I . Approving C ivi l Avialinn 2. 3 . Form Tracking Number:

Authori1y/l 'oun1ry:

AUTHORIZED RELEASE CERTIFICATE FAA/UNITED STATES 37132 1

FAA Form 8130-3, AIRWORTH INESS APPROVAL TAG 4. Organizalion Niacc-Avitcch Technologies 5. Work Order/Con1ract/lnvo ice Number:

Name and Address: 2-'S W. Dakota Ave. F.-\A Cerrifi c:lle : DC3R-'-'-'L FAA Approved CRS DCJR4-'-'L Clovis . . CA 93612 SO 16006864A C I 9

6. Item: 7. Dcscrip1ion: 8 . Part Number: 9 \.)uan1i1y: 10. Serial Number: I I. Status/Work:

I Oil Pump 8210-286 ! I 198599S REPAIRED L \

12. Remarks:

PERFORMED REPAIR IAW WOODWARD CMM \VG6005 I REV 4 DA TED 12/30/98.

FUl.1. 01·:TAILS ON WORK ORDER 37 132 1

Certifies wo rk s pec ifie d in Blocks 11 / 1 2 was c arri e d out i n a c cor dance wi th EASA part 145, and with res p ect to that work, the c ompone nt is c ons idered r eady for release to service under EASA p art 145 Approval Nwnber EASA 14 5-5083 .

13a. , . ifics the items identified above were manufac tured in conform ity to: 14a. ~ 14 C FR 43.9 Return to Service ~ O ther regulatio n sp..:c ilicd in B lock 12

D Approve (!esi$;nd arc in a condit ion 1o7a ·on. Cert ifie s that unless o thc rw isc speci licd in 13loc k 12. the work idcnti li..:d in Ulock 11

D No"-oppw,cd dcs;g"~ an d dcscr ib;.;d in Block 12 was accomplished in accordance with Ti t le 1-1. Cock of f-edcral Rcr 11la1 ions. part -13 and in res p..:ct tu tha t \\ Ork. th.: i1..:ms a rc apprmcd for retu rn to sc:·v icc.

1 13b. Authorized S i~ 13c. Appr~ization No.: 1-lh. Authori.1..:d S1gnatur..:: I<- r l~ I .Jc. 1,pprO\ al/Ccrti tic ate o.:

DC3R444L ~cd or Printed): 13c. Date (dd/mmrnfY))~ 1-ld. Name (Typcd or l'rintct (./ 1.ie. Dale (dd/mmm/yyyy):

Jerome Gay 12May20l6

User/Installer Responsibilities 11 ,s imrortanl to und..:rsland !hat lhc existence o f lh is docun1c111 alone docs 1101 automatically constituk au1hori1y lU insla ll 1he airc rati eng inc/prupcller/article.

Where the user/ins taller pcrf,inns \\ork in accordance with !he national rcgulalions o f an airworth iness authori ty diffcrenl 1han !he airworthiness aulhorily o f lhc et>un1r,· specitied in Block I. it is e,sential that the user/ installer ensures that hi, /hcr aim orthincss authm itv accepts aircrali cnginc(s)/ prnpclkr(s) 1.111 ick (s) from the a irworth iness aulhority of the counlry specitint in Block I .

S1a1cn1enls in ll locks 13a and I-la do nnl c,mstitulc installalior certitication. In all cases. airc ratl main1..:nancc r..:eord, mus! wnlain an insiallation ,crti ti ,a1ion i,sucd 111 a,wrdancc wilh 1hc national regulations hy !he uscr/instalkr befo re the a ircrali may he llown.

J-.,\i\ l·orm XI J 0-3 (02- 14 ) -NSN 0052-00-012-900 )

NIACC-AV/'TECH TECHNOLOGIES

Niacc-Avitech Technologies 245 W . Dakota Ave.

Clovis. CA 93612

Telephone: 559-291-2500

Telephone: 1-800-326-6966

FAA Approved CRS DC3R444L

C/S Fax: 559-347-6815

Purchasing Fax: 559-347-6816

WORK ORDER DISPOSITION REPORT

Aircraft Tail # : F.O.B. : Account No. [FOKKERSERV] TSO: Fokker Services Inc. TSN: 456 Aerotron Parkway CSO: LaGrange, GA 30240 CSN: UNITED STATES Engine Serial # Tel. : 770-991-4356 Engine Model Position Tire Rej Code Work Performed : REPAIRED

For Customer : Fokker Services Inc .

