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Adel Nasrallah — Part 2
Page 65
65 / 262
XY SANTA MONICA MUNICIPAL AIRPORT
\
Cf ACCIDENT REPORT
/ 5 2
, Date Je J3~ FO
FAA Certificate No.
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Plane Wo. sf tse SII
Based at SH?
Phone, Sam AS above,
City : State
Aircraft Make & Mode
Registered Cwne
Address —VAams 23 bhovw —_
Radio Type Condition Qperacing Properly No
. Yes
+
{Ti not, give details
Tasurance Carriar Agear Shone
No. ‘of Injuries Kiding. | _ Extent of injuries
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others chen fo PPE Ive tor
SIGNATURE: +
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