Sortie Information Sheet

Director Of Flight Operations__________________________________________ Date__________

Daily Flight Number______________ Landing Time __________ Hobbs / Tach Back _______________

                                                                   Take Off Time __________ Hobbs / Tach Out _______________

Take Off Location________________ Total Time ___________ Total Hobbs / Tach _______________

Sortie Purpose_______________________________________________________________________________

Landing Location (s)__________________________________________________________________________

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Gallons per hour Fuel Consumption for this Aircraft _______ Total Fuel Capacity: _______ on Board: _____

Gross Aircraft_____________

Weight ( Empty )

Fuel Weight _____________

Pilot Weight ____________ Name __________________________________ License Number _____________

Passenger One____________ Name __________________________________Occupancy Seat______________

Passenger Two____________ Name __________________________________Occupancy Seat______________

Passenger Three___________ Name __________________________________ Occupancy Seat_____________

Total Weight ____________

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Aircraft “N” Number ___________________________ Aircraft Serial # ___________________

Aircraft Make/ Model__________________________ Aircraft Colors ___________________________________

Aircraft Registered Owner(s)_____________________________________________________________________

Aircraft Annual Date:__________________ Aircraft Insurance Co.:_____________________________________

                                                                        Policy #:____________________ Current? Yes _____ No_____

                                                                        Renter/ Owner Insurance____________________________________

All AD’s and Airworthiness Maintenance Items Clear? Yes______ No________

Pilot: Biennial Date_____________________ Pilot’s Medical Date_____________

Avi8Cando Form 1: 7 Sept 04