-xglfldo:dwfk ,qf to the privacy act of last name duty code prim sec eval other time nvg time srty...

6
(OD . 1 2. 1 4. ' 1 5. 1- --.---- 14. l- -+-------------+---+---+--- -+---+ -- --1- &_G_ o _ ,s _r_o _P-TO_T_A_L -_1 _s_-- -1 V 6 -- : } } / t-Dž--- -- ---- 1- -- ----------+--- .. --5- -- ---6- -- -\ 7-'-+_' _ .. _ _ :_;_- -i · @. 1- · 27 1- . Ff:AB;Cr_::.D · -iE · 1-.- ss · - (b)(6 (, (,' f (. ;l /,0 . : /,I ' < , .s I,< LS I.! tS (.Ɠ z tr! t t> M \. ). ƒ l 34 INT R71EW . l40. 1 41. I . ( v ( G ) - laE l(b)(6) I IDATE: !NITIALS: < = ' ; > 2 ?;j@\IAB,CDEFG:H,IJ: · · ; G. · · · · · · · ·· ··:, . . :,. u - : ; · : · ǂ 36 .,. __ _ Obtained via FOIA by Judicial Watch, Inc. (THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974- SEE REVERSE) MISSION DATA 1. DATE MMM YY MOS (E: SMC 130E) 3. SERIAL# f-TTIT) UNIT CHARGED FOR FLYING HOURS HARM LOCATION - A JG 01 ǃ C032A 09-0016 89 AW (AMC) AJXF Jont Bae Adr, MD 20162 PONVERǁ ION : · LANDINGS SPECIAL . Mlnui our .. :: SORTIES USE , ... . .. • . .. ' TOUCH FULL · .. - · : ir .:- , F;rE . . 33 . :s . · 5 57 : - 9. so ·.·Nr "" . . . . f, ' FLIGHT CONDITIONS COMBAT TOTALS COMBAT SIM SPT FLYING SSAN FLIGHT AUTH NIGHT INS INS RESV ORGN LAST NAME DUTY CODE PRIM SEC EVAL OTHER TIME NVG TIME SRTY TIME SRTY STATUS 37 (LAST 4) (P/S/l/E) (Pll/E) {P/l/E) 19 20 21 2 23 24 25 26 27 28 29 30 31 32 33 34 35 INSTR SRTY 38 8000 MP , .- - 8000 MP l,5 /,; Ȱ 8000 MP 1.< 1 8000 MK I . s t.! z 8000 MK <: I .. t. 8000 MK ' 8000 IT ,.DŽ z 8000 MT ' 8000 MT 8000 MT '.s 8000 MT 1.Ɣ . 8000 MT l.5 f, ( t 8000 39. PILOT REVIEW (if diferent AC for each Flt Seq shold inltla!) SARM REVIEW 42. ARMS INPUT ARMS AUDIT . :b. !c. ld. le. It. DATE: INITIALS: TzKr�L M . N,!OP;:Q·-S; . R'";zt;f AFTO FORM 781, 20080911 PREVIOUS EDITION IS OBSOLETE ARMS AIRCREWIMlSSION FLIGHT DATA DOCUMENT Page 1 of 6

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(OD.

12. 14. 'l

15.

1----..---T---'I 14.

l---+----------1-----+----+----+------+----+----.--1--&_G_ o __ ,_s_r_o_P-+-TO_T_A_L-l-_1_s_-+---1 6--l : } }/'

t---1 -----------11--------t-----1----+----...... -- ------+---t---\ -'-+-_'_ ........ __ :_;_--i· . 1---+-----------1-----.f----+----+----+----1-----1-----1---.+-----1----'------1 ·27

1---+-----------+-----+----+----+----+----1-----1o--�1----t-----1------+------1 . f: ; r_::. ·-i · 1---.1-...---------4-------'----�---.1.---.-"----1------1----'1----1----1----+-----l ss·-

(b)(6) (;,.(,, (J,'j

fJ.'1 (';. ;l/

/,0 . :. /,I) ' <;" , .s

I,<; LS I.! tS (. z.

tr!' t t>

MT \.5 ). l

INT R71EW.l40. 141. I .( (G ) - laEfilJ l(b)(6) I IDATE: !INITIALS:

'.; 2 ;j \I , : , : · ·; .··· · · ····· ··:,

. . :,. - : ;·: ·

36

.,... __ _

Obtained via FOIA by Judicial Watch, Inc.(THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974- SEE REVERSE) MISSION DATA

