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1 , (THS FORM S SUBJECT Obtained TO THE via PRVACY FOA by ACT Judicial OF 1974 Watch, SEE REVERSE) nc MSSON DATA 1 DATE (OD MMM YY 12 MOS (Ex: SMC 130E) 3 SERAL# fnttt) 14 UNT CHARGED FOR FLYNG HOURS 15 HARM LOCATON z A JG, 'l 01 C032A AW (AMC) AJXF Joint Base Andre, MD ONVER ON : LANDNGS SPECAL 14 1T' SORTES Mlnuie our :: USE l &_G_ o,_s_r_o_p+to_t_a_ll_1_s_+1 6l : } :, :; :, }/' ' t 1t1+ + t\ '+_' :_;_i :, ir :,, ;r 1+++1' :s t+1 f: ; r_:: i : 9 111'11+ss so ; Nro "" f,' (b)(6) MP, ) i (;, fj MP (' 1< 1 ;l/ s t! z (J,'j /,0 : <:: t /,) ' <;, s 'Z T, z LS! 'l ts ( z 's tr!' t t>,<; MT \5 ) l FLGHT CONDTONS SM FLYNG SSAN FLGHT AUTH NGHT NS NS RESV ORGN (LAST 4) LAST NAME DUTY CODE PRM SEC NSTR EVAL OTHER TME SRTY (P/S/l/E) (Pll/E) {P/l/E) NVG TME SRTY TME SRTY STATUS MP l,5 /,; 1, l5 f, (' t 36 NT R71EW l ( (G) laef!c :b ld le t l(b)(6) DATE: NTALS: DATE:!NTALS: 39 PLOT REVEW (if different, AC for each Flt Seq should inltla!) SARM REVEW 42 ARMS NPUT ARMS AUDT zc r y,! ;: ;: '";ztt;f '; 2 ;j \, :, : ; :, AFTO FORM 781, PREVOUS EDTON S OBSOLETE ARMS ARCREWMlSSON FLGHT DATA DOCUMENT Page 1 of 6

2 Page 2 of 6 1 OATECODMMMYYYY),2 MOS(Exp: SMC 130E) 3 SERAL# (YYTTTT) 304v<>Z:?' b d e f C032A (THS FORM S SUBJECT TO THE PRVACY ACT OF 1974 SEE REVERSE) Obtained via FOA by Judicial Watch, nc MSSON DATA S1 KPV!> l::ad\j OS:Z 01? 14 UNT CHARGED FOR FLYNG HOURS 15 HARM LOCATON 89 AW (AMC} AJXF CONVERSON FLT MSSON MSSON FROM TO TAKJOFF LAD OTAL 14 LANDNGS SPECAL SEO NUMBER SYMSOL (JCAO) (CAO) TME(Z) TME(Z) TME SO TES USE Minutes Dur ::: &GO STOP TOTAL a c 17 FLGHT AUTH # SSUNG UNT PAG 'GRANO JointBase Andrew 'MD ' C) \ 't Lo 0 1 l Cf \ \ 9 14 "' : "' "' :: :: 9 5S :t; :: Nex 8 t ARCREW DATA FLGHT TME FLGHT CONDTONS FLYNG SSAN FLGHT AUTH ORGN (AST 4) LAST NAME DUTY CODE PRM SEC NSTR EV OTHER v (b)(6) MP MP kc MP 7 :: 1 3 & t/ T /0 l0 \ (} U> fo f,0 f o LO (\ SM NGHT NS NS RESV TME SRTY (P/S/llE) (P/llE) (P/llE) NVG TME SRTY TME SRTY STATUS LO 1,0 LO \, 0 t 0 f,0 l ' l l a, o / \C> 0 ' 't> /,0 { tn 10 r l fi D r o ro l re,q f) 39 DEVEWJ40 PLOT REVEW {if different AC fo each Flt Seq sfoold nitial} 141 SARM REVEW 42 3 (b )(6) aeffl!b c!d le it (b)(6) ARMS NPUT DATE: NTALS: ARMS AUDT DATE:!NTALS: EXRA CET\ TON (tt rellre: c lam 11 com\'$l ofce; g<v civ ('lt P\C), «KAM Ct 111\ \!a 11; a OOl of an AFO tc 781 and tm elecd Mm tw been $ oo Print Name: Rank: Bra of SYC: DSN: Signature: AFTO FORM 781, PREVOUS EDlTON S OBSOLETE ARMS ARCREW/MSSON FLGHT DATA OOCUMEffT

