Mission Number:

19-0680-02

Appointment:

06/18/2019

From:

Newnan, GA CCO

To:

Columbia, SC CUB

Details:

2:30 pm
Patient-183
Pass-173
Bag-5

Cell & Organ Disorder

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).