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efta-efta00315630DOJ Data Set 9Other

DELIVERY RECEIPT

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Unknown
Source
DOJ Data Set 9
Reference
efta-efta00315630
Pages
2
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
DELIVERY RECEIPT Keystone (Sikorsky) S-76C (sometimes referred to as a S-76C++) Manufacturer's Serial No. 760750 N722JE Pursuant to the Aircraft Purchase Agreement (the "Agreement") dated July j g , 2011 between ASI WINGS, LLC, a Delaware limited liability company ("Purchaser"), and FREEDOM AIR INTERNATIONAL, INC., a Delaware corporation ("Seller"), Purchaser hereby acknowledges the delivery and acceptance of one used Keystone (Sikorsky) S-76C helicopter (sometimes referred to as a S-76C++) bearing Manufacturer's Serial No. 760750 and U.S. Registration No. N722JE, with two (2) Turbomeca Arriel 2S2 engines bearing Manufacturer's Serial Nos. 42285 and 42286, 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 the Agreement, 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"); provided, 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. EDT Purchaser accepts the Aircraft at II 01 p.m., on July )1, , 2011 in an "As Is, Where Is" condition and "With all Faults" at Brut not a purport Har4-th CT t1.5A . and subject to the waivers and disclaimers set forth in the Agreement. 3, 7 TOTAL TIME ON AIRFRAME AT DELIVERY: hours TOTAL TIME ON ENGINES AT DELIVERY "3 / ti_cj; Engine No. 1 (MSN 42285): 3,1 1.51. hours/cycles Engine No. 2 (MSN 42286): c6 / 1510 $1, it hours/cycles TOTAL LANDINGS AT DELIVERY: /66 ASI WINGS, LLC By: Aetna Inc. Managing Member By: At tOttCAIS Name: Melie,dik Westbrook, Title: Fissiislais± Corpora Secrell Date: •Zi4ia a67 ad,/ (Acknowledgment Following Page) EFTA00315630 STATE OF CONNECTICUT ) ss: COUNTY OF VADCW-Crd The foregoing instrument was acknowledged before me this 2c, day of July, 2011, by Melinda Westbrook, Assistant Corporate Secretary of Aetna Inc., Managing Member of ASI Wings LLC, a Delaware limited liability company, on behalf of the company. O.9.1Linor, oat NOTARY PUBLIC, STATE OF CT Allison S. Mocha's Notary Public, Connecticut My Commission giros Feb. 28, 2013 EFTA00315631

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