5.0. No. : 203910 Line No. : 1

~ st P.O. : 5016006864AC19 P/N : 8210-286 Ref 01 : Shop : 25 Desc : Oil Pump Ref 02: Ship Via : FEDEX P1 SIN : 11985995 Ref 03: St·i<J To :TBA MFG : Woodward, Inc. Manual Acct# : 120094580 Qty : 1.00 Cond As:SV Revision Completed P/N : 8210-286 S/N As : Into Bin Loe :

I----

I Division : I Department : , Company : 1 Order Date : Apr-19-2016 I Received Date : Apr-19-2016 Due Date : May-10-2016 I Print Date

WORK ORDER No. 371321 -Reeorted B~ Customer REPAIRS.FSl@US.FOKKER.COM PLEASE USE ORIGINAL FOKKER BOXES FOR RETURN SHIPMENTS. EARLY FAILURE - FAILED BEFORE REACHING 15 HOURS/CYCLES AFTER INSTALLATION. INVESTIGATE FAILURE AND ADVISE ROOT FAILURE CAUSE ON SHOP REPORT. OIL LEAKING FROM #1 ENGINE. EVALUATE FOR REPAIR IN ACCORDANCE WITH OEM SPECIFICATIONS. Discreeancies

Page: 1 Of 2

: May-12-2016

UNIT RECEIVED MISSING THE RELIEF VALVE. CUSTOMER SENT IN REPLACEME~LN- 06521 R. Ml~SING SHIPPING BLOCK, SCREWS, NUTS AND WASHERS. RELIEF VALVE WAS OUT OF ADJUSTMENT. Corrective Action - -REPLACE RELIEF VALVE AND ADJUSTMENT TO MFG SPECS. REPLACE MISSING PARTS CHECKED AND REPAIRED. FUNCTIONAL TEST OF MFG SPECS. Remarks PERFORMED REPAIR IAW WOODWARD CMM WG60051 REV 4 DATED 12/30/98. Item Part Number I Description Part Status Qty Cond Discrepancy I Disposition

PARTS & MATERIALS

1 AS3209-014 32 - Installed Componer I 2.00 EA NE Disc. : REQUIRED

TECHNICIAN: iJ./1.r._, Ml/. ' DATE:fi-- /).... - '),tJ/ ~

INSPECTOR: £ J~ '

V

DATE: ~ · / 1..-/ ~ y Continued on next page ...

Copyright (c) PENTAGON 2000 Software, Inc.

1. Approving Civil Aviation Authority I Country : 2. AUTHORIZED REtEASE CERTIFICATE 3. Form Tracking Number. Autorite Competente/Pays N" de repere du Formulaire

Certificat liberatoire autorise FAA/United States FAA Form 8134l3 1 AIRWORTHINESS APPROVAL TAC L-2636

Formulaire 1 de l'EASA 4 . Organization Name and Address: 5. Work Order I Contract / Invoice Number·

Hom et Adresse de /'organism• agree Bon de commande I Contrat I Facture

eA R0l29616

6. Item: 7. Description: 8. Part Number: 9. Quantity: 10. Serial Number: 11. Status I Work: Item Description N" de p iece Qte N" de 5/Jrie I Lot Etat I Travaux

I PROP 0 /S GOVERNOR 8210-161 1.0 EA 12071056 INSPECTED/TESTED

12. Remarks: Remarques ACCEPTED BY C.U .R.E

TSN = 29 I 55 hours / CSN= 38658 cycles.

Requirements: NON E

13a. Certifies the items identffied above were manufactured in conformity to: 14a ~ 14 CFR 43.9 Return to Service D Other reQu lation specified in Block 12 Cert/fie que /ts elements identifies cl-dessus ont ete fabriques conformement aux: Approbation pour remis e en service se/on Parti e 145.A Autre reg/ement specifie dans la case 12

D Approved desiQn data and are in a condition for safe operation. donnees de conception approuvees et sont en etat de fonctlonner en-toute securlte

D Non-approved desiQn data specffied in Block 12. Certifie que, sauf Indication contraire specifiee en case 12, /es travaux identifies en case 11 et deer/ts en case 12 ont • donnees de conception approuvees speciflees dens /e cue 12 conformement a la partie 145 et qu'au vu de ces travaux, la (/es/ piece(s/ es t (sont/ consideree(s) pretes a la remise er

13b. Authorized Signature: 13c. Approval/ Authorization No.: 14b. Authorized Signature: 1 14c. Approval Ref. No.: Signature autorlsee: Numero d'egrement I d 'autorisation: Sir1nat'Jt'.. au;~tse% N" de /'agrement:

• h i• -1~ ].1?111C/ h FAA 121 13d. Name (Typed or Printed): 13e. Date (dd/mmm/yyyy): 14d e (Typed or Printed) 14e. Date (ddlmmm/yyyy) :

Hom: Date (Jim/a/ : om: Date (jl mla/:

CONNO R, JAM ES(200l 46) 01.Mar.2016

USER/INSTALLER RESPONSIBILITI/ Responsabilites de l'utilisateur/installateur Note: 1. It 1s important to understand that the existence of th is document alone does not autom atically constitute authority to install the aircraft enQine/propeller/article.

