Text extracted via OCR from the original document. May contain errors from the scanning process.
NAME OF AGENCY
OKLAHOMA CITY, OKLAHOMA 73123
PRECEDENCE
AMR PRIORITY
KO
UNCLASSIFIED
ACCOuNTING QM:SCAT ON
4/10/2013
1:18:25 PM
CAE
NAME
RONALD B WARCUP
AFS-752
PHOnE NUMBER
403-954-3116
TYPE OF MESSAGE
SINGLE ADDRESS
27115SPACE MR USE OFCGMAIUNICAT1OA I VI
MESSAGE TO BE TRANSMITTED Rise double spacing and all capful letters)
TO:
SBRJYAYX
THIS CONFIRMS DEREGISTRATION OF N162AD SIKORSKY S-76C SERIAL NUMBER 760472 FROM THE UNITED
STATES CIVIL AIRCRAFT REGISTER EFFECTIVE 1:00 PM CDT APRIL 10 2013. OUR RECORDS SHOW NO UNRELEASED
Aita- _hitt
for
MANAGER, FAA AIRCRAFT REGISTRY AFS-750
SHEILA SUDIK
AFS•TNFFA%A (GPO
PAGE NO
NO OF POS
1
SECURITyr. aiSiFICATION
SDNY_GM_02754782
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00241704
EFTA01326828
SDNY_GM_02754783
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241705
EFTA01326829
U.S. Registration
N-162AD
Temp
I.R.
Manufacturer
SIKORSKY
Model
S-76C
Serial Number
760472
Yes M No®
Yes 0
No MI
Last Registered Owner
GENEVA
No.
CONVENTION
Licn holder
Lien holder:
I tscoo:
I-KW.
— Lien/Lease Information on File
e None
El Lien
Conveyance
CI Lien
Conveyance
El Lease
Conveyance
ID Lease
Conveyance
No.
No.
No.
El Written certification
have been discharged
Conveyance No.
IDERA Authorized
0
Written certification
the holders of
0
Nonc
was received from
or the holders
IDERA authorized
of such interests have
from the owner that all
to the export.
Lien holder
Lien holder:
Lessee.
- Lien Information
party that all registered
consented to the export.
outstanding interests in
on File
interests ranking in priority to authorized party
the FAA aircraft record have been discharged or
Path:
was received
such interests have consented
No.
M Lien
Conveyance
El Lien
Conveyance
O Lease
Conveyance
O Lease
Conveyance
No.
No.
No.
Lessee.
The above registration
O Expired
is to be cancelled for the reason checked below:
0
Exported to:
or scrapped
of: 0
Registrant
O Owner O 1DERA Authorized Patty (Export
_
BRAZIL
only)
•
Totally destroyed
0 At the request
ID Other (Specifr)
Official approving the cancellation:
I
Name: SHEILA SUDIK
I
TIME:
1:00 PM CDT
I DATE:
I April 10, 2013
CONFIRM TO: @gal
COPY TO: 0
WIRE
O MAIL
DFPH&J
The above registration has been cancelled
and records adjusted accordingly.
DATE:
April 10, 2013
AFS-750-17 (01/12)
SDNY_GM_02754704
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00241706
EFTA01326830
SDNY_GM_027547135
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241707
EFTA01326831
4200 SUMMIT BRIDGE ROAD
MIDDLETOWN, DE 19709-9340
April 9, 2013
Federal Aviation Administration
FAA Aircraft Registry
P. O. Box 25504
Oklahoma City, Oklahoma 73125
Re:
Request to Deregister Aircraft
Ladies and Gentlemen:
Greenwich AeroGroup Brazil Leasing, Inc., as registered owner of one (1) Sikorsky
S-76C aircraft bearing manufacturer's serial number 760472 and U.S. Registration No. N I 62AD (the
"Aircraft"), hereby requests immediate cancellation of its U.S. Registration, as the Aircraft is being
exported to Brazil.
We certify that there are no registered interests ranking in priority that have not been
discharged.
Please identify the last registered owner of the Aircraft in your deregistration telex to
the Brazilian Aeronautic Registry.
Upon cancellation of U.S. registration, please notify your counterpart in the Brazilian
Aeronautic Registry and send a copy of your Standard Form 14 to the attention of DFPFI&J in your
public documents room.
