Case File
efta-01329790DOJ Data Set 10OtherEFTA01329790
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01329790
Pages
4
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
'
LLC
June 11, 2021
To whom it may concern,
FAA Registration N Number Change Request:
Industrial Integrity Solutions, LLC
Owner of N722JE
A Sikorsky S76C++ Helicopter
Manufacturer: Sikorsky
Model: S76
Serial: 760750
Current N Number: N722JE
We are requesting to change the N Number to:
N760GP
Please find enclosed our $20.00 check to process the change.
Thank you,
Rich Munkvold
Chief Financial Officer
Industrial Integrity Solutions
211751330158
32O.00 06124/2021
SDNY_GM_02758005
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244927
EFTA01329790
N4',10AV 1 ,4.9140
1O30 v,40Vk •
t
1,2
ura
3 Filth\ 63113
SDNY_GM_02758006
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244928
EFTA01329791
CO
U.S. 0cipanmani
of TransportatIon
Federal Aviation
Administration
ASSIGNMENT OF SPECIAL
REGISTRATION NUMBERS
Special Registration Number
N76OGP
Aircraft Make and Model
KEYSTONE HELICOPTER S-76C
Present Registration Number
N722JE
Serial Number
760750
Issue Date:
Aug 05. 2021
ICAO AIRCRAFT ADDRESS CODE FOR N760GP - 52441054
This is your authority to change
the United States registration
number on the above described
aircraft to the special
registration number shorn.
Carry duplicate of this form in the
aircraft together with the
old registration certificate as
interim authority to operate the
aircraft pending receipt of revised
certificate of aircraft registration.
The latest FAA Form Ill30-6,
Application For Airworthiness
on Me is dated:
Dec 08, 2008
The airworthiness classification
and category:
STI).ERANSP
INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry. Aircraft Registration Branch. within 5 days
after the special registration number is placed on the aircraft. A revised certificate of aircraft registration will then be issued.
Obtain a revised certificate of airworthiness from your nearest Flight Standards District Office.
The authority to use the special number expires: Aug 05. 2022
CERTIFICATION: I certify that the special registration number was placed
on the aircraft described above.
Signature of Owner
RETURN FORM TO:
Civil Aviation Registry
IIIIIIIMI
—
Title of Owner
Date Placed on Aircraft:
AC FORM 805041 45:2005) Superstdc. Prevlon. Edition
SDNY_GM_02 758007
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244929
EFTA01329792
SDNY_GM_02758008
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244930
EFTA01329793
Technical Artifacts (6)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
2441054Phone
2758005Phone
2758006Phone
2758008Tail #
N722JETail #
N760GPForum Discussions
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