/I est important de com prendre que de par s on existence, ce document ne constitue pas for/aaenUtion d'installer la pieci.tiiment//"ensemb/e. 2. Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different from the a1rworth1ness authority of the country specified 1n Block 1.

it is essential that the user/installer ensures that his/her airworthiness authority accepts aircraft enQine(s)/propeller(s)larticle(s) from the airworth iness authority of the country specified 1n Block 1 Quand l'utilisateurlinstallateur travaille selon la reglementation neliona/e d'une autorite de navigabrlite different• de l'autorile de navigabilite menlionnee dans la case 1, ii est essentiel que l'utilisa teurl installateur s'assure que son autorite de navigabllite accepte /es pieces/composenls/ensemb/es /iberes par /'autorite de navir1abilite menlionnee dans la case 1.

3. Statements in Blocks 13a and 14a do not constitute installation cert1f1ca tion. In all cases. aircraft maintenance records must contain an installation certification issued in accordance with the national reQulat1ons by the user/installer before the aircraft may be flown Les indications p ortees des cases 13a el 14a ne constituent oas une certification de montaue. Dans tous /es cas le dos sier d 'entretien de /'aeronef doit contenir uneioa~altlivree conformement aux reg/em en ts natio naux pa

produced by /\MOS www .swiss-as.co1

2. 3. Forni Tracking Number: I. Approving Civi l Aviation

Authority/Country:

FAA/ UNITED STATES AUTHORIZED RELEASE CERTIFICATE 174908

FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG

4. Organizat ion i\ccessories Division Name and Address: HEICO Component Repair Group

7875 NW 64th Street, Miami, FL 33166

6. Item: 7. Description:

POWER DRIVEN ROTARY PUMP

8. Part Number:

5008269J

12. Remarks: Referencing manual No. i\TA 73- 10-09 Revision: 4 Revision Date: JUN 30 2003 WORK DON E: OVERHAULED AND MODIFIED MFG: GOODRICH CORPORATION CUSTOMER: FOKK ER SERVICES B. V. FULL DETAILS OF WORK CARRIED OUT PER WORK ORDER # 174908 SB's PWI00-72-21087 AND PWI00-72-21808 C/W.

FA-\ Certificate : NWQR3S6K 5. Work Order/Contract/ Invoice Number:

50 I 6000993AC 19

9. Quantity: 10. Serial Number: 11. Status/Work :

2664 OVERHAULED EA

TSN: 30.402 90 CSN: 40.65 1 00 TSINST: 2.830 30 TSO 0.00 CSO: 0.00 CSINS U.UU

Certifies that the work specified in Block 11/12 was carried out in accordance with EASA Part 145 and in respect to that work the [product/article] is considered ready for release to service unde2 EASA Part 145 Approval No. EASA.145.4705

14a. ~ 14 CfR 43 .9 Return to Service ~ Other regulation spcci lied in C3lock 12

Certifies that unless othcrwise specified in Block 12, the work ident ified in 13 lock 11 and described in Block 12 was accompl ished in accordance wi th Tit le 14, Code o f Federal Regul ations, part 43 and in n:spect to that work, thc items are approvc.:d for return to service.

141'. Aud10rized Signature: 14c. Approval/Certificate No.:

NWQR356K

14d. Name (Typed or Printed): I 4c. Date (dd/mmm/yyyy):

IVAN ALDANA IO Feb 2016

User/Installer RespQnsibilities It is important to understand that the existence of this document alone does not automatically constitute authority to install the aircratl engine/propeller/article.

Where the user/installer performs work in accordance with the national regulations of an airworthiness authority difkrent than the airworthiness authority of the country specified in Block I, it is essential that the user/installer ensures that his/her airworthiness authority accepts aircraft engine(s)/pr,.,pcl lcr(s)/article(s) from the airworthiness authority of the country specified in Block I.

Statements in Blocks 13a and 14a do not constitute installation certification. In all cases, aircrafl maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown.

FAA Form 8130-3 (02-14 ) NSN: 0052-00-0 12-9005

HEICD Accessories Division

COMPONENT REPAIR GROUP

FAA Repair Station# NWQR356K I www.HEICO.com

Main 305.463.0455 I 7875 North West 64th Street, Miami Florida 33166 Customer Svc. Fax 305.463.9339 I Purchasing Fax 305.463.0138 I Acct. Fax 305.463.5953

Work Order Teardown Page: 1 of 2

Aircraft Number : N/A W/O No. 11111 1ml IIHlll 111111111111111 Station : N/A

Removed Date : N/A 174908 Installed Date : N/A P/N 11111 llil Ii Ill llll 1111111111111111111 Cycles : 40 ,651 .00 TSI : 30 ,402.90 5008269H TSO : 23,695.90

IIIIIIIIHIIIIIIII TSR : N/A 5/N Position : N/A Inspector : N/A 2664

For Customer : FOKKER SERVICES B.V (ATLANTA)

