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[[preprinted in blue ink, flight time log]]
[[double line]]
[[column top headings: 2]]| AIRCRAFT CLASSIFICATION [[first 2 sub-heads]]| TIME ^[[MONTH 1]] [[next 7 sub-heads]]
[[line]]
[[nine column table]]
[[subheadings: 9]]|   |   | IV M |Hood|Instrument|Trainer|Day|Night|Total Reg.|Total Co-Pilot|
[[double line]]
|   |   |1:35|   |   |   |1:35|   |1:35|   |
|   |   |2:30|   |   |   |2:30|   |4:05|   |
|   |   | :50|   |   |   | :50|   |4:55|   |
|   |   |1.00|   |   |   |1:00|   |5:55|   |
[[two blank lines]]
[[line across table]]
|   |   |5:55|   |   |   |5:55|   |5:55|   |
[[line across table]]
[[five blank lines]]
[[rubber stamp, black ink upside down on page]]
Transcontinental & Western Air, Inc.
 I hereby certify that the ^[[Pilot]] flying time of ^[[5]] hours, ^[[55]] minutes for the month of  ^[[November]], 19[[40]] is correct according to the records of this office
^[[Otis F Bryon]] Supt.
[[/rubber stamp, black ink upside down on page]]
[[double line across table]]
|   |   |   5:55|   |   |   |   5:55|   | 5:55|   |
|   |   | 994:11|2:25|272:53|1:10|2005:29|482:21|2487:50|   |
|   |   |1000:06|    |272:53|1:10|2011:24|482:21|2493:45|   |
[[double line across table]]