Pilot Instrument Proficiency Check Endorsement Label (Source Flight Instructor)
PDF, 1 page from the NTSB's investigation of the Mooney M20R accident near Watertown, Wisconsin, June 14, 2023. Shown as the NTSB released it (from this site's copy).
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About this document
It is item 11 in the NTSB's docket for case CEN23FA239, titled "Pilot Instrument Proficiency Check Endorsement Label (Source Flight Instructor)" by the NTSB, 1 page. The NTSB removes some personal details before releasing docket documents; this site shows them as released and does not alter them. The docket at the NTSB.