1. DATE MMM YYYY) MOS (Exp: SMC 130E) 3. SERIAL# fN-TTIT) UNIT CHARGED FOR FLYING HOURS HARM LOCATION -zq' A JG, 01 C032A 09-0016 89 AW (AMC) AJXF Joint Base Andrews, MD 20162

ONVER ION :· LANDINGS SPECIAL .Mlnuies our ..::SORTIES USE

, .... . .. • . .. 'TOUCH FULL · . . -·:�, ir .:-,,. ;r

. . 33 . :s .•·52 • 57 : - 9.

so ·.;.·Nro"" . . . .f,'I

FLIGHT CONDITIONS COMBATTOTALS COMBATSIM SPT

FLYING SSAN FLIGHT AUTH NIGHT INS INS RESVORGN LAST NAME DUTY CODE PRIM SEC EVAL OTHER TIME NVG TIME SRTY TIME SRTY STATUS

37(LAST 4) (P/S/l/E) (Pll/E) {P/l/E)

19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 INSTR SRTY

38

8000 MP , .-) -i 8000 MP l,5 /,; 8000 MP 1.< 1-8000 MK I . s- t.! z 8000 MK • <:: I ... t.. 8000 MK 'Z 8000 IT ,. z 8000 MT 'l. 8000 MT 8000 MT '.s 8000 MT 1. .,. 8000 MT l.5 f, (' t 8000

39. PILOT REVIEW (if different, AC for each Flt Seq should inltla!) SARM REVIEW 42. ARMS INPUT ARMS AUDIT .

:b. !c. ld. le. It. DATE: INITIALS:

zcT r�fy �· . ,! ;: ·- ;:. '";zt.;�t;f AFTO FORM 781, 20080911 PREVIOUS EDITION IS OBSOLETE ARMS. AIRCREWIMlSSION FLIGHT DATA DOCUMENT

Page 1 of 6

,2. .

14. 15.

9 a. 29664 l::AD\J b.

d • .

e. f.

'GRANO

It

EVAL.

I.(\

LO

\ MT

MT

DEVIEWJ40. 141. ( b ) (6) it. (b)(6) I

15 - 2 ·:::

'. C) \ .'t

35 38

LO I LO

\, 0 I t f,0 l

l .a .I , .o I/ \.C> '.t>

. t.n l .fi r .o r.o I 9. I. 0

!INITIALS: 3.

Obtained via FOIA by Judicial Watch, Inc.(THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974 - SEE REVERSE) I 1. OATECODMMMYYYY) MOS(Exp: SMC 130E)

304v<>Z:..?' C032A 3. SERIAL# (YY-TTTT) 09-0016

MISSION DATA UNIT CHARGED FOR FLYING HOURS

89 AW (AMC} AJXF HARM LOCATION

JointBase Andrews. 'MD 20762

FLT MISSION MISSION FROM TO TAKJ:OFF LAND IOTAL SPECIAL CONVERSION

SEO NUMBER SYMSOL (JCAO) (ICAO) TIME(Z) TIME(Z)

6 7 8 10 11 12 S-1 KPV!>. OIS:Z 01..?

c.

17. FLIGHT AUTH # 14-0342 18. ISSUING UNIT PAG TOTALS AIRCREW DATA

FLIGHT TIME

FLYING SSAN FLIGHT AUTH ORGN (IAST 4 ) LAST NAME DUTY CODE PRIM SEC INSTR OTHER.

19 20 21 22 23 24 25 26 v 8000 (b)(6) MP 8000 MP kC 8000 MP 8000 MK .7 ::3. 8000 MK .1 . 3 8000 MK .& t-/8000 IT /.08000 MT l.0 8000 MT (}8000 U> 8000 MT f..O 8000 MT f ,0 8000 f .o

39. PILOT REVIEW {if different. AC for each Flt Seq sfloold Initial} SARM REVIEW aEffl !b. c. !d. le.

42. DATE:

14. LANDINGS Minutes DurTIME SO.�TIES USETOUCH FULL

13 &GO STOP TOTAL 16 1 .03 - 8 = .1\ \ 9 - 14 "' .2.

