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s STC, feel free to contact me at r by email at Douglas Bates Engineering Records Tech Duncan Aviation
ereon for irenctorts end Minabon of It form. Thee report le wined by km (49 U.B.C. .44701) Fans to report cannot. hada prey to tech much Nolen. (49 U S.C. §48301(a)) .' I. Aircraft ova "le-tY and jigiets161:111-441 N677RP i scrim No. . 1085 make Gulfsueam ilothi G-IV sea 2. Owner Nana (Ai Ma
vE(S) DESIGNATION NUMSERS(S) CLASSIFICATION(S) Douglas M. England DERY-830903-NE Systems and Equipment
sition of this form. This report is required by law (49 V.S.C. 544701). Failure to report can result in a civil penally to. each such violation. (49 U S.C. §46301(a)) 1. Aircraft Nationality and Registrabon Mark N750A Serial No. 760750 Make Sikorsky Model S-76C Series 2. Owner Name (As shown
cy Gulfstream Aerospace Corporation 4150 Donald Douglas Drive Long Beach, CA 90808 USA U.S. Certificat
Part 43 Appendix B. and AC 43.9.1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §463O1(a)) Nationality and Registration Mani 4O1HB S
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