Owner Name (As shown on regStra0an certificate) Northwest Delaware Corp. Address (As 5/10W77 on registration cettiatte) 1105 N Pdaltit atrii .. WilmIngin, 98 1. 4 3. For FAA Use Only Alki 1 0 1C93 CM-DALLAS SW05 4. Unit Identification 5. Type Unit Make Mo0el Serial No. Repel( Altera= AIRF