Cust P.O. : 5016000993AC19 P/N :5008269H DATE w.o. : 174908 Desc : POWER DRIVEN ROT ARY PUMP Trace PO lnf0 S/N:2664I Rev• 4 Tag Info Status : OVERHAUL & MOD MFG : GOODRICH CORPORATION Manual : ATA 73-10-09 Ov,er/Above Qty : 1 Cond As:OH Revision : 4 / Jun-30-2003

Corni:ileted P/N : 5008269J S/N As : 2664 I Rev: 4 Into ain Loe : 2237

Comoanv : 1 I Division : 001 I Department : 430 Order Date : Feb-01-2016 I Received Date: Jan-21-2016 Due Date : Feb-05-2016 I Print Date : Feb-10-2016

Repair/Service WORK ORDER No.174908 ..

Manuals Descri~tion Manual Date Revision No. Revision Date Current Until AT A 73-10-09 POWER DRIVEN ROT ARY PUMP Jun-30-2003 4 Jun-30-2003 ~ Feb-10-2016 ReQorted Bt Customer TORQUE FLUCTUATIONS BETWEEN 60-80 % ON #1 ENGINE FUEL FLOW +/- 150 // TG FLUX ON #1 ENGINE BETWEEN 60-80 % WHEN BRINGING TQ DOWN #1 ENGINE GOES FROM 60-80 %. -REPAIR-Receiving lnsQection UNIT IS DIRTY AND SHOWS SIGNS OF RESIDUAL FLU IDS. REQUIRED DUAL RELEASE. MODIFICATION COMPLIANCE SB PW100-72-21087; SB PW100-72-21808. Preliminar:y lnsQ. THE PART NUMBER 5008269H AND SERIAL NUMBER 2664 WERE VERIFIED WITH UNIT'S ID PLATE AND CUSTOMER'S REPAIR ORDER. COMPLIED WITH FUNCTIONAL TEST TO DETERMINE FAILURE; UNIT FAILED DUE TO ACCELERATION SCHEDULE OUT OF LIMIT AND LOW FLOW OUTPUT. CUSTOMER REQUESTED TO COMPLY WITH SERVICE BULLETIN PW 100-72-21087 AND PB 100-72-21808. ShoQ Findings THE UNIT WAS DISASSEMBLED, CLEANED, AND INSPECTED IN ACCORDANCE WITH ATA 73-10-09, REVISION 4; DATED JUL-30-2003. THE FOLLOWING DISCREPANCIES WERE NOTED SPRING COMPRESSION IS OUT OF TOLERANCE, BEARINGS FLOATING AND BEARING SET MATCHED HAVE EXCESSIVE EROSION BEYOND LIMIT, THE UNIT IS DIRTY , ORINGS ARE FLAT, FILTER ELEMENT CONTAMINATED WITH FUEL LACQUER. NOT INSPECTION IS REQUIRED, ID PLATE REQUIRED, 100 % KIT IS REQUIRED THE UNIT WILL COMPLY WITH SERVICE

Copyright (c) PENTAGON2000 Software, Inc. Ser; [200170048) Ver 9 00.01 Bu•l<l 60

Continued on next page ...

HEICD COMPONENT REPAIR GROUP

Accessories Division FAA Repair Station# NWQR356K I www.HEICO.com

Main 305.463.0455 I 7875 North West 64th Street, Miami Florida 33166 Customer Svc. Fax 305.463.9339 I Purchasing Fax 305.463.0138 I Acct. Fax 305.463.5953

Work Order Teardown W/0 No. 174908 /Page: 2 of 2

Repair/Service WORK ORDER No. 17 4908 BULLETINS PW 100-72-21087 AND PW 100-72-21808. THE UNIT WILL BE OVERHAULED AND MODIFIED TO PN 5008269J. Corrective Action UNIT WAS DISASSEMBLED, CLEANED, INSPECTED, ASSEMBLED AND TESTED 1/AJW CMM ATA # 73-10-09. ALL DEFECTIVE PARTS WERE REPLACED AND ALL REWORK ACCOMPLISHED AS NEEDED. UNIT WAS OVERHAULED , MODIFIED AND COMPLETED AS P/N 5008269J AND S/N 2664. SB's PW100-72-21087 AND PW100-72-21808 C/W. TECH: EVANS.E VERIFIED BY: ANTHONY.M Misc Notes THE COMPONENT IDENTIFIED ABOVE WAS OVERHAULED IN ACCORDANCE WITH CURRENT FEDERAL AVIATION REGULATIONS AND FOUND TO BE AIRWORTHY FOR RETURN TO SERVICE. PERTINENT DETAILS OF THE WORK PERFORMED ARE ON FILE AT OUR FACILITY UNDER WORK ORDER STATED ABOVE.

