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nd disposition of this form. This report is requred by law (49 V.S.C. $44701). Fatale report can resiA in a civil penalty for each such holabcn. (49 U S C §46301(a)) 1. Aircraft Nationality and NegntrabOn Mark N120JE Serer No. 1085 Make GULFSTREAM AEROSPACE Model G-IV Senes N/A t. Owner Nam
acement (Goodrich PN 960014.49) divan with Brentano Fabric: Simplicity- Carrara 1010-01. Rewebbed the existing PAX seat and shoulder harness belts by C&M Marine Aviation Services Inc., CRS V05R749Y, under W.O. 5006. 8130-3 dated 8/8/13. Aircraft seat cushions have been fireblocked as pa the requirements of tine 14 CFR, 25.853(c) A
tructions and depasMon of this form The report a required by law (19 USG 644701) FaUe to report can resat to a awl penally for each such yolaton (49 U S C 546301(a)) I. Aircraft Nationetly and Regetration Mark N722JE Seral No 760750 us, Keystone Helicopter Motel S76 Series C++ 3. Owner Name
2019 (Skandia burn report TP1/ 360764-19, Rev A dated 8/21/2019) by FAA/DER Jane Biberstein. (DERV-832780-CE). Crew seat belts have been rewebbed by C&M Marine Aviation Services Inc. (FAA/CRS # VO5R749Y) reference 8130-3 dated 8/1/2019. 5) Stripped and recovered the existing Headliner Panels, Window Line and Side Wall Panels thr
-SP (C550) 3 AIRCRAFT SERIAL NUMBER 5(73 4 CATEGORY 5 AUTHORITY AND BASIS FOR ISSUANCE This airworthiness certificate is issued pursuant to 49 U S C § 44704 and certifies that, as of the date of issuance, the aircraft to which issued has been inspected and found to conform to the type certificate
via FAA/DER 8110-3 dated 828/2017 (attached) by David S. Molnar (DERT-510260-CE). 6) All cabin PAX seats and Crew restraints have been re-webbed by C&M Marine Aviation Services Inc. (FAA/CRS V05R749Y) Reference 8130-3 dated 7/8/17 and 6/14/17. Each belt is tagged and identified as meeting FAA-MO-Cite, requirements. 7) The exis
Entities connected to both U S C and C&M Marine Aviation Services Inc.

Ghislaine Maxwell
PERSON
United States
LOCATIONRegistration Mark
PERSONLeon Black
PERSONU. S. DEPARTMENT OF TRANSPORTATION
ORGANIZATIONSkandia
ORGANIZATION
Ronkonkoma
LOCATIONCabin Interior
ORGANIZATION
Samantha Power
PERSONRef Document
ORGANIZATIONV.S.C.
ORGANIZATIONArndt
PERSONthe Federal Aviation Administration
ORGANIZATIONU S.C.
LOCATIONCountry USA
LOCATIONJay Masser
PERSONWeight and Balance
ORGANIZATIONDERY-832780-CE
ORGANIZATION
St Thomas
LOCATIONElectrical Systems
ORGANIZATION