DS9 Document EFTA00313225

1 __ Ar 1- 1 H -3ERA lact‘ Floor: FL4 LORI GRIFFIN 81211201310:15_ 0 _ _ 111011 19n I Fran. Lori Griffin I AT.S. 4848 SW 36th Strot4 Oklahoma Coy, OK 73179 DEDI AE DRIGE qinr Insured Aircraft Title Serv . P O. Boax 19527 Oktahorna Cory. Oklahoma 7314 ice Inc 4 Origin ID OKCA F e dt (.. SHIP TO (2121971.1701 Leslie Groff DKI, PLLC 575 Lexington Avenue 4th Floor NEW YORK CITY, NY 10022 E J13201 BILL SENDER CShr,',: ippsitao ts 2182L:2BigmET AUG AD c 13 A 3430 (tremely Urgent Pagel of 1 Delnivy A dre s Bar Cot 0 Ref 0 Woks 0 PO D•91 N 31JE 1ff IRK' 7965 0633 2560 1 0201 XA JRBA WED - 21 AUG 10:30A PRIORITY OVERNIGHT 10022 NYUS EWR Ter and ons and Ex Service 1 S. nun, EFTA00313225 - • ^ FORM APPROVED OMBNo.2120-0342 UNITED STATES Of AMERICA DEPARTMENT OF TRANSPORTATION nEWAAL RILATION ADatwitSTTA1101441atil NOMPOMYADIONAVTICAL GOITER AIRCRAFT REGISTRATION APPLICATION CERT: ATE VNITEO9TATES I , r - FtEG/STRA N NUMBER fit 33 % s-ri '-- Alla r MANUFAcilIRER&P.9CEI t'%e t I 4 30 A/CRAFT SERIAL No. • Li 9 O 1 c< TYPE OF REG,KIATION (Check One bar' , 0 1. Individual 0 2. Partnership el . 3. 6 -ieiekilet 4 it ' j $fs Pr?: ' A 0 8. Non-Citizen Corporation 0 9. Non-Citizen NAME OR APPLICANT (Pensones)shoWn on evidence of ownership. IT include:it di IOW VA ‘^( FERION\ I\ \ K 1 A. a TELEPHONE NUMBER: ( I ADDRESS fieffnanent mane et:dress for tat appocant on kst) Of P. i .. 'timber and street (4,% ) Boxes uses. jCre ddr•SS must also be shown.) Rural Reuter: .. CITY ISTATE ZIP COOS ' ' c sot;. 1.':, \I i 1003 0 - CI CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS I ATTENTION! Read the following statement before signing this application. This portion MUST be completed. A false or dutionost answer to any Question $9 tin. apO-etvon may be OfffJOil tot punishment by I He weber imprisonment (US Code Yee IA. Sec 1001) CERTIFICATION TAYE CERTIFY Ilt Thed the above amcraft .3 Owned by tte undersigned apt/cant wtiO is a Giblet, endvding c4XPOtabOnS) of the United States. (For young that. give name 0! truftee. ). 0I CHECK ONE AS APPROPRIATE. a. 0 A resident ahoy with Soo rebisbabon (Form 1.151 or Form 1-551) No. b. 0 A non<ctizon conaccation organized and &Sing busnets under the laws CA (stale) and sad Octet/ is b,sted are pn manly oped al the United States. Records Of night hours are Await.* for inspection al _._ — (2) That IM titre is nal related under !De tines of any foreign country. and (3) That legs evidence al Nynex:hp is attached or has been fib with the Federal Auation Administration NOTE: If ethic uted for co.owner sh O all applicants must sign. Use rovers° side if necessary. TYPE OR PRINT NA7 EI&cry7IATURE 0,_ r '''r.n DZ I- ,.;,...„ SIGH-ARAL i / 7 I n Lt-. 1 inl TITLE Moonckyv- DATE 5-a-‘.) OT - Yr.( a.t, VIGNATuRV a ri y tie i VI sette,,i TITLE DATE X -kw; a, D O. 1?Ct° TURE TITLE DATE NOTE Pandora receipt of the Centiecate of Ante Rags reran. the &Yuan may De operated for a peter! no ' teas o' 90 days. donne winch brne the PINK copy of this application must Do earned in the aircraft. AC Fern 8050-1 (5/12) (NSW 0052-00-628-9007) EFTA00313226