15 -· 20 : .321 • 26 "' .427 - 33 = .5 34 - 39 "' .640 -. 45 = .748 • 51 :: .852 • 57 :: .9 5S .:t;(l :: Next'

Lo 0 1 I l • Cf

FLIGHT CONDITIONS

TOTALS COMBAT COMBATSIM SPT

NIGHT INS INS RESVTIME SRTY (P/S/llE) (P/llE) (P/llE) NVG TIME SRTY TIME SRTY STATUS

28 29 30 31 32 33 34 36 37 I

1,0 1. f) I 0

·' l

I . I .I. 0 ' /,0 { 1.0 r I D I re l ,Q I

ARMS INPUT ARMS AUDIT INITIALS: DATE:

EXTRACT CERT\ TION (tt re<;l.llred): I ·certify lam 11 comm\'s$loned oflicei; g<iv civ ('lltlen P\C), « KARM Ctl!ef 111\d \!\la 11; a I.rue OO'fll of an AFTO tc.tm 781 and tM elt.Uaeced Mmes twle been $.ed oot.

Print Name: Rank: Branen of SYC: DSN: Signature:

AFTO FORM 781, 20080911 PREVIOUS EDlTION IS OBSOLETE ARMS AIRCREW/MISSION FLIGHT DATA OOCUMEffT

Page 2 of 6

--

,2. ,4. 15.

LO 0 I I ( b. c.

34 =· .::.

f. 'GRAND

•.

34 35 1:11 l

f\,t:: LO

llJ.7 f.Q I

8000 MK ,0, 7 f n,L

I /)

'O t .. o

1 I i

I 0

REVIEW,40. 141. 1Cb)(6) I a. ICb) Ub. ICb){6) llNITIALS:

""---- - ,..

6 .1

.7

II

29 38

Obtained via FOIA by Judicial Watch, Inc.(THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974 • SEE REVERSE)

I MISSIO.N DATA

1. DATE (DD MMM YYYY) MOS (Exp; SMC t30E) 3. SERIAL# (YY-TTTT) UNIT CHARGED FOR FLYING HOURS HARMlOCATION 'JoAvf:;t.oti,t C032A 09-0016 89 AW (AMC) AJXF Joint Base Andrews, MD 20762

CONVERSIONFLT MISSION MISSION FROM TO TAKEOFF LAND TOTAL 14. LANDINGS SPECIALSEQ NUMBER SYMBOL (ICAO) (ICAO) TIME (Z) TIME{Z) TIME DurMinutesSORTIES USE

TOUCH FULL&GO STOP TOTAL .07 - 28 9 10 11 12 13 15 16 1 =

.2 =3 8a. 30085 S-1 K.AbvJ k PN {.'f v 'lt04l .'1 9 -

15

-=14. - 20 - 26 :::; .3

.4

.5

.6

.8

21 =

=27 - 33d. - 3945

=

40 -e. 46 · -52 51 57- "'

58 "'- 60 .9

NEXT17. FLIGHT AUTH # 14·.0351 16. ISSUiNG UNIT FAG 0 l ,/ CfTOTALS l,O (

AIRCREW DATA

FLIGHT TIME FLIGHT CONDITIONS r COMBATTOTALS COMBATSIM SPT

flYING SSAN FLIGHTAUTH NIGHT INS INS RESVORGN DUTY CODE OTHER TIME SRTY (P/$/llE) (P/l/E) (Pill!:) STATUSTIME SRTY TIME SRTY

36 37LAST NAME PRJM SEC INSTR EVAL

23 24 25 26 NVG

3328 30 31 3219 8000

22 27(LAST 4)

20 21(b)(6) MP f,C

MP8000 f. c;1.0 ! 8000 MP D.¢ J 8000 MK

,_ (.) 8000 MK '.(.} }8000 IT f.0 I

t8000 MT 1.0 /) I 8000 MT (, ' 8000 MT ,'i} '-.C 8000 MT 1.0 H.0 \ 8()00 MT tJ> t. !) ' 8000 MT /.a I

39. MAINT PILOT REVIEW (If different, AC tor each FltSeq $hoUld lnltfal) SARM REVIEW 42. ARMS INPUT ARMS AUDIT le. Id. le. It. DATE: INITIALS: DATE:

43. EXTRACT CERTIFICATION (If required): I certify I am·a oommlsslonea officer, gov clv (when PIC), or HARM Chfef and U!ls I& a IJ\le copy at an AFTO Form 781 and tho oxtraded names. have been crossed out. Print Name: Rank: Branch of Svei DSN: Signature:

-- / .

f r<!· 14. 15.

klH"N " O{i.2<t .1 t-, 0 b. c. 27 •

ct e. 46 f.

