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ternom: The Marmites, colleded on dos loon b nedemery to martin avvren reantrabon We marmite Petal take appreromsleto 30 minutes to compere Ina ion, Pease note teat an agency may rot conduct a KCMG. ord • wean .1 ret net redo respond to. a Oblikber, Of ollermalee viva, X *WNW a valid OMIT contra numbe

TURER GULFSTREAM AEROSPACE MODEL G1159B DATE OF ISSUANCE 11/01/2010 DATE OF EXPIRATION 11/30/2013 TYPE OF REGISTRATION CORPORATION NAME AND MAIUNG ADDRESS OF REGISTERED OWNER (If Individual give last name first name and middle initial) (o wner 1) KYPERION AIR INC INFORMATION FOR COMPLETION Addition

ON FOR NEW/RETURNING STUDENTS: TO THE PARENTS OR GUARDIANS: NEW STUDENTS: Complete all non-shaced areas on both Sides of form RETURNiNG STUDENTS. Pease review both sides for correctness of typed information. If tho information printed s inco rect. please correct it l:N carefully and lightly crossi

DIST:2331 TCHR (4) STUDENT LEGAL NAME (last MIL middle) MICORESS (5) ALSO MOM AS (house no. 4 UrnilfiliM (... no.) (a)0 (ask.) Op code) (7) MAIUNG ADDRESS Poem he & skeet hene) (pt no) OM (state) OP code/ (8 ITY ) SOCIAL SECUR Negooneo (9) HOME TELEPHONE NO. (10) SIEC I P (11) RACE/EThNIC ORIG

on C011eCted on this form 6 necessary to mantain aircraft registration. We estimate that it will lake approximately 30 minutes to complete the form. Pease note that an agency may not conduct or sponsor. and a person is not required to respond to. a collection of information unless it displays a valid C

TE. 8 MAIL WTH THE S5 FEE. To: The FM Aircraft Registration Brandt. PO Box 25504. Oklahoma City. OK, 73125-0504. K I (WE) CERTIFY THE: NAME(S) AND MAIUNG ADDRESS SHOWN ABOVE FOR THE OWNERS) OF THIS AIRCRAFT ARE CORRECT, OWNERSHIP MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED UND