Very truly yours,
(11(/ r te.
Kohler
President
FILING COPY
SDNY_GM_02754786
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241708
EFTA01326832
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SDNY_GM_02754787
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241709
EFTA01326833
IT
-RAM Ameammosms
ameraarcs
ant *sue DATE
meat
Mill
AACRAFT warmAnce APPUCATION
UNDID
REGGTMTION
STATES
NUMBER N u02.AD
AIRCRAFT MANUFACTMER • MOMS
SIKORSKY
516
en
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MI OF REGISMATOI ICIM cm MI
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ADDRESS
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ZIP CODE
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C
ATTENTION! And the following statement before signing this application.
This portion MUST be completed.
A me m osmati manor,
Ausee• .n ins applicanon my IN °mos to Ammon by the YE , et miaow*
NS Owe TM It. SA MO
•
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FILING COPY
SDNY_GL4_02754788
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SDNY_GM_02754789
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EFTA_002417 I I
EFTA01326835
CPY APP RETD TO DFPH&J DOC ID 5336. 2/9/2012
SDNY_GM_02754790
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241712
EFTA01326836
SDNY_GM_02754791
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024 I 7 13
EFTA01326837
FOR AND IN CONSIDERATION OF 5 I &OVC THE UNDERSIGNED OWNER(S) OF THE
FULL LEGAL AND BENEFICIAL TITLE OF 711E AIRCRAFT DESCRIBED AS FOLLOWS:
UNITED STATES
REGISTRATION NUMBER I ts,.\ 1c1
At
Sikorsky S-76C
'160
Li 70,
DOES THIS
n
DAY OFFtlwAky.
20 )1.
.
PURCHASER
Gpeat.1W1c.
4200 Summit
Middletown,
EL-PsEKQatoop......Brazii_Leasing
Bridge Road
Delaware 19709
i`.
, Inc.
IN TESTIMONY WHEREOF WE HAVE SET OUR • HAND ARILISSAL THIS ' , q
DAY OF
• + I:.
.
r \ :, .t"., U.1 KniCt.. t, ;
F
.2i i
... .
SELLER
(TYPED OR PRINTED)
SIGNATURE(S)
(IN INK)(IF EXECUTED FOR CO-
TITLE
(TYPED OR PRINTED)
FREEDOM Aik
tarsie.NAnotJAL Tht. .1-aarrs.... K.
....-ckt lel-
Vie_
B -e-stietd
—
Vice_
-
REQUIRED BY LOCAL 1.631/91LyaLWITLQF TEE
iNsuwmENTCERTIFIED COPY
TO BEI,ECORDED
120401025102
$5.00 umani2
SDNY_GM_02754792
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
tl
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SDNY_GM_02754793
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241715
EFTA01326839
ORIG B/S RET'D TO DEPH&J DOC ID 5333, 2/9/2012
SDNY_GM_02754794
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241716
EFTA01326840
SONY_GM_02754795
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00241717
EFTA01326841
Return Certificate of Registration to
BANS
I
ACTION,
us. Demesnes
te tweriesieeeri
SPorial Registration Number
NI62AD
Ancrafi Make and Model
SIKORSKY S-76C
Present Registration Number
N162AE sk
Federal Arletion
Aciordnistredon
Serial Number
760472
Issue Dare:
Aug 17, 2011
ICAO AIRCRAFT ADDRESS CODE FOR N162AD - 50174440
FREEDOM AIR INTElkNATIONAL INC
103 FOUL( RD STE 202
WILMINGTON DE 19803-3742
IninkrIrrIIII
1,,,II.1...1.1..Inleilehel.lmlild
This is yen authority to theme
the Veiled Sonemegisrseboa
number at the ebove cletaibed
Mash to the special
registrefice number shown.
Carry duplicate of this form in We
airman together Ma Me
old resists:ion cabbelle as
Wain authority to operate the
dash pending It044 of serried
eatifrate of segishabat
OS:4in revised eatiMate of
tarostleinesshom your me -
est Right Stands Distria
Othee
The Seri FAA Port 81344,
Aphlkallea For Mrrierdshiess
en Ilk le dated:
On 21,1997
The aftworthien Mutilation
sad flurry:
STD TRANSP
INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, AFS-750, within S days of
the special
registration number is placed on the aircraft A revised certificate Madsen be issued.