3 "", Obtained via FOA by Judicial Watch, nc,2,4 15 CONVERSON FLT MSSON MSSON FROM TO TAKEOFF LAND TOTAL 14 LANDNGS SPECAL SEQ NUMBER SYMBOL (CAO) (CAO) TME (Z) TME{Z) TME Minute SORTES USE Dur &GO STOP TOTAL a S1 KAbvJ k PN {'f v 'lt04l LO 0 ( ' b :::; c d e :: f "' "' NEXT 'GRAND (THS FORM S SUBJECT TO THE PRVACY ACT OF 1974 SEE REVERSE) r SM flyng SSAN FLGHTAUTH NGHT NS NS RESV ORGN (LAST 4) LAST NAME DUTY CODE PRJM SEC NSTR EVAL OTHER TME SRTY (P/$/llE) (P/l/E) (Pill!:) NVG TME SRTY TME SRTY STATUS :11 l MP 10 f c;! MP LO D J llj7 fq,_ (,0,7 f n,l MSSON DATA 1 DATE (DD MMM YY MOS (Ex; SMC t30e) 3 SERAL# (YYTTTT) UNT CHARGED FOR FLYNG HOURS HARMlOCATON 'JAvtti,t C032A AW (AMC) AJF Joint Base Andrew, MD FLGHT AUTH # SSUiNG UNT FAG 0 l,/ l,o ( Cf (b)(6) MP f,c ARCREW DATA FLGHT TME '( } T /) f0 t 10 /) (, 'O t o ' 1,'i 'C i 10 H0 \ 8()00 MT tj> t!) ' /a 0 29 f\: FLGHT CONDTONS MANT REVEW,40 PLOT REVEW (f diffnt, AC tor each Flt Se $hould lnltfal) 141 SARM REVEW 42 ARMS NPUT ARMS AUDT 1Cb) ( 6) a Cb) Ub Cb){6) llntals: le d le t DATE: NTALS: DATE: 43 EXTRACT CERTFCATON (f reire: cefy am a oommlsslonea offcer, gov clv (whe PC), or HARM Chfef and U!ls & a Je copy at an AFTO Form 781 an th oxde name have been crossed out Print Name: Rank: Branch of Svei DSN: Signature:

4 / f r<! CONVERSON FLT MSSON MSSON FROM TO TAKEOFF LAND TOTAL 14 LANDNGS SPECAL SEQ NUMBER S'VMSOL {CAO) (CAO) TME{Z} TME(Z) TME SORTES USE Minutes Our l:ouch FUU &GO STOP TOTAL a S 1 klh t () " O{i2<t 1 0,"' b 15 2i c ct 45 : e 46 51,8 f s :58 60 NEXT GRAND 17 FLGHT AUTH # SSUNG UNT PAG 0,i 11 7 SM FLYNG SSAN FLGHT AUTH NGHT NS NS RESV ORGN (LAST 4) LAST NAME DUTY CODE PRiM sec NSTR EVAL OTHER TME SRTY (PSlllE) (P/l/E) (PnlE) NVG 'TME SRTY TME SRTY STATUS ig (b)(6) MP 0,7, MP v7, ) 07 7 t), f' '1 5 9,7 n,c; c; "2, {),<;, l ',,, ' t7,, 17 f) 7 0,7 a1,7 07,,, (J:/ 7 11 ' l ()/ T Obtained via FOA by Judicial Watch, nc {THS FORM S SUBJECT TO THE PRVACY ACT OF 1974 SEE REVERSE) 0,1,j ',, n7 7 7 (}, 7 25 MCSSfON PATA 1 DATE (DO MMM YY MOS (Ex: SMC 130E) 3 SERAL# (YYTTTT) UNT CHARGED FOR FLYNG HOURS HARM t:oca TON 11 l'j(; to\ C AW (AMC) AJXF Joint Base Andrew, MD ARCREW DATA FLGHT TME MP,; 1, 31 FLGHT CONDTONS MANT EEV EWr OT REVEW (f different AC ror ea Flt Seshould nital) 41 SARM REVlEW 42 ARMS NPUT ARMS AUOll j(b)(g) a (b) lb le d!e l(o)(g) 43 EXTRACT CERTFCATON (ifrequlred):!r DATE: NTALS: DATE:!NTALS: certfy am a c:mmlssloned o!llcer, govcjv {wn PC) or HAM Chlsf &nd tl\ls s a tre r:pi ot an AFTO Form 781 and tho Old name! ha been c:se out Print Name ' Rank: Stnch OfSvc: DSN: Signature: '+ \Jl \J

