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[[preprinted]]
[[table, 9 columns]]
DATE | FROM | TO | TYPE OF AIRCRAFT | TYPE OF ENGINE | LICENSE NUMBER || MILES | PASSENGERS || DURATION ^[[1859:32]]
[[/preprinted]]

Nov. 3 | KC | KC | LINK TRAINER | — | CAA MED. RESEARCH ||   |   || 1:00 
"[[ditto for NOV.]] 7 | "[[ditto for KC]] | "[[ditto for KC]] | O-46 | WASP | 3 ||   |   || 1:00 
"[[ditto for NOV.]] 28 | "[[ditto for KC]] | "[[ditto for KC]] | LINK TRAINER | — | CAA MEDICAL RESEARCH ||   |   || :55 
[[/table]]

NOTE: ON VACATION NOV. 1-30 incl. 

[[preprinted]]
CARRY THESE TOTALS 
FORWARD ^[[1862:27]]

I CERTIFY THE ABOVE 
FLIGHTS WERE MADE 
CERTIFIED BY ____________
[[/preprinted]]
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