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Judicial Watch • 2014-01891-F Release Copy

2014-01891-F Release Copy

2014-01891-F Release Copy

Page 1: 2014-01891-F Release Copy

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Number of Pages:4

Date Created:March 20, 2014

Date Uploaded to the Library:April 29, 2014

Tags:obtained, CIA


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THIS FORM SUBJECT THE PRIVACY 
ACT 1974 -SEE REVERSE) 
UNITCHARGEDFORFLVINGHOURS 
MOS(Exp: SMC130E) SER!Al#(YY-TTIT) 
92-9000 
89AW (AMC)AJXF 
MISSION MISSION FROMSEQ NUMBER SYMBOL (ICAO)
FLT 
27569 
AIRCREW DATA 
FLIGHT-TIME FLIGHT CONDmONS COMBAT
TOTALS COMBAT
SIM SPT
INS
FLIGHT AUTH NIGHT INS
DUTY CODE 
FLYING SSAN
ORGN 
RESV 38INSTR EVAL OTHER 27LAST NAME PRIM SEC I29(LAST 206 SRTY (P/S/UE) (P/UE)
{b) 
1.t 
,3, 'Z.. ""11 
8000  
8000  
8000 q,5 

S;' 

' 

'!.5 

'J. ..S ",5 
8000 
8000 
39. 

REVIEW (If difl'oren for each Flt Seqshould Initial) 41. SARM REVIEW 42. INPUT ARMS AUDIT 

)(6)
DATE: INITIALS: DATE (00 MMM YYYY) MOS (Exp: SMC 130E) SERIAL# CYYTTIT)
ob. Jo..., l'> C032A 9S.0001 
HARM LOCATION 
Joint Base Andrews, 20762 
CONVERSION

FLT MISSION MISSION FROM TAKEOFFSEQ NUMBER SYMBOL 
LANO TOTAL 14. LANDINGS SPECIAL
USE 
Minutes Our
(ICAO) (ICAO) TIME (Z) TIME (Z) TIME 
TOUCH FULL
GO STOP TOTAL 
SORTIES 1427692 S-1

 
 
17. FLIGHT AUTH 14-0097 18. ISSUING UNIT PAG GRANO
TOTALS 
AIRCREW DATA 
FLIGHT TIME Fl..IGHT CONDITIONS 
-57 ::. NEXT
 
COMBATTOTALS COMBAT
SIM SPT
NIGHT INS INS RESV
(PIS/llE) (PIUE) (Pll/E) NVG TIME SRTY TIME SRTY STATUS 

39, 41. 42. ARMSAUOIT 
11:1. !e. INITIALS: INITAlS: (b)(
43. EXTR CERTIFICATION
IrreQUlred): certify m commissioned olllcer. gov clv (When PIC), HARM Chiefandthis 1rue copyor AFTO Form 781 and !ho OJdracted nemos how been oul Print Name: Rank: Branch Svc: OSN: Signaure: 

(THIS FORM Obtained via FOIA Judicial Watch, Inc.IS SUBJECT THE PRIVACY ACT 1974-SEE REVERSE) 
PREVIOUS EDITION OBSOLETE DATE(DDMMMYYVY) MDS(Exp: SMC 130E) SERIAL#(YY-TTTT) UNIT CHARGED FORFLYING HOURS HARM LOCATION Jc.,, ;/t:J/ 
C032A 98-0001 (AMC) AJXF Joint Base Andrews, 20762 
CONVERSION
FLT MISSION MISSION FROM TAKEOFF TIME (Z) LAND TIME (Z) 
TOTAL 14. LANDINGS SPECIAL Minutes Dur
SEQ 
NUMBER SYMBOL (ICAO) (ICAO) SORTIES USETIME 
TOUCH FULL
GO STOP TOTAL 
:::
27692 S-1 

(?{_, )j' Ir_... 
.2.
15, 
-NEXT 
17. FLIGHT AUTH 14-0097 18. ISSUING UNIT PAG AND 
TOTALS 
AIRCREW DATA 
FLIGHT TIME  FLIGHT CONDITIONS  
FLYING ORGN  SSAN (LAST 20(b)(6)  LAST NAME  FLIGHT AUTH DUTY CODE22  TOTALS  NIGHT (P/Sll/E}30  SIMINS INS(P/l/E) (Pll/E)31  NVG  COMBAT COMBAT SPT TIME SRTY TIME SRTY  RESV STATUS  
8000  

le. It. 

INITIALS: INPUT ARMS AUDIT 

(b)(6) 
43. EXTRACT CERTIF 
Print Name: 
INITIALS: certify commissioned officer, gov clv (when PIC), HARM Chief and this 11'Je copy AFTO Form 781 and the e>clracted.names have been crossed out 
-Rank: Branch Svc: DSN: Slgnalure: