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REPLACE ELT BATTERY SY:

CSSIlcL®

AND MAINTENANCE RECORD

S E R I A L NO.^24?/?-^/?/ _J.

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Cessna®AIRCRAFT LOG

AND MAINTENANCE RECORD

Record nf /^^^ _ 3/0 f?

\g Time From To.

Address.

FORM P121-13

^Make Model Serial Certificate

With. Engine __ .Make ' Model Serial

"From _ 19 _ to _ . _

Hours

Qwnpr

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££&£<^^CARRY FORWARD THE TOTAL ACCUMULATED F L Y l G TIME TO THE TOP OF NEXT PAGE

A I R C R A F T LOG

REMARKSEnler.here general data, with reference la "Line" and "Periodic" Inspections — Rising Changes ~ Alterations ~ Repairs — Service Lettersand changes in propeller or engine — aa outlined In the front ol this book, under ihe heading, "INSTRUCTIONS FOR USE OF THIS LOG BOOK.ALL DATA must bear the endorsement <A a certificated mechanic, and his rallntf anil certificate ntiml^r must be shown.

A I R C R A F T

^^

A I R C R A F T LOG

A I R C R A F T L O G

A 1 R C R A F T LOGVOR Receiver operation checkedIn accordance with FAB 91.25

BearlnR error

VOR 1 IVOR 2

DATE R E M A R K SEnter .here general data, with reference In "Line" and "Periodic" Inspections - RlggtnK Changes — A lie rat Ions — Repairs — Service tettersand charges In propeller or engine - as outlined in the front of this book, under the heading, "INSTRUCTIONS FOR USE Of THIS LOG BOOK.ALL DATA must bear the endorsement ol a certificated mechanic, and his rating and certificate number must bt> shown.

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WSM AERO INST. & AVIONICS,FAA STATION C03 - 2DEKALB,

TRANSPONDER; MAKEjxPN&QD_KTlt>

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AI RCR A F T _ _ U _ O G

ACCUMULATED FLYING TIMECARRY FORWARD THE TOTA

A I R C R A F T LOGVOR ftecch'er operation checkedin accordance with FAR 91. 25

Date Searing error

VOR 1

<>

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VOR 2

.r

Place Signature

MJ*^l^#l/t^&A&sP I

DATE

19

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REMARKSEnter .he re general tlata with reference lo "Line" and "Periodic" Inspections — Rigging Changes — Alterations — Repairs —Service Land changes In propeller or engine - is oulllned In the front of Ihis book, under the headlnn, "INSTRUCTIONS FOR USE OF THIS LOGALL DATA must tear the endorsement ul a certificated mechanic, and hla rallm; and certificate number must be shown.

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X # .I ChKI' lFr THAT THIS (AIRFRAME.-.tfiSn?)HAS BEEN 1NSP. IM ACCORD. Wli 'H IS^JI. ^^t^^^mv. Artu J-uu^iD 10 st m w AiKWURiHY cyiiy.

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CUMULATED FLYING TIME TO TH

A I R C R A F T LOG

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A I R C R A F T LOGVOR Receiver operation checkedIn accordance with FAR 91.25 DATE R E M A R K S

Enter. here Rcneral dala with rcterence !o "Line" and "Perltxllc" Inspecllona - HiKKlnR Chanftes — Alterations — Repairs — Service Lellerand changes In propeller or engine - as outlined in !he front of this book, under the heJ-dluK, "INSTRUCTIONS FOR USE OF THIS LOG UOOALL DATA mual l«ar the endorsement of a certificated mechanic, and his rating -ind certificate nunitxir must be shown.

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A I R C R A F T L O G

A I R C R A F T LOGTOR Receiver operation checkedIn accordance with FAR 91, 25

BearltiR error

VOR I VOK 2

Signature

DATE REMARKSEnter here Renew] data with reference to "Line" and "Periodic" inspections — RljTEiTOf ChanWS - All t rat 10ns — Repairs — Service Lcltcand chants in propuller or engine - is outlined In Ihe Iront nf this book, under the heactlns, "INSTEUCTIOKS FOR USE Of THIS LOG B(XALL DATA musl bear the endorsement fit a certificated mechanic, and his rating and cerllticale number must i« shown,

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WSM Aero Instruments & Avionics, Inc.Rep. Stn.#C03-2

- 2100 E. Pleasant St., DeKalb, IL60115Phone 615-758-472

D OverhauledD RepairedD Calibrated

CARRY FOR''\A/ARD:THE'TO7

A I R C R A F T LOG

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A I R C R A F T L ° GDURATION|| ACCUMULATED

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FORWARD THE TOTAL ACCUMULATED TIMETOTHE-TOPOFNEXT

A I R C R A F T LOG

rtJA..U A I R C R A F T L O G

Al RCRAFT LOG

I

VOR lieccfver operallon checkedin accordance M'lth FAR 91. 2S

Bt'iiriiiR errorVOR 1 [VCR 2

Slpnature

DATE REMARKSEnter here general data with reference io "Line" and "Periodic" Inspections - Rlgaln^ Ctannea — Alterations — Repairs ~ Service Letlera •and changes In propeller or cneliw - as outlined in Ihe front of this hook, under (he lidding, "INSTRUCTIONS FOR USE OF THIS LOG BOOK.ALL. DATA must Lear the endorsement of a certificated niecbinic, anil his rating and certificate number niust be shown.

