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[[preprinted]]
| AS PILOT | - | OTHER THAN PILOT

DATE | NAVIGATION | INSTRUMENT | NIGHT | - | NAVIGATION | NIGHT

1,000 mile flight completed | Total Hours | UNDER HOOD Hours | OTHER Hours | NAVIGATION Hours | OTHER Hours | | 1,000 mile flight completed | TOTAL Hours | NAVIGATION Hours | OTHER Hours

1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12


Totals this report | | | | | | | | | | |
Previous reports this F. Y. | | | | | | | | | | 
Totals this fiscal year | | | | | | | | | |

I certify that I have made frequent checks of the method of preparation of flight records, and have assured myself that the information contained on this form is an accurate summary of the individual's flying time, and that the symbols used correctly record the type of missions flown, and

^[[Time in Instrument Trainer this fiscal year totals: - 00:00 For the Commanding Officer:]]

Signed 

Commanding 

Date 

DUPLICATE  U. S. GOVERNMENT PRINTING OFFICE  3 - 10092 
^[[ROBERT L. BOYD, 1st Lieut., Air Corps, OPERATIONS OFFICER]]
[[/preprinted]]