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Date Aircraft Make and Model Aircraft Identification Mark Points of Departure & Arrival Miles Flown Flight No. Remarks, Procedures, Maneuvers, Endorsements Number of Landings Aircraft Category... Nov 25 G-1159B N908JG TIST PBI 1311 1 26 Dec 28 " PBI TGB 1312 2 4 30 " TGB SAF 1313 3 9 3 " SAF VNY 1314 1 8 4 " VNY PBI 1315 4 6 7 " PBI TIST 1316 2 3 7 " TIST PBI 1317 2 7 24 " PBI TGB 1320 2 4 6 " TGB PBI 1321 2 7 8 " PBI ABY 1322 1 2 8 " ABY PBI 1323 1 1 10 " PBI TGB 1324 2 4 12 " TGB TIST 1325 3 3 16 " TIST TGB 1326 4 1 24 206L3 N72PH PMP PMP +5 1 5 24 206L3 " PMP PMP 1 5 25 " PMP PMP 2 0 28 G-1159B N908JG TGB PBI 1327 1 1 2 6 31 " PBI SAF 1328 4 1 I certify that the statements made by me on this form are true. Pilot's Signature ______________________ Page Total 21 45 2 5 0 Amount Forward 6219 7782 33 743 Total to Date 8296 7751.4 33 743