:58 I .7 I

ig 36 0,7

v.7 0.7 .7 t),.., f') '1

9-- ,7 "2 I

, l./ -,,, t7) .,

f) .7 I

a1 I 07 MT ,, (J:/

.7 0,1 ,j '-, n.7

·7 (},

MAINT .EEV•EWr OT I SA.RM j(b)(G) I a ( b) lb. le. Id. !e. l(o)(G) I !INITIALS:

--... .... '+ \Jl \J

.3

39 .7

11

25 31 32 37

.IT

!r.

Obtained via FOIA by Judicial Watch, Inc.{THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974 ·SEE REVERSE)

MCSSfON PATA

1. DATE (DO MMM YYYY) MOS (Exp: SMC 130E) 3. SERIAL# (YY-TTTT) UNIT CHARGED FOR FLYING HOURS HARM t:OCA TION

11 l.'J(;. tO\ C0.3.2A 09-0016 89 AW (AMC) AJXF Joint Base Andrews, MD 20762 CONVERSION

FLT MISSION MISSION FROM TO TAKEOFF LAND TOTAL 14. LANDINGS SPECIA.L. Minutes OurSEQ NUMBER S'VMSOL {ICAO) (ICAO) TIME{Z} TIME(Z) TIME SORTIES USE l:OUCH. FUU.

-6 7 8 9 10 1 1 12 13 &GO STOP TOTAL 15 16 1 2 = .0 - =3 8 .1a. 30085 S·1 () I I I ,"'/ 9 • 14 = .2

.4

.5

=15 . 2il -21 26 =

45 : ..

33

51

.6-34 40 .

. =

=

52 . 57 =

,8.s

=• 60 NEXTGRAND 17. FLIGHT AUTH # 14-0351 18. ISSUING UNIT PAG 0 I I ,iTOTALS

AIRCREW DATA

FLIGHT TIME FLIGHT CONDITIONS

COMBATTOTALS COMBATSIM SPT FLYING SSAN FLIGHT AUTH NIGHT INS INS RESV

'TIME SRTY TIMEORGN (LAST 4) LAST NAME TIME SRTY SRTY STATUS 38

(P/l/E) (PnlE)DUTY CODE PRiM sec EVAL OTHER NVGINSTR (PISlllE)3028 34 35.23 2419 20 21 22 26 27 33

I., I8000 (b)(6) MP 8000 MP .., )

18000 MP ,; .8000 MK 5 I n,c;. 8000 8000

MK . c; , .., {),<; MK ·'' I ,,

0,7178000 8000 MT ,7 8000 ., I

8000 MT 11 I 8000 MT ·' l ().-/8000 MT , .., I

8000 MT .7 I 7

39. REVIEW (If different. A.C ror each Flt Seqshould Initial) 41. REVl.EW 42. ARMS INPUT ARMS AUOll

DATE: INITIALS: DATE: certifyI am a c:cmmlssloned o!llcer, govcJv {when PIC). or HARM Chlsf &nd tl\ls Is a true r:tJPi ot an AFTO Form 781 and tho Oldracted name!I haw been c:t0:$sed out.

Print Name ' Rank: Stanch OfSvc: DSN: Signature:

43. EXTRACT CERTIFICATION (ifrequlred): I .

12.

()/ Sf p ,,.,{\) \4 14. 15.

11 &GO

�ADW l{rv\r,E llo� '=-()_1 1.(p 1.5 ( \ \ b. O(C\'l \C) S-\ KIV\�t:.. KAl>W l'f 5 3 2 IZ-1 /. t; n { l I /. l/

d. 34 e.

I ? z.q 0 ., r;( ,.,

22 .8000 (b)(6) \. 0 ,

/ 8000 \ \ lJ \ ' c. , '8000 \ \ 0 I \ /1!000 .1 .,, 8000 "8000 i • E: ,, 13000 -· ( .,, 8000 : ., BODO .. . I

.,, 8000 I /8000 . I

./ .... I .... / ? .> I ,,,. . 1 .,.,

39. MAINT 140. 141. EVIEW IMM I IJCb)lJbf(b)l le. (b) (6)

·I I' _. I d

I D .: . I J.. "" . I - I - . \ -=-... ;;!.. -, I

- - (

I I t?. -1

3 q ...... l/ ,;(

.2 3 ;( 3.j . .,,).

ID· 1). c; 1) <.

