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rthy Airframe Discrepancy Send PS-855 Emergency Power Supply for 12 month Capacity Check PM ofl. 501.1
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orsky S-76C STARTING ENGINES BATTERY OR EXTERNAL POWER 27. Avionics — As desired. a. Transponder (RTU-
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
Copilot Nose Ballast Provisions, LH & RH Shore Power CB Install VIP Interior Paint Prep and Finish i
osition of this form. This report is required by law (49 U.S.G. §44701). Failure to report can result in a civil penally for each such violation (49 U S C §46301(a)) Nationality and Registrat-on Mark N750A Serial No 760750 1. Aircraft Mike Sikorsky Model S.76C Series 2. Owner Name (As shown
Kimball Avenue Chino, Ca 91708 Subject: Special Power of Attorney Dear Khera: The undersigned is the
-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
Entities connected to both Samantha Power and U S C

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