The authority to use the *pedal another agleam Aug 17, 2012
CERTIFICATION: teat* that the
i
be was pleecd
cm the airendt described above.
!
ki
Sigostare °Wooer.
r
LW
r
Favii
.O.
Aviation
AFS-750
Oklahoma City, Oklahoma 73125-0504
bytcriw of
Tide of Owner
ryatirikeTtit(.t
Dale Placed on Mask 6,91)5/70#
AC FORM 116144 (MOM timpenestes Pratte Mao
112381430476
510.00 08/26/2011
9‘04-1/C- (tW C\rt ‘ 3
St)t
orbfftakent1
3a4artaiiisftai
Return Certificate of Registration to
%
S
..=••=•••••
I
SDNY_GM_02754796
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
000 L Slob' W L Pold°trate
EFTA_002417 18
EFTA01326842
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•
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VVJ HIIM 03114
1.1
SONY_GM_02754797
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241719
EFTA01326843
a
Al
H
Insured Aircraft Title Service, Inc.
P.O. Box 19527
Oklahoma City. Ok 73144
(405) 681-6663
o.
4848 SW 36th Street
Oklahoma City. Ok 73159
(800) 654.4882
e-mail address: ialseearthlinknet
web sae: vonvinsuredaircraft.com
FAX (405) 681-9299
Date:
July 26, 2011
Dear Sir/Madam:
Please Reserve N
in NAME ONLY for:
< terimm>
N# Change Request
Please Reserve N I162A0
and aasign for the foilowingaircraft
N 162AE
Make.
Sikorsk
Model
S-76C
Serial #
760472
Which is (1) being purchased by
XX
(2) registered to
Freedom Air International, Inc
Payment of the required 510.00 fee per number to reserve/assign is attached. If the preferred N number is not
available, please contact the undersigned for a selection of a new number. Please send the confirmation of
reservation/8050-64 form to Insured Aircraft Title Service, Inc. in the Public Documents room of the FM.
Additional Information:
Requested by:
!Angie Risley
112071358013
520.00 07/26/2011
SDNY_GM_02754798
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
a
EFTA 00241720
EFTA01326844
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V V 1 141M 031IA
SONY_GM_02754799
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00241721
EFTA01326845
FORMAPPROVED
OMB Na 2120-0002
rtes.
rumpAeriewinnteemouleeNeeNevenCeouTleeceeinelt
AiROVIST ECILSTRATION frovucAnci.
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CERT: iSSUE DATE
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c
IS
REGIMOVI MUMMA filleaike
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9vs
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FOR FM USE ONLY
TYPE OE RC
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04. Co-Orranr
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CHECK HER
ATTENTION! Read the following statement before signing this application.
Das portion MUST be completed.
A less or ashcan answer 10 Any Cluntion n Ira APplAIIIIII0 rrayboyOunOS fOr Deresztaten by fro ralIce onornonencre
N.& Coot Tile I5. Sc. WM]
0
CERTIFICATION
UWE CERTIFY.
0 Thai we above stye
vs owned by the undroseed sooleent wee be vete, fed‘clog coixneeest
ol MO LINNCI Suess
fa FM
POST eno twee of INV*.
). Or
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0
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TYPE
We woe e not reentered use the bra el ony loner counry. and
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NOTE II exetuted lee Co
-ownership as apOcants must sir
Use reverse side I necessary.
EACH PART Of THIS
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AC Form8050T (I1)01INSN 0052-08525-9001) Sums
AWAY:: Edson
SDNY_GM_02754800
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EFTA_00241723
EFTA01326847
0
i
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3
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WARRANTY BILL OF situ
< ,
The undersigned, ("Seller"), is the owner of the full legal and beneficial title in
i z
and to that certain used Sikorsky S-76C helicopter (sometimes referred to as a S-76C+) bearing
A0
Manufacturer's Serial No. 760472 and U.S. Registration No. NI 62AE, with two (2) Turbomcca
6
Arriel 2S1 engines bearing Manufacturer's Serial Nos. 20040 and 20533TEC, together with all
* a
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
e II
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
i'..) 5
manuals, maintenance and overhaul records, checklists, drawings, any issued FAA Form 337's,
2
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
13 o
Aircraft as used herein does not include airframe maintenance manuals and airframe illustrated
No
parts catalogs as the same are being retained by Seller.
