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Date 19 62 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 7 C172 N75RL LNA -F45 LNA CHECKOUT IN CGSN# 172 5/5 AIRPLANE 8 7 C172 N75RL LNA -WO -PBI-LNA SWED WAGNER, HOOD SOL, CONTINENTAL AMEND 3/3 20 14 G1159B N908JK PBI SAF 1075 JG,EM,ET 1/1 39 15 " " " SAF LAS 1076 " 1/1 13 15 " " LAS VNY 1077 JC 1/1 7 18 " " VNY MRY 1079 BOB, KST, 3 FEEDLES, 1 WACIC 1/8 8 21 " " MRY SAF 1079 " 1/1 15 22 " " SAF TEB 1080 JG,EM,ES 1/1 33 27 " " TEB DCA 1081 JET, GWENDOLYN BECK 1/1 6 27 " " DCA TST 1082 JC, GWENDOLYN BECK 1/1 32 28 " " TST PBI 1083 JC, GM,ET, GB, GARY KERNY 1/1 21 MAR 4 C421 N908RM PBI AVO CANCEL COMMERCIAL, ESS, POLICHECK P.O. BOX 1234, CARE OF BOB CULUM, NAY 7 7 4 C421 " AVO LCE " CHECKRIDER, ARTCC, CLESS B CUGARH 7 7 4 " " LCE PBI KARL SERVICES, ARTCC,CLESS B CUGARH 1/1 8 11 " " PBI AVO CWBES WAGNER - VOR NAVIGATION, CUNULUS FORHATUS OPERATIONS 1/1 8 11 " " AVO PBI " 1/1 8 12 " " PBI EYW CHARLIE WAGNER - (RPI8) PROCEDURES, PILOTAGE TOOD LUCKY FL 1/1 11 12 " " EYW PBI CHRIS WAGNER - VOR, NDBS ONS 1/1 10 20 G1159B N908JC PBI PBI 1084 ES FLIGHTS AFTER OPS1 1/1 4 Page Total 20 27 3 Amount Forward 5989 7134 2 Total to Date 6009 7161 5 I certify that the statements made by me on this form are true. Pilot's Signature David Rodafe