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n 'baba be dreded to the FAA at 800 Independence Annie SW. Washington. DC 20591. ATTN: InTonmatios Colec
us. If the aircraft has been sold, please provide the purchaser's name and address. FEE PAYMENT by mail should be by check or money order payable to the Federal Aviation Administration. FAA Aircraft Registration Branch: Regular mail: P.O. Box 25504, Oklahoma City, OK 73125-0504. Overnight delivery or commercial courier: 6425 S. D
TA_00240637 EFTA01326230 9 1 Ilbf vs oromurer MAJOR REPAIR AND ALTERATION a transponsess (Airframe, Powerplant. Propeller, or Appliance) From Annie, Aantatistration Fr, Amos! pre No 1000020 moon Elena"K Treaing Nuen: .. FAS Use Puy INSTRUCTIONS: Pont or type aN entries. See Tele 14 CFR §43.
Se Pursue I to the authority given persons &Pealed below, the unit identified in item 5 was nseecteo in the manner presorted by Me Administrator of the Federal Aviation Administration and is 2 Approved 0 Rejected BY FAA Flt Standards Inspect« Maintenance Organization Persons Appeared by Canavan Department or Transport FM
N t J. Arno FT FOR UM TO Siena P aaaaa na to Ion anbority In ponninecited bond the oak Egynainal i. Item 4 -a inward n an'tnanet pennant by tbe Annie, o( es. Federal .A.istna A.Wittiacrneo and is al. APPROVED R EJ ECI RD SY in Tu. StAtnArs oMclot mAndmausta. Onteacea ALITICOLTAMM annfl." 1
rvice Pursuant to the montrity given persons specified below. the uniyidentified in item 4 ins impacted in the 'memf prilted by me Administrator of the Federal Aviation Administration and la e' PROVED 0 REJECTED FAA Fit Standards IrepaCter Manulactures inspected,' AutnOritatien Other (Specify) BY -• FAADemme. X Reedit Sta
s I 00f APPROVAL • • LSI .110.015 • Non It Con 22 Pune main Waal - Mon Inuntinift• a /neat/ 73. Cade LERICHE MAY 19 1999 Muni sea tens eel 'Annie was aprAtty Rana. CaIl• Le inane Oall nInia taatainne encl.f anaa Rancats pennants USEPANSTALLER RESPONSENUTIES RESPONSABILITES DE L'USAUER/LIONTEU
uant Administrator BY to the authority given persons specified below. the unit identified In item 4 was impeded in the manner prescrbed by the of the Federal Aviation Administration and is 00 APPROVED LI REJECTED FM Pt Standards Inspector Manufacturer gr. Inspection Authorization Other (Sped*, FM Designee Repair Station
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