~ HC7 Authorized Signature -~-----.O ... L- --

Copyright (c) PENTAGON2000 Software, Inc. Ser~ [200 I 700~8] Ve, 9 no o \ 8udct ti0

Name IVAN ALDANA Date : Feb-10-2016

------- ·• . .;. ___ •-- ------------r------------- - -------, Cnu111r,· 2. 3. Ccnilicatc Ref. No.

THE NETHERLANDS CERTIFICATE OF CONFORMITY

4. Organization

6. Item 7. Description

FUEL PUMP

13. Remarks

Fokker Ser\'it·cs Inc. 5169 Southridge Parkway. Suite 100 Atlanta. GA 30349 USA

8. Pan No

5008269J

9. Eligibility•

N/A

1216006045 / 15606550

5. Work Order/ Contract/ 111 \'oicc

9-92052

10 . Qty 11 . Serial No. 12. Purchase Condition

2664 OVERHAULED EA

Maintenance Reference no: 174908 Maintenance document : EASA/FAR - PART 145 (DUAL RELEASE)

14. As an authorised representative of fokker Services 13. V for subject matter. I hcrchy certify that we an: a distributor in compliance with AS9 I 00C (based on and including I SO 900 I :2008).

/\ copy of the applicahle airworthiness certificate from the PAIi/OEM or maintcnan..:e station is enclosed.

The parts described on thi s COC an: obtained from an approved source.

To the hest of our knowledge. based on the information provided by the supplier. the parts were not incident or accident n:lated.

IS .Name

Jimmy Bacon

COC F0m1 - Issue I

authorised representative of Fokker Services B.V. for subject matter, I hereby ce · that we are a distributor in compliance with AS91 00C (based on and · 9001 :2008). The pa escribed on this COC have been maintained in a co ed environment throughout the duration of s · · y and the OEM COC's

19. Name

,,- 71-.. - . 1. Approving Civil Aviation Authority I Country 2. AUTHORIZED RELEASE CERTIFICATE 3.Form Tracking No.

Transport Canada FORM ONE 35002

4.0rganization Name and Address Telephone: (902) 370-3311 5. Work Order/ContracVlnvoice

Action Aero 34 Belmont St Fax: (902) 370-3313 9-73288 Charlottetown, PE, Canada C1A5H2

6. Item 7. Description 8. Part No 9. Qty 10. Serial/Batch#. 11 . Status/Work

1 SERVO VALVE ASSY 3118642-01 1 7W812 INSPECTED/TESTED

12. Remarks INS PECTED AN D TESTED JAW CMM 75-30-02 REV 5. FEB 18/20 I 0. ESN:UNK CONTINUE TIME IN SERVICE

The work stated in blocks 11 and 12 has been performed in accordance wi th Title 14, Code of federal Reµulations 43- 17. The work speci fied in hlocks 11 and 12 was carried out in accordance wi th EASA Part 145 and with respect to that work. the aircra ft component(s) is/are considered ready for release to service under EASA approval number EASA. 145 . 7 199.

13a. Certifies the Items identified above were manufactured in conformity to: 14.i

0 CAR 571.1 O Maintenance Release

D Approv~ design data and are in condition for safe operation 0 Other regulation specified in block 12

D Non apwoved design data specified in block 12 Certifies that, except where otherwise specified in block 12, the work identified in block 11 and described in block 12 has been performed in compliance with the Canadian Aviation Regulations.

13b. Signature 13c. Approved Organization Number '"! '"~ ~ ~ 14c. Approved Organization Number

~ f) AMO# 01-08 \ L i't.t7/-r:jU.ttJ 0 13d. Name (typed or printed) 13e. Date 14d. Name la ...__

l-1'4e. Date (dd/mmm/yyyy)

racy l"nowles OI/Mar/201 2

(Previously form 24-0078) INSTALLER RESPONSIBILITIES

This certificate does not constitute authority to install.

Installers working in accordance with the national regulations of a country other than that specified in Block 1, must ensure that their regulations recognize certifications from the country specified.

Statements in blocks 13a or 14a do not constitute installation certification. In all cases, the t£,chnical record for the aircraft must contain an installation certification, issued in accordance with the applicable national regulations before the aircraft may be flown. a_ Form o ne(17-JAN-11)

.,, i [ :;T )> 3:: 0 (J) : : :

1. Approving Civil Aviatlon Authority / Country

I Transport Canada

4.0rganlzation Name and Address

Action Aero ~ A Belmont St Charlottetown.PE.Canada C1A5H1

2.

»---------r--------------~,,-.

AUTHORIZED RELEASE CERTIFICATE FORM ONE

Telepnone: (902) 370-3311

Fax: (902) 370-3313

3.Form Tradling No.

