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ce Pursuant to the authority g yen persons specified below, the u ' retied in rem 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration end is XIApproved I—Rejected BY FAA Fri Standards Inspector Manufacturer Maintenance Organization Pawns Approved by Canadian Depannuthr or T
refore iril Approve these data SIGNATVRUS) Or DESIGNATED ENGINEERING REPRESENTWEW) DESIGNATION MAIDENS) CLASSIFICATIONS) -rid, esen---(•••-•- Robert J. Belgau DEBT-510024-CF. Structures IAA FORM II 14.311i.n)strrascou PittViOUS tOrrilXv DER SERVICES PROJECT NO. F2066-173 SDNY_GM_02759689 SUBJECT TO P
tor. x,I.Z.-- L/C-6 -- , 7. Approval for Return to Sery Pursuant Administrator BY to the authority given persons specified below, the unit of the Federal Aviation Administration and is identified in item 4 Was inspected in the manner prescribed by the K REJECTED Cs APPROVED FM Flt. Standards Inspector Manufacturer Insp
hese data I (We) Therefore pi Approve these data SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) Robert J. Belgau DERT-510024-CE Structures — , FAA FORM 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION DER SERVICES PROJECT NO. F2006-173 EFTA00277606 - a EF
nspector. 16, U -V 7. Approval for Return to Service k Pursuant Administrator BY to the authority given persons specified below, the unit of the Federal Aviation Administration and is identified in item 4 was inspected in the manner prescribed by the K REJECTED C4 APPROVED FAA Flt. Standards Inspector Manufacturer Ins
prove these data and limitations of have Federal SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) Robert J. Belgau DERT-510024-CE Structures FAA FORM 8110-3 (11-70) SUPERSEDES PREVIOUS EDITIO N DER SERVICES PROJECT NO. 2001-082 EFTA00277688 16 v i EFTA002
Entities connected to both the Federal Aviation Administration and Robert J. Belgau

United States
LOCATION
George W. Bush
PERSON
Samantha Power
PERSONU.S. DEPARTMENT OF TRANSPORTATION
ORGANIZATIONRegistration Mark
PERSONLeon Black
PERSONCollins
PERSONAVIONICS
ORGANIZATIONCLASSIFICATION(S
ORGANIZATIONWILMINGTON DE 19803-3742
ORGANIZATIONCertificated Repair Station
ORGANIZATIONLake City
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LOCATIONK Additional Sheets Are Attached
ORGANIZATIONLocalizer
LOCATION
HONEYWELL
ORGANIZATIONCONDUCTED
ORGANIZATIONW.O.
ORGANIZATIONJohn K. Urso
PERSON