"b)(6) DATEq .)C:f I I DATE:<.../ if") /C-/ I INITIALS

hk

-,.,,....,--------·"""'

,,,. ------_,

-----

--_/ ... -"' _,,,,.., --

v _i-

I

CONVERSION SPECIAL

SORTIES USE

16

am a commissioned officer, govciv (when PIC), or HARM Chier ond this Is a true copy or an AFTO Form 781 and the CXltacted

Print Name:

AFTO FORM 781, 20080911

Page 5 of 6

(b) (6)

Obtained via FOIA by Judicial Watch, Inc.(THIS FORM IS SUBJECT TO THE PRIVACY ACT O F 1974 - SEE REVERSE) I 1. DATE (DD MMM YYYY) MOS (Exp: SMC 130E) VC-25A 3. SER IAL # (YY-TTTT)

92-9000

MISSION DATA UNIT CHARGED FOR FLYING HOURS

89 AW (AMC) AJXF HARM LOCATION

Joint Base Andrews. MD 20762

FLT MISSION MISSION FROM TO TAKE OFF LAND TOTAL 14. LANDINGS SEQ NUMBER SYMBOL (ICAO) (ICAO) TIME (Z) TIME (Z) TIME Minutes

TOUCH FULL 6 7 8 9 10 12 13 STOP TOTAL 15 1 - 2

3 - 8 a. 29915 S-1 -

FLYING SSAN FLIGHT AUTH NIGHT INS INS

Our

9 1415 - 2021 - 26

c. 27 - 33- 3940 - 45 46 51-

r. 52 - 5758 - 60

17. FLIGHT AUTH # 14-0346 18. ISSUING UNIT PAG GRAND . I TOTALS _.j

II AIRCREW DATA FLIGHT TIM E FLIGHT CONDITIONS

ORGN (LAST 4) LAST NAME DUTY CODE PRIM SEC INSTR EVAL19 20 21 23 24 25 26

MP I I I MP

MP

MN

MF /. ':::" I . fo MF I. '� MK

MK

MK

MK

IT 8000 MT 3 8000 MT 1.8000 MT \ I 8000 MT 8000 MT 8000 MT 1, /

REVIEW PILOT R EVIEW (If different. AC for each Flt Seq should Initial)

!d. !e. !r.

TOTALS

OTHER TIME SRTY (P/S/VE)27 28 29 30

I . (> I

I

'

I

I

3. I

42. ARMS INPUT

(P/l/E)31

JC 11.f INITIALS :

COMBAT COMBAT

SIM SPT

(P/l/E) NVG TIME SRTY TIME SRTY 32 33 34 35 36 37

ARMS AUDIT

43. EXTRACT CERTIFICATION (if required): I certify I names been crossed out

Rank: Branch of Svc: DSN: Signature:

= .0 = .1 = .2 = .3 = .4 = .5 = .6 = .7 = .8: .9 = NEXT

RESV STATUS

38

PREVIOUS i;OITION IS OBSOLETE ARMS AIRCREW/MISSION FLIGHT DATA DOCUMENT

'8000 (b)(6) 7 I "1 I , .,..,v ,) I"' 1.1 3 I ...... --i-

., '8000 UT 3 I ./ '

-v ' aooo 3.1 I ,.. ,..Lo-,.,.

Obtained via FOIA by Judicial Watch, Inc.AUTHORITY: 10 U.S.C. 8012; 44 U.S.C. 3101; and EO 9397 PRfNCfPAL PURPOSES. Source document for recording individual flying time for input into the Aviation Resource Management System {ARMS} and Integrated Maintenance Dala System (JMDS}.ROUTINE 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. DISCLOSURE IS MANDATORY: Individuals must furnish the information to meet qualification and incentive pay standards. Faflure to provide the information and SSN could result in loss or records with consequent loss of professional qualification and incentive pay entitlement.

II. (CONTINUED) AIRCREW DATA FLIGHT TIME FLIGHT CONDITIONS

TOTALS COMBAT COMBATSPT INS

FLYING SSAN FLIGHT AUTH TIME SRTY NIGHT (P/l/E) SIMINS TIME SRTY TIME SRTYORGN (LAST 4) LAST NAME DUTY CODE PRIM S EC INSTR EYAL OTHER 28 29 (P/S/l/ E) 31 (P/l/E) NVG 34 35 36 37

19 20 21 22 23 24 25 26 27 30 32 33 MT

8000 MT

3 MA

44. REMARKS OTHER THAN FLIGHT DISCREPANCI ES

Page 6 of 6

RESY STATUS

38

AFTO FORM 781, 20080911