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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... From To Airplane Glider Helicopter 19- G-1159B N909JC PBI CHO 1503 JG,GM,GT,IRMA DOERRSG 1/1 2 0 7 G-1159B N909JC CHO TCB 1504 JG,GM,GT,IRMA DOERRSG 1/1 1 1 10 C421B N908GM PBI MCN Jonathan Mand - Cross Country DER, SIMULATED INSTR, XCountry 1/1 2 6 16 C421B N908GM MCN 27K Jonathan Mand - XCountry DER, XCountry 1/1 2 1 10 C421B N908GM 27K OSU Jonathan Mand - ICAO XC SIMULATED 1/1 1 2 10 C421B N908GM OSU JUY Jonathan Mand - GPS Approaches 1/1 1 2 11 C421B N908GM JUY 27K No Passenger/CORS 1/1 1 7 12 C421B N908GM 27K TMS No Passenger/CORS 1/1 1 7 13 C421B N908GM TMS GNV Ryan Cookman Clendsting, Descents to FL 1/1 3 0 13 C421B N908GM GNV PBI Ryan Cookman - Radar/Comm Interphase Cruise Kristy Alyssa 1/1 1 8 14 G-1159B N909JC TST TCB 1506 JG,GM,GT,IRK,VR IFR Mall 1/1 3 8 20 C421B N908GM PBI TSM Kristy Alyssa 1/1 1 1 20 C421B N908GM TSM PBI Kristy Alyssa 1/1 1 1 24 G-1159B N909JC TCB PBI 1507 JG,GM,GT,AP, IFR Mall 1/1 2 6 25 C421B N908GM PBI LAL Kristy Alyssa 1/1 1 3 26 C421B N908GM LAL MCN Kristy Alyssa, Cruise, Descent, Approach, Landing Rate, XST 1/1 1 8 27 C421B N908GM MCN TSM Kristy 1/1 1 8 28 C421B N908GM TSM PBI Kristy - GPS Approaches Cruise 1/1 1 1 28 G-1159B N909JC PBI TCB 1504 JG,GM,GT,AP, Joel Knighton, IFR Mall 2 Famglo 1/1 2 5 Page Total 16 33 5 Amount Forward 6398 8200 4 33 112 6078 8233 9 33 112 Total to Date 6414 6088 8233 9 33 112 I certify that the statements made by me on this form are true. Pilot's Signature David Rudegers Flight Times Reconciled to Insurance for Annual in Accordance DOJ-OGR-00015998