Case File
efta-efta00307682DOJ Data Set 9OtherCOPY OF ORIGINAL DOCUMENT
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00307682
Pages
2
Persons
0
Integrity
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Text extracted via OCR from the original document. May contain errors from the scanning process.
COPY OF ORIGINAL DOCUMENT
ORIGINAL IN ESCROW AT
INSURED AIRCBAFT TITLE SERVICE
DATE.
-2 ."-t
AGENT: JOAN ROBERTS, V.P.
WARRANTY BILL OF SAT Y.
The undersigned, ("Seller"), is the owner of the full legal and beneficial title in
and to that certain used Sikorsky S-76C helicopter (sometimes referred to as a S-76C+) bearing
Manufacturer's Serial No. 760472 and U.S. Registration No. NI62AE, with two (2) Turbomeca
Arriel 2S1 engines bearing Manufacturer's Serial Nos. 20040 and 20533TEC, together with all
avionics, equipment (including loose equipment), systems, furnishings and accessories installed
on, contained in or attached to said helicopter and engines, all as is more particularly described in
that certain Aircraft Purchase Agreement dated as of July IR , 2011, between Seller and
Purchaser, and also including all airframe, engine and accessory logbooks, flight and operation
manuals, maintenance and overhaul records, checklists, drawings, any issued FAA Form 337's,
warranty documents, and all other records and paperwork relating to the above-described
helicopter and engines in Seller's possession (collectively, the "Aircraft") mitt,
that the term
Aircraft as used herein does not include airframe maintenance manuals and airframe illustrated
parts catalogs as the same are being retained by Seller.
For and in consideration of the sum of Ten Dollars ($10.00) and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Seller
does hereby grant, bargain, sell, convey, transfer and deliver unto Freedom Air International, Inc.
("Purchaser"), all of Seller's right, title and interest in and to the Aircraft.
Seller hereby warrants to Purchaser, its successors and assigns, that Seller is the
lawful owner of the Aircraft and that there is hereby conveyed to Purchaser good and marketable
title to the Aircraft, fret and clear of any and all liens, claims and encumbrances whatsoever, and
Seller will warrant and defend such title forever, at the sole expense of Seller, against all claims
and demands whatsoever. EXCEPT FOR THE WARRANTIES OF SELLER SET FORTH IN
THE PRECEDING SENTENCE, THE AIRCRAFT IS HEREBY SOLD TO PURCHASER IN
ITS "AS IS, WHERE IS" CONDITION AND "WITH ALL FAULTS."
IN WITNESS WHEREOF, Seller has caused this Warranty Bill of Sale to be
executed by its duly authorized officer, as of this
day of July, 2011.
AS1 WINGS, LLC
By: Aetna Inc., Managing Member
By:
Name:
I i""dek Westlart nic,
Title:
ss;9I-0,-t Curtfo(ata-
feta, ir
EFTA00307682
FORM APPROVED
OMB No. 2120-0042
IMMO STATES Of AMERICA OEPARTPIENT OF TRANSPORTATION
fa
ammindin AommitmentealencaNOtehtlare AselOomPICALGaieftsl
AIRCRAFT REGISTRATION APPUGATION
CERT: ISSUE DATE
REOISTPABOVI NUMBER N i cf, a Ate
MAC
TU
8 PACCEL
11 Z6ki.5
S : /iOe.
- 7 (,,n 472-
FOR FM USE ONLY
TYPE OF nEwarartriOrr piece One bete
O1. IndMclusi
02. Pannwship
ReCorporatIon
04. Co-Owner
O S. Government
O S. Non-Citizen Corporation
C9. Non-Citizen Corporation Co-Owner
NAME OR APPUCANT (Person(s) shown cm evidence of ownentvp
Fre_c_cit 0 tn.-) At v—
TELEPHONE NUMBER: (
)
It individual gin last Paine Fest name. and middle MOT
4—tneird-iovic. 1 J , tic..
ATIOBESS Permanent melting atkIness tor tatlip:tam on list) (I.3. Box is used.
address must *so be
physmal
)
Number end street %0 -2,1 FnotirC eRoC324 i , Sai'Ve.. 302
Baal Route:
MIT Box:
COY
\ r‘i
;
( lin i t44
-at"
STATE
b
e
21P COOS
I97503
0
CHECK HER
F YOU ARE ONLY REPORTING A CHANGE OF ADDRESS
ATTENTION! Read the following s atoment before signing this application.
This portion MUST be completed.
A false or dishonest ammo to any comic.) in this applicators may be grounds for pun shment by Me awe, onlYieonment
(VS. Code. line IS. Sac 1001).
CERTIFICATION
INN CERTWY:
(t) TTI- the abort arose IS owned by the uftdorskmed epolicani. who is
S. citizen entwine (woof aConsl
0! the United States.
To voting trust. give name el truster
I. Oft
(LelfgftOsjiSiS2L,RtIll
a.
A reeklent Yen. with alien registration (Tom 1-161 or Term 1-151) No.
TT
A oTeiTTIOTAB cftWohcm mearmed and dery Ovalness under the laws el BMW
and seed aircraft Is based and primate( used in the Untied States. Records or ligm an es avaititile for
inspection at__
(2) That the cruet is not registered under the laws of any hereon country: and
a That legal evidence of esessrstse pa attached or hes been Ned with the Federal Amebae Adamrstration
NOTE: If executed tor co-ownership all applicants must Sign. Use reverse rude it IlOCOSSOly.
TYPE OR PRINT NAME
SIGNATURE
EACH PART OF THIS
I
APPLICATION MUST
BE SIGNED IN
BELOW
SIGNATURE
.10/AX/ 1/4 0.10/(
i ‘PPUTOSlLm
VICA—m*
tS
444..
DATE
SIGNATURE ItAr Int.% IC. arGili<4.
TITIZ
DATE
SIGNATURE
DATE
Pending
Certificate
la
NOTE
receipt of the
of At/craft Montrone& me aircraft may be otsweled
a pined not .11 BACKS of 00
clays. during which two me Pea( copy et this apcecat.on must be carted m the asecrett.
AC Fenn 00504 (1/00)(NSN 0062-00-626-03071GuDersedes Previous Edition
EFTA00307683
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