K15
For and in consideration of the sum of Ten Dollars (510.00) and other good and
>
valuable consideration, the receipt and sufficiency of which arc 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, free 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
ITS "AS IS, WHERE IS" CONDITION AND "WITH ALL FAULTS."
IN WITNESS WHEREOF, Seller Iv caused this Warranty Bill of Sale to be
executed by its duly authorized officer, as of this hic day of July, 2011.
ASI WINGS, LLC
By: Aetna Inc., Managing Member
By:
Name: Mei i aNcLa Westh conic-
Title: J1.45;4-64 Coy *Nib- ce.e.fet‘11
Date:
112071213412
$5 .00 07R8/2011
SONY_GM_02754802
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241724
EFTA01326848
V
JIV1)10
A113 V
HO HOFIV1M0
60 21 IJd N 1f11' HOZ
80 NOW/ 1115:1138 14 V 83Z15
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SDNY_GM_02754803
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 1O, 15, and 17
EFTA_00241725
EFTA01326849
Mar -OA-2011 0'16 AM Aetna 000.000.0000
TAetria:
Date March 2, 2011
FAA Aircraft Registration Branch
Dear Sirs,
CAP FAX "
151 Farmington Avenue
Hate, C7 06156
John Keating
Aircraft Maintenance
86.2931291
660-203-1316 Fax
I am writing to ask for replacement Aircraft Registration Certificates. The aircraft are:
,,t Sikorsky S76C N152AE Serial Number 760714
®Sikorsky S76C N162AE Serial Number 760472
The Aircraft Registrations have been lost.
A $2.00 replacement fee will be mailed for each aircraft.
Please provide a Temporary Certificate of Registration by fax to 860-293-1318.
Please mail originals to:
ASI Wings, LLC
151 Farmington Ave.
Hartford, CT 06156
Attention Coreen Marcroft
Mail Stop RT32
Sincerely,
John Keating
Ma pi 13e,t—
SDNY_GM_02754804
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
i(leivO/4wiN
pasclat>3v
EFTA_002A 1726
EFTA01326850
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SDNY_GM_02754805
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241727
EFTA01326851
Mar•02.2011 0140 PM Aetna 000.000.0000
Ill
>
o
TAetna:
CAR FAL:1ton
Avenue
Hanlon& CT 0015e
K 0
Ern
°
John Keating
ii
Aircraft Measnance
t9.
m
880.2911281
o -
860-201318 Fax
a
Date March 2, 2011
FAA Aircraft Registration Branch
<
ACTION
/
/eve
Dear Sirs,
am writing to ask for replacement Aircraft Registration Certificates. The aircraft are:
Sikorsky S76C N152AE Serial Number 760714
Sikorsky S76C N162AE Serial Number 760472
The Aircraft Registrations have been lost.
A $2.00 replacement fee will be mailed for each aircraft.
Please provide a Temporary Certificate of Registration by fax to 860-293-1318.
Please mail originals to:
ASI Wings, LLC
151 Farmington Ave.
Hartford, CT 06156
Attention Cotten Marcroft
Mail Stop RT32
Sincerely,
Yft,a,g),
ohn Keating
SDNY_GM_02754806
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241728
EFTA01326852
. , .
rr r Wd Z
frgLI 110?
SDNYGM02754807
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241729
EFTA01326853
DUP DOC ID 0965 FFR 3/2/11 APPENDED TO DUP W/TITLE DOC ID 9233
PF 3/4/11
DUP FAX #9233 FFR 03/04/2011 (no fee)
DUP REQ #9233 FFR 03/04/2011 (no tee)
SDNY_GM_02754808
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241730
EFTA01326854
SONY_GM_02754809
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241731
EFTA01326855
U.S. Department
of Transportation
Federal Aviation
Administration
Date of Issue: March 2, 2011
ASI WINGS LLC
151 FARMINGTON AVE
HARTFORD, CT 06156-0001
Flight Standards Service
Aircraft Registration Branch.
AFS-760
P.O. Box 25504
Oklahoma City. Oklahoma 73125-0504
140519544206
Toll Free: 1-866-7044715
WEB Address: http:vregistry.laa.gov
Fax 860-293-1318
TIIII73
This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
N162AE SIKORSKY S-76C Serial 760472 and is valid until Apr 01, 2011.