5 1 DATE (DD MMM YYYY) 12 MOS (Ex: SMC 130E) 3 SER AL# (YY TT) () Sf p,,\) \4 VC25A MSSON DATA 14 UNT CHARGED FOR FLYNG HOURS 15 HAM LOCATON 89 AW (AMC) AJXF Joint Base Andrews MD SM FLYNG SSAN FLGHT AUTH NGHT NS NS ORGN (LAST 4) LAST NAME DUTY CODE PRM SEC NSTR EVAL OTHER TME SRTY (P/S/VE) (P/l/E) (P/l/E) NVG TME SRTY TME SRTY (b MP (>, D / MP \ \ lj \ ' c ' _ d 1) c;,' MP \ \ 0 \ D : J 1) < /100 MN 1 "",, MF / '::: fo " MF ' i E: \,, ( ' ;;,, :,, BODO,, ( / T t? 3 / 1 3 q 1 \ l/,;? > / 2 1 3,,, ;(, 1, / 3j,,) 39 MANT REVEW 140 PLOT REVEW (f different AC for each Flt Se should nitial) 141 EVEW 42 ARMS NPUT ARMS AUDT "b)(6) DATE q )C:f JC 11f NTALS: DATE:< / if"/c NTALS 43 EXTRACT CERTFCATON (if required): certify am a commissioned offcer, govciv (when PC), or HARM Chier ond this s a true copy or an AFTO Form 781 and the CXtacted names been crossed out 19 MM JCbf le (THS FORM S SUBJECT TO THE Obtained via PRVACY FOA by ACT OF 1974 Judicial Watch, SE E REVERSE) nc CONVERSON FLT MSSON MSSON FROM TO TAKE OFF LAND TOTAL 14 LADNGS SPECAL SEQ NUMBER SYMBOL (CAO) (CAO) TME (Z TME (Z) TME SORTES USE Minutes Our &GO STOP TOTAL D l{r,e llo '() 1( ( \ \ a S b O(\'l \C) S\ 1 K KA l' Z1 / t; n { l / l/ c d e r : NEXT GRAND? 17 FLGHT AUTH # SSUNG UNT PAG _, 0,!d!e!r \ 0 (b )(6 ) ARCREW DATA FLGHT TM E 3 30 r; FLGHT CONDTONS hk zq (b) (6) 9 RESV STATUS,, """,,, _, _/ " _,,,,, v _i Print Name: AFTO FORM 781, Rank: Branch of Svc: DSN: Signature: PREVOUS i;oton S OBSOLETE ARMS ARCREW/MSSON FLGHT DATA DOCUMENT Page 5 of 6

6 Page 6 of 6 Obtained via FOA by Judicial Watch, nc AUTHORTY: 10 USC 8012; 44 USC 3101; and EO 9397 PRfNCfPAL PURPOSES Source document for recording individual flying time fo input into the Aviation Resource Manent System {ARMS} an ntegrated Maintenance Dala System (JMDS} ROUTNE USES: Validation or accomplishment of flying requirements needed to attain or maintain professional standards Validation of hourly flying accomplishments where necessary to authorize payment of flying incentive pay Provide basic record of each flight of USAF aircraft, reason fo< mission duration, crew members and duty positions Used as a source document for determining number of hours of operating time on airframes and power plants The SSN is u ed for identification of individuals and records DSCLOSURE S MANDATORY: ndividuals must furish the information to meet qualification and incetive pay standards Faflure to provide th information and SSN could result in loss or rerds with consequent loss of professional qualification and incentive pa entitlemnt (CONTNUED) ARCREW DATA FLGHT TME FLGHT CONDTONS NS FLYNG SSAN FLGHT AUTH TME SRTY NGHT (P/l/E) SMNS TME SRTY TME SRTY ORGN (LAST 4) LAST NAME DUTY CODE PRM SEC NSTR EYAL OTHER (P/S/l/ E) 31 (P/l/E) NVG , ' (b 7,) MT "1 ",v 11 3 i ', ' UT 3 3 / v ' aooo MA 31,,Lo, RESY STATUS 44 REMARKS OTHER THAN FLGHT DSCREPANC ES AFTO FORM 781,