t Make GULFSTREAM Model G-IV Serial No. 1085 Nationality and Registration Mark N677RP 2. Owner Name (As shown on registration certificate) PETERSEN AVIATION ROOMS (As shown on registration certificate) 7155 VALJEAN AVE VAN NUYS CA 914064917 3. For FAA Use Only 4. Unit Identification 5. Type Unit M

RCRAFT COMPONENT IDENTIFICATION AKE .oULFSTFtEAM AEROSPACE MODEL NO. G-IV TYPE (Airplane. Radios Helicopter. etc.) Airplane NAME OF APPUCANT PETERSEN AVIATION UST OF DATA IDENTIFICATION 1171E DOCUMENT' STRUCTURAL SUBSTANTIATION - MINOR MODIFICATION TO 3- PLACE DIVAN, LH FWD. DIVAN MODIFICATION G-IV S

IRCRAFT COMPONENT IDENTIFICATION MAKE GULFSTREAM AEROSPACE MODEL NO. G-IV TYPE (Airplane, Radio. Helicopter. etc.) Airplane NM E OF APPLICANT PETERSEN AVIATION LIST OF DATA IDENTIFICATION TITLE DOCUMENT: - SY-GL1085 Rev. "NC" Dated: 5-15-2000 • STRUCTURAL SUBSTANTIATION - TWO 17 INCH LCD MONITOR IN