Mission Number:

18-0239-01

Appointment:

02/18/2018

From:

Hinesville LHW GA

To:

Atlanta PDK GA

Details:

Anytime
Patient-158
Bag-15

Cancer

Pilot First Name:

Pilot Last Name:

Pilot Email:

Pilot Phone:

As a pilot-in-command (PIC) of Angel Flight Soars, I certify the following will be true on the date of the above referenced mission: I am a licensed pilot in good standing, with appropriate ratings and type certifications to conduct this mission. I hold a current and valid FAA medical certificate. I meet all currency requirements necessary to conduct the mission, including applicable day and night (90 day) landing and instrument currency (FAR part 61). The aircraft used to fly the mission has a current Annual Inspection and is airworthy on the day of flight (FAR part 91).