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Date 19-MAY Aircraft Make and Model Aircraft Identification Mark Points of Departure & Arrival Miles Flown Flight No. Remarks, Procedures, Maneuvers, Endorsements Number of Landings Aircraft Category... From To Aeroplane Glider Helicopter 17 G11593 N905JC TEB SAF 1235 JG,GM,GS 1/1 3 3 17 " " SAF ABE 1236 JG,GM 1/1 2 3 18 " " ABE DAL 1237 JS,GM,GS,TIFFANY GR2M2A 1/1 1 5 18 " " DAL PBI 1238 JS,GM,TIFFANY GR2M2A 1/1 2 3 19 R216TB N500JA PBI-LNG-PBI STRAIGHT IN + 1/2 AUTOROTATIONS 1 1 20 " " PMP PMP M,V, + Approaches to the surface, and noise sensitive area. 1 21 " " PMP DAB O-VIA SHORELINE 2 21 " " DAB PBI O-VIA 1-95 1 21 " " PBI PMP RETURN 22 G11593 N905JC PBI TEB 1238 JG,GM,GS,TIFFANY GR2M2A 1/1 2 7 ELEIGHT TIMES REPORTED TO INSURANCE COMPANY 27 G11593 N905JC TEB PBI 1240 JG,GM,GS,CUSTOMER DEALS,CLOCK DOME 1/1 2 3 29 " " PBI TST 1241 JG,GM,GS 2 3 30 " " TST PBI 1242 JG,GM,GS 1/1 2 8 31 " " PBI SAF 1243 JG,GM,GS 1/1 3 7 JUN 1 " " SAF PBI 1244 JG,GM,GS,TIFFANY GR2M2A 1/1 3 2 7 " " PBI TEB 1245 JG,GM,GS,TIFFANY GR2M2A 1/1 2 5 9 " " TEB PBI 1246 JG,GM,MANOT CUSSON,TIFFANY GR2M2A 2 3 15 " " PBI TEB 1247 JG,GM,TIFFANY GR2M2A,GOOD FLYING 1/1 2 5 I certify that the statements made by me on this form are true. Pilot's Signature: David Malekian Page Total 97 321 6 1 Amount Forward 6210 75099 33 595 Total to Date 5922 75420 33 656