DOJ-OGR-00015853.jpg

Date 1999 Aircraft Make and Model Aircraft Identification Mark Points of Departure & Arrival From To Miles Flown Flight No. Remarks, Procedures, Maneuvers, Endorsements Number of Landings Aircraft Category... AIRPLANE
MAY
7 G1159B N908JE TEB PBI 1108 [REDACTED BLOCK] 2.3
9 " " PBI TIST 1109 [REDACTED BLOCK] 1 2.0
11 " " TIST TEB 1110 [REDACTED BLOCK] 1 3.7
15 " " TEB PBI 1111 [REDACTED BLOCK] 1 2.0
17 " " PBI TEB 1112 [REDACTED BLOCK] 1 2.4
18 " " TEB MDW 1113 [REDACTED BLOCK] 1 1.6
18 " " MDW SAF 1114 [REDACTED BLOCK] 2.5
20 " " SAF LAX 1115 [REDACTED BLOCK] 1 1.7
20 " " LAX TEB 1116 [REDACTED BLOCK] 1 4.5
JUN
4 " " TEB PBI 1117 [REDACTED BLOCK] 1 2.2
8 " " PBI TEB 1118 [REDACTED BLOCK] 1 2.5
12 " " TEB TIST 1119 [REDACTED BLOCK] 1 3.0
15 " " TIST JFK 1120 [REDACTED BLOCK] 1 4.3
18 " " JFK PBI 1121 [REDACTED BLOCK] 2.0
21 " " PBI TEB 1122 [REDACTED BLOCK] 1 2.5
23 " " TEB BED 1123 [REDACTED BLOCK] 1 .7
23 " " BED TEB 1124 [REDACTED BLOCK] 1 1.2
26 " " TEB PBI 1125 [REDACTED BLOCK] 1 2.6
TOTAL AT BOTTOM OF PAGE REPORTED TO INSURANCE COMPANY
I certify that the statements made by me on this form are true.
Pilot's Signature David Rodgers
Page Total 15 43.7
Amount Forward 6064 5800 7206.9
Total to Date 6079 5809 7250.6
56
DOJ-OGR-00015853