56453

5. Wor1t O!der/C-

3039488AES

6. hem 7.Description 8. Pait No

IC BLEED VALVE ASSEMBLY, BASE I01R3116691-01 UNIT

9. Qty 10. Serial/Batch t .

38A709

11. status/Wo11t

OVERHAULED

12. Remarl(s OVERHAUi.Ei) AND MODIFIED IAW P&WC CMM 3036422 (75-30-02). REV 5, l)A'llm-FEB 111/2010. TSO0.OHRS.

E'iN:UNK

INCORPORATED SB PWI00-72-21811.

The ,l'Olt slated in blocl.s 11 and 12 has h<.-cn performed ia ;.\:conlancc with TIiie 14. Code orFcdcml Rcgulolions 43-17. The work sp,.-ci fied ia bkds 11 nnd 12 was carried out in IICCO<dancc with EASA Part 145 nnd with respect 10 1h11 woc1<. the aircran componcnt(s) wa,: con~idc:rcd ready ror release 10 service under EASA llfll)(OY:11 number EASA. 145.7199.

·tci(,;~r'lid:1n.:confomiltY·to: : J14a .

. . , .. ,- ·- --~:ill~{\it~:: ·- ~~------!i~ign data .~~lt~~~~\\~ralion.

D ... ,:,i\.,,,./· .. ·~~;~···:. · \Wi:¾~lJf;~:3·t:·, ,

Non a~deslgn data·)!~lled In blodt":f2 .,,-.... :·.: . ·. ,_-.·~.!~~:~~~;~-::·~~~:~~-i~~-.:i:fi~:.-~. -_?.!~1~~r- \-1

• ,· . • 4

,. ' ' .. ':,;.:,j~~,:,;. ,,<:.F,,.:,~.~/i,i.?·-~~1,·~ ... . . : .·!-, . •. . -~---~ .... . . ...• -~ -~ ... I -""•,.. . . . ~ . ·-

0 CAR 571 .10 Mai'llenanc:e Release

0 Other regulation specified ill block 12

Certifies that, except where otherwise specified in block 12, the work identified in block 11 and described in block 12 has been performed in compliance with the Canadian Avlatio~egulatlons.

,ill,~ +;~~~~';$,;; ( ' ?! ~ "·=.:.-·-[·'if.pa. Name·(iyped&~ ~

~ •.. ·· ., ;~ i (PINDUlly lolm 24-0078)

This certificate does not consUtute authority to Install.

\ INSTAI.-LER RESPONSIBILITIES

14e. Date (dd/nvnmlyyyy)

02/Feb/2016

Installers working In accordance with the naUonal regulations of a country ~ than that specified In Block 1, must ensure that their regulations recognize certifications

from the country specified. '

Statements In blocks 13a or 148 do not constitute Installation c:ertlflc:aUon. In all cases, the technlcal record for the aircraft must contain an lnstallaU6n certification, Issued

In accordance with the applicable national regulations before the aircraft may be flown. a. Form One(09-May-,~)

•

1:1

PAI PRECISION AVIATION GROUP INC. 411/S LAKE MIRROR RD. BLDG.100 dlble PRECISION ACCESSORIES & INSTRUMENTS ATlANTA GA 30349 UNFT2D STA1ES 4"-717-5100 . 404-717-11900 www.prwcJsloMcc ... orlu.com

PACKING SLIP 1111111111111111111111 Ulll 111111111111111111

!Print Data : Feb-12-2018 8:27 PM Pmr.d By : SRM Print No. : 2 I

I No. 3202568 Pg:1/1

Ship-To: [1) For : Account No. COMMUTAIRJ

COMMUTAIR COMMUTAIR Attn: MICHAEL HOPKINS, MATERIALS MANAGER Attn: MICHAEL HOPKINS, MATERIALS MANAGER BS SICKER RD 240 VALLEY ROAD LATHAM, NY 12110 S. BURLINGTON, VT 05403 UNITED STATES UNITED STATES Tel. : 216-898-0909 107 Tel. : 21 s.:898-0909 107 Fax : 802-951-2555 Fax : 802-951-2555

S.O, No. :3053357 Our Ref : Domestic AWB :

CustP.O. : 9-85707 Your Ref : lnt'IAWB :

Picked On : Feb-12-2016 COD AMT. : Origin : Shlpoea On : Feb-12-2016 Contract : Transport :

Ship Via : UPS RED NEXT DAY , Lie No. : Nationallty :

lncoterms :FOB ORIGIN Expires : Trip/Flight :

Terms : PREPAID WIRE TRANSFR Ship Via Acct. : UPS RED NEXT DAY Account No. 31ER31

Our Contact : SHONN McCURDY Email: SMccurdy@iSMRO.com

Line PIN & Description Cn Ordered Qty Shipped Back Order Packaging

1 01 R3116691-01 OH 1 1 EA 0

Ill lDHIIWII IIIIDIII IMIIIIIII UIIE INTERCOMPRESSOR BLEED VALVE UID: 1158538

1111111111111111111111 UOl 111111111111111111 ALT#: 01R3116691-01 Serial No(s).: 38A709 Tat Date: 02-16 EC N: 9A991.d

These commodities are controlled under the United S ates pqxirt Regulatiom and may not be e~rted to a foreiBn person, either in the U.S. orab oad, without the ~ roper authoriza ·on of the U.S. apartment of State or the l S. De partment of Cornn erce.