This is not an airworthiness certificate. For airworthiness information, contact the nearest
Federal Aviation Administration Flight Standards District Office.
for
Walter Binkley
Manager, FAA Aircraft Registry, AFS-750
Federal Aviation Administration
AYS.750-FAX-I(0NI0)
SDNY_GM_02754810
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241732
EFTA01326856
SDNY_GM_02754811
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241733
EFTA01326857
MAN APPROVED
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SDNY_GM_02754812
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SDNY_GM_02754814
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00241736
EFTA01326860
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SDNY_GM_02754815
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241737
EFTA01326861
ORIG #9288 RETD TO FSBB
SDNY_GM_02754816
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241738
EFTA01326862
SDNY_GM_02754817
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241739
EFTA01326863
/-----
PILTNO DATE:
This form is to be used in cases where a conveyance covers several airenill and engines, proPthers, or locations Pile wiShni of this form
with the recorded conveyance and a oopy in each aircraft folder iiIV0IVOS
AMENDMENT NO. 12 TO LEASE AGREEMENT (UU0 13896)
-
DATE EXECUTED
8.1.2002
FROM
DOCUMENT NO.
1 -- 0 i Ottit
TO OR ASSIGNED To
.
DATE RECORDED
August 29, 2002
AIRCRAFT (List by itantion flambe)
I TOTAL. ?RAMER Nyco wn 2
N151AE
N152AE
•
ENGINES
1 TOTAI NIDATIFE WWII VFD 4
MARE(S)
CFE ENGINE COMPANY CFB 738-1-IB
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SERIAL
NO. P1O5141
P1O5144
20060
20045
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SERIAL
NO.
LOCATION
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AC FORM 405043 (RAF) (.1240-$124000)
SDNY_GM_O2754818
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241740
EFTA01326864
SONY GM 02754819
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00241741
EFTA01326865
SDNY_GM_02754820
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241742
EFTA01326866
SDNY_GM_02754821
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241743
EFTA01326867
SDNY_GM_02754822
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241744
EFTA01326868
SDNY_GM_02754823
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241745
EFTA01326869
SDNY_GM_02754824
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241746
EFTA01326870
SDNY_GM_02754825
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241747
EFTA01326871
SDNY_GM_02754826
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241748
EFTA01326872
SDNY_GM_02754827
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241749
EFTA01326873
SDNY_GM_02754828
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241750
EFTA01326874
SDNY_GM_02754829
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241751
EFTA01326875
0
u.s. cepataveu
at vratweetams
Federal Aviation
lumunistration
Special Registration Number
N162AE
Aircraft Make and Model
SIKORSKY S-76C
Present Registration Number
NI52AE
Serial Number
760472
Issue Date:
Jun II, 20013
ICAO AIRCRAFT ADDRESS CODE FOR N162AE - 50174441
151 FARMINGTON AVE
HARTFORD CT 06156-0001
illiritli
ititiiiiiiiiliniimilrioniliiiiiitimilid
This is your authonair to chute
the United States relistrazion
number on the abov: described
aircraft to the speck'
registration numbershown
Cany duplicate of tam form in the
aircraft together wit the
old registration certificate as
interim authority tooperate the
aircraft pending receipt otrevised
certificatc of registetion.
Obtain a revised certificate of
airworthiness gouty= nes-
est Flight Standards District •
Office.
The Suit FAA lo ram $130-6,
Application For Airworthiness
on Me Is dated:
Oct 21,1,37
The airworthiness damnation
and category:
STANCARD
INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, AFS-750, within 5 days after the special
registration number is placed on the aircraft. A revised certificate will then be issued.
The authority to use the special number expires: Jun 11, 2009
CERTIFICATION: !certify that the special registration number was placed
on the aircraft &salted above.
Signature of Owner
RETURN FORM TO:
Civil Aviation Registry, AFS.750
P.O. Box 25504
Oklahoma City, Oklahoma 73125-0504
-..„,,
Title of Owmr.
Chie-i
rouq-cmai
Ocker
Date Plac.al on
t a of
AC FORM 105044 (9200P Supersets Previous /Akio,.
SDN`CGM2754830
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,_0 and 17
EFTA_0024 1757
EFTA01326876
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SDNY_GM_02754831
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241753
EFTA01326877