CEKI FY THAT THIS (AIRFRAME-Br^EN INSP, IN ACCORD. WITH

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A I R C R A F T -.LOG

NATURE: OFFLIGHT

SIGNATU

PILO'HOURS tOTHS

CARRY FORWARD THE TOTAL ACCUMULATED FLYING TIME-TO THETOp'OF NEXT~PAGE

A l RCRAFT LOG

' - . - , . • - • REMARKS . . . . * ; • :Enler.here general data with reference lo "Line''1 and "Periodic" Inspections — Rinsing dances — Allerallons — Repairs — Service Lettersand changes In propeller or engine —as outlined In the [rent of this hook, under the heading, "INSTRUCTIONS FQR USE OF THIS LOG BOOK.ALL DATA must tear [he endorsement of a certificated mechanic, and his rating and certificate numbor must ho shown.

AIRCRAFT LOGVOR Receiver operation cheekedin accordance with FAR 91.25

Bearing error

DATE REMARKSEnter hers Reneral data with reference lo "Lino" and "Periodic" inspections — Rigging Changes — Alterations - Repairs — Service Letter!and chanees In propeller Or engine - as outlined In me front of Ihls book, under the heading, "INSTRUCTIONS FOR USE OF THIS LOG BOOtALL DATA must bear the endorsement <si a certificated mechanic, and his rating and certificate number muat Im Kkmin,

Et

Ktf"^iig*^yJ'-'ilil-'

A I R C R A F T L O GVOR Receiver operation checkedIn accordance wllh FAH 91.35

Bearing errorVOR 1 VOR 2

Place Signature

DATE REMARKS . . _ , ' - .Enter Jiere Keneral data with reference to "Line" and "Periodic" Inspections — Ringing CJanges — Alieratlcns — lU'palrfl r~ Service Lettersand changes In propeller or en nine — as outlined in Ihe Iront of 1 his book, under UIE headini;,' ''INSTRUCTIONS FOH USE OF THIS LOG BOOK.ALL DATA must hear (he endorsement ol i certificated mechanic, and his tiling and certificate number must be shown. '

A I R C R A F T O G

FLIGHT

FROMTO

•'"Ax a

NATURE OF

FLIGHT

T1 11 n'rHrS~

m^D. WITH-.Yl-ij.!! if.;. .: tr .u-iiy i3& m i\n /itKi

DURATION

OFFLIGHT

m

CARRY FORWARD THE TOTAL ACCUMULATED FLYING. TIME TO. THE TOP OF NEXT PAGE

ACCUMULATEDTOTAL

FLYING TIME

HOURS IOTHS

&- a.

SIGNA'i

P!L

A I R C R A F T L O GVOR Receiver operallon checkedin accordance with .FAR 91.25 DATE

Bearing error Place

VOR 1 VOR 2

Signature

. ; ' • ' • " • • . , . REMARKS . . . . ! . •.-.•-Enter Jicre ccneral data with reference lo "Line" and "Periodic" Inspections — Signing Changes — Alterations — Repairs — Service Lettersand changes In propeller or engine - as outlined in the [ront or this book, under the [leading, ''INSTRUCTIONS FOR USE OF THIS LOO BOOKALL DATA must bear'the endorsement o! a ecrtlllcated mechanic, and his ration and certificate numbor must be shown. .' -

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A I R C R A F T L O G

DATEFLIGHT

FROM

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DURATIONOF

FLIGHT

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CARRY FORWARD THE TOTAL ACCUMULATED FLYING TIME TO THE TOP,OF NEXT PAGE

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ACCUMULATEDTOTAL

FLYING TIME

HOURS IOTHS

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AIRCRAFT LOGVOR Receiver operailotl checkedIn accordance «'ltfi FAR 91. 25 DATE

19

REMARKSEnter here general dila with reference la "Line" and "Periodic" Inspections — Rigging Changes — Allerationa — Repairs — Service Letlciand Chanses In propeller nr engine ~ aa outlined In the front of Ihls book, under the beading, "jnSTRUCTIONS FOR USE OF THIS LOO BOQALL, DATA must If ar ihe eniloraemcnt of a certificated mechanic, and his rating and certificate number must t>e shown,

—

A I R C R A F T L O G

<!•—*i»* ^J

A I R C R A F T LOG

WSM Aero Instrument & Avionics, Inc.Rep.Stn.#C03-2 '

- U flepa|red

,. . -2100 E. Pleasant Si.,.DeKalb, IL60115Phone 815-758-

.. Maintenance Release - . .

jy~fMs aircraft 'anrf/or component was repaired and' inspected InH-ul acco.rdarice w't" current FAA reg. and. found airworth foruj" service, Pertinent details are onUJ r— 7 •

... ^.D^uuent was repaired and inspected Inaccordance with current FAA reg. and. found airworthy for return toservice.. Pertinent details are on file at this agency,$.

i.,J?-^-^' "... ,.-,,M> /or return toQIC un nie at this agancy-j. „_ -,. ,-, --

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MEMORANDA

Date

A -6 7