Picked By: SHONN McCIJROY,

Copyright (c) PENTAGON2000 Software, Inc. ORIGINAL

p1odm:cd by AMOS ,,w,, "-'\IH-as com

.PAl PRECISION AVIATION GROUP INC. 495 LAKE MIRROR RD. BLDG.800

ctln PRECISION ACCESSORIES & INSTRUMENTS

ATLANTA GA 30349 UNTTEO STATES PREU§/ON ACll§§Oll/8

tf l/fl!fT/ilLMENn ,UU..787-5800 '/U-7'7-5~ www.prwclslonecceuorles.com

INVOICE 1111111111111111111111 lllll 111111111111111111

[Print Date ; Fe1>-12-201e 8:27 PM Printed By : SRM Print No.-, 1 ]

No. :3202493 Pg:1/2

Bill To: Sold To: Account No, l1..um1¥1U1A1KJ

COMMUTAIR COMMUTAIR Attn: MICHAEL HOPKINS, MATERIALS MANAGER Attn: MICHAEL HOPKINS, MATERIALS MANAGER 240 VALLEY ROAD 240 VALLEY ROAD S. BURLINGTON, VT 05403 S. BURLINGTON, VT 05403 UNITED STATES UNITED STATES

Tel. : 216-898-0909107 Fax: 802-951-2555

Shipped To: Remit Payment To :

COMMUTAIR PRECISION ACCESSORIES & INSTRUMENTS INC. Attn: MICHAEL HOPKINS, MATERIALS MANAGER Attn: SHONN McCURDY 85SICKERRD 495 LAKE MIRROR RD. LATHAM, NY 12110 BLDG. 800 SUITE G UNITED STATES ATLANTA, GA 30349 Tel. : 216-898-0909 107 USA Fax: 802-951-2555

S.O.No. : 3053357 Our Ref : Domestic AWB :

Customer P.O. : 9-85707 Your Ref : lnt'IAWB :

Invoice Data : Feb-12-2016 CODAMT. : Origin :

Dua Date : Feb-13-2016 Contract : Transport :

Ship Via : UPS RED NEXT DAY License No. : Nationality:

\ lncoterms :FOB ORIGIN Expires Trip/Flight :

ShlDOed Date : Feb-12-2016 Terms : PREPAID WIRE TRANSFR

Ship Via Acct. : UPS RED NEXT DAY Account No. 31ER31

Our Contact : SHONN McCURDY Email: SMccurdvl5llSMRO.com

Line PIN & Description Cnd Qty Ordered Shipped Unit Sell Price Amount

1 01 R3116691-01 OH 1EA 1 $ 2,950.00 EA $2,950.00

ECCN: 9A991 .d INTERCOMPRESSOR BLEED VALVE . (Qty. Back 0)

Pick Ticket/ Packing Slip No. : 3202568 ALTt: 01R3116691-01 Serial No(s).: 38A709 Tag Date: 02-16

These commodities are controlled under the United States Export Regulations and may not be exported to a foreign person, either in the U.S. or abroad, without the proper

1. All PAYMENTS ARE SUBJECTTO TERMS LISTED ABOVE AND ARE OUE BY 'DUE DATE'

I 2. IF SENT TO COLLECTIONS, CUSTOl,£R Will. BE LIABLE FOR ALL COLLECTION FEES

3. INVOICES OVER 30 DAYS OLD Will. BE SUBJECT TO A FINANCE CHARGE.

4. All CORES ARE DUE WITHIN 30 DAYS OF DATE OF SALE. S. BY ACCEPTING THIS ORDER YOU ARE AGREEING TO THE TERMS & CONDmONS SET FORTH BY PAG

AT WWW.PRECISIONAVIATIONGROUP.COM Continued on next page ...

6. PAG RESERVES THE RIGHT TO BILL BACK ANY OVERAGES FOUND WITH RETURNED CORES.

7. A 15% MINIMUM RESTOCK WILL APPLY TO ALL UNITS RETURNED FOR CREDIT. 8. PAG DOES NOT, ANO WILL NOT, COVER FREIGHT CHARGES ASSOCIATED WITH WARRANTY ISSUES.

f"~hflr\Dt::MT&r.t.nlr.l~~llhu.- 1-IAIU&I

.-1 • • ::·.- " , ,: '

1'10J u~~J b~ AMOS w\\',\ S\\hS·!IS com

PAl PRECISION AVIATION GROUP INC.

