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ENTER AIRCRAFT REGISTRATION APPLICATION "( CERT: ISSUE DATE i UNITED STATES REGISTRATION NUMBER IN 722JE c I AIRCRAFT MANUFACTURER 8 MODEL Keystone (Sikorsky) S -76C - ( AIRCRAFT SERIAL No. q 76O75O FOR FAA USE ONLY • ( TYPE OF REGISTRATION (chock One box) pl. individual O 2. Partner

20-0042 bp. 0/130/2017 Do Not WIN In This Wadi FOR FM USE ONLY NAME AND ADDRESS (IF INDIVIDUAL(S). GIVE LAST NAME. FIRST NAME. MD MIDDLE INMAL) Industrial Integrity Solutions , LLC 2151 E. Convention Center Way #222 Ontario, Ca 91764 DEALER CERTIFICATE NUMBER AND TO ITS` SUCCESSORS afr.GLSORS,ADMIMI4TRATORS, AM ASSIGN

t forth in this Agreement. Seller desires to sell, transfer, and deliver to Purchaser, and Purchaser desires to purchase from Seller, one used 2008 Keystone (Sikorsky) model S-76C t ( helicopter, bearing manufacturer's serial number 760750, and currently registered with the United States Federal Aviation

C, a U.S. Virgin Islands limited liability company, whose address is 9053 Estate Thomas. Suite 101. St. Thomas, U.S. Virgin Islands ("Seller"), and Industrial Integrity Solutions, I A.C. a New Mexico limited liability company, whose address is 2151 E. Convention Center Way, Ste. 222. Ontario. CA 91764-5496 ("Purchaser"). REC

t forth in this Agreement, Seller desires to sell, transfer, and deliver to Purchaser, and Purchaser desires to purchase from Seller, one used 2008 Keystone (Sikorsky) model S-76C++ helicopter, bearing manufacturer's serial number 760750, and currently registered with the United States Federal Aviation A

one Number Job Title The application is on hold until we receive a response from you containing your Name. Telephone number and Position held with Industrial Integrity Solutions. LLC. As the designated Back-Up Contact you will be contacted if a security issue arises with the administrator's account and you must contact the