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the special number expires: Sep 16, 2012 CERTIFICATION: I certify that the special registration number was placed on the aircraft described above. Signature of Owner. RETURN FORM TO: Civil Aviation Registry, AFS-750 P.O. Box 25504 Oklahoma City, Oklahoma 73125-0504 Title of Owner: Date Placed on Aircraft: A

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ed Standards District Office. The authority to use the special amber expira: Feb 24, 2022 CERTIFICATION: trendy ire the aircraft described above. Signature of Owner. ....----7 that the special registration number wan placed RETURN FORM TO: Civil Aviation Registry Aircraft Registration Branch P.O. Box 25504