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12. OEM:NATION NUMBERSO) IF CIAERIFICATIONiF 1 Donald E. Shepherd, Jr. I 6..m.e.1/14,01.4.4c,77 DERT
canficate) PLAN D LLC. Address (At shown on registration eenilierue) Address 6100 RED HOOK Quarter 93 City St. Thomas Virgin Island Zip 00802 Country USA 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. 0 AIRFRAME (4, descnbed in hem I abate)
Rev IR as approved on FAA formal 10-3 pm FAA DER Donald Geese* (DERT-750135-SW) dated March 25 2013. RA4
er 6. Conformity Statement A. Agency's Name and Address B K no of Agency Nara Nextant Aerospace moms cry Cleveland slate OH zo 44143-1453 Country USA 0 U.S. Certificated Mechanic 0 Manufacturer 0 Foreign Certificated Mechanic C. Certificate No. El Certificated Repair Station CRS # 25NR667B
1 Rev IR as approved on FM form 8110-3 per FM DER Donald Mimeo (DERT-750t35-SW) dated March 25 2013. RM G
6. Conformity Statement A. Agencys Name and Address B. Kind of Agency Nana Nextant Aerospace Patron cry Cleveland State. OH tip 44143-1453 Country USA CI u.s. Certificated Mechanic O I Manufacturer O Foreign Certificated Mechanic C. Certificate No. B Certificated Repair Station CRS # 25NR667
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