PRECJ§/ON Aa:H§ONIH 6 IIWTRLMENn

495 L.AKE MIRROR RD. BLDG.aoo

dlbla PRECISION ACCESSORIES & INSTRUMENTS

ArtANTA GA 30:U9 UNITED STATES 404-787-5800 4/U-757-5900

INVOICE

Line PIN & Description Cnd Qty Ordered

authorization of the U.S. Department of State or the US. Department of Commerce.

1. ALL PAYMENTS ARE SUBJECT TO TERMS LISTED ABOVE AND ARE DUE BY 'DUE DATE'

2. IF SENT TO COLLECTIONS, CUSTOMER WILL BE LIABLE FOR ALL COLLECTION FEES

3. INVOICES OVER 30 DAYS OLD Will BE SUBJECT TO A FINANCE CHARGE.

4. AU CORES ARE DUE WITHIN 30 DAYS OF DATE OF SALE. 5. BY ACCEPTING THIS ORDER YOU ARE AGREEING TO THE TERMS & CONDITIONS SET FORTH BY PAG

AT WWW.PRECISIONA VIA TIONGROUP.COM B. PAG RESERVES THE RIGHT TO BILL BACK ANY OVERAGES FOUND WITH RETURNED CORES.

7. A 15% MINIMUM RESTOCK Will APPLY TO ALL UNITS RETURNED FOR CREDIT.

8. PAG DOES NOT, AND Will NOT, COVER FREIGHT CHARGES ASSOCIATED WITH WARRANTY ISSUES.

SHONN lkQJROY,

Copyright (c) PENTAGON.2000 Softwant, Inc.

www.p'*'1&ionaccessorlea.com

1111111111111111111111 lllll 111111111111111111 Sales Invoice No. 3202493 Page :2/2

Shipped Unit Sell Price Amount

Sub Total: 2,950.00

Total: SD 2,950.00

ORIGINAL

p111J11l'cd b) AMOS \\W\\ S\ \ 1Ss-:1s l'Utll

:SILL TO: REPAIR ORDER: 9-85707 COMMUTAIR CORP . HEADQUARTERS -------------- -------

1 ORDERED ! 12/03/14 240 VALLEY ROAD S. BURLINGTON VT 05403 FAX (802)951-2555 PHONB(802)951-2500

VENDOR: PRECISION ACC. & INST. 495 LAKE MIRROR RD BUILDING 800 SUITE G ATLANTA GA 30349

-------------

SHIP TO: COMMUTAIR AL:S MX 85 SICKER ROAD LATHAM NY 12110

VENDOR REP: SHONN MCCURDY

VENDOR PHONE#, 800#, FAX#: (404)767-5800 (404)767-5900

SHIP VIA: STATUS: G/L ACCT#: TERMS: UPS GROUND

=== -====-=-- - ---====- ===========- ---- -====== PART#/SBRIALf

3116691-01 38A709

TIS: TSO:

DBSC/DIS-ACFT QTY :=======--=•z:===

INTBRCOMPRBSSOR BL 1 DBS

LIST ' UNIT AMOUNT

·------==•=---=--------.00

DIS: 1922

.00 .00 DUB: 01/03/15

TSN:

GL: 8980.2 8980 . 2

23265.2

CIS: 10096 CSO: 10096 CSN: 25832 ENG: 26110.8 TSN 28923 CSN (PCB123268

TOTAL: f2 Bleed Hot Illuminated In Flight

UNIT SUBMITTED FOR REPAIR AND RETURN TO SERVICE. PLEASE RETURN TO SBRVICB IN ACCORDANCE WITH CURRENT MANUFACTURER'S MANUAL, INSTRUCTIONS FOR CONTINUED AIRWORTHINESS, OR USING METHODS TECHNIQUES, AND PRACTICES ACCEPTABLE TO THB FAA.

.oo

PLEASE PROVIDB DETAILED TBARDOWN REPORT INCLUDING ALL PARTS INSTALLED. VERIFY COMPLIANCE WITH ALL APPLICABLE AIRWORTHINESS DIRECTIVES. PLEASE EMAIL WORK SCOPE AND QUOTE TO RBPAIRS@COMMUTAIR.COM REPAIR TO LATEST MOD STATUS. REPAIR CONTACT: MICHAEL HOPKINS 216 898 0909 X113. ************************** WARNING: IF THB COMPONENT LISTED ON THIS ORDER IS FORWARDED TO ANOTHER CERTIFIED REPAIR STATION FOR MAINTRNANCE AND RETURN TO SBRVICB, PRIOR APPROVAL MUST :SB OBTAINED FROM COMMUTAIR.

FEB 1 6 2016

PURCHASING AGENT:~ QA~, ~ ~ ~~'VO'>·!>\\

prodw:cd b, AMOS\''"'' S\\ 1Ss-:1s com