Case File
efta-efta00315630DOJ Data Set 9OtherDELIVERY RECEIPT
Date
Unknown
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DOJ Data Set 9
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efta-efta00315630
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2
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0
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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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