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D Marcelus Foose

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Marcellus F. Foose

Marcellus Foose of Blue Island, Illinois, was born in Blaisdell, New York, on 26 June 1913. He is a pilot. a Federal Aviation Adminstration "Charles Taylor

Mechanic Award" recipient. and aircraft restoration specialist that has been intricately involved in aviation since childhood.

Foose was a mechanic and racer for the Indian Motorcycle Company before getting involved in aviation. He first flew in 1932 and soon met pioneer avia

Cornelius Coffey, who encouraged him to attend the Curtiss Wright School of Aviation on South Michigan Avenue in Chicago. The two would be close fri,

business associates for the next sixty years.

While attending Curtiss Wright, Foose worked for Air Associates at Chicago's Municipal Airport (now Midway Airport) from 1935 to 1937. He teamed with

Braum to form B&F Aircraft Service at Harlem Airport in Chicago in 1938. The company's aircraft rebuilding activities were well known in the Chicago are

became the only Civilian Pilot Training Program service and overhaul center in the area through the years of World War II. Foose designed a very acce~

CAA-approved sliding canopy and three-place conversion for the Fairchild PT-19 and PT-23, eventually selling over 100 units.

Marcellus After the war, Foose opened the first sky advertising business in the Chicago area, called Sky Ads Incorporated. flying war surplus aircraft. The businesi

F. Foose to be unprofitable, but offered ample opportunities to fly. Nex1. Glen Courtwright joined Foose and Baum. and B&F Aircraft Service was reorganized as E

2005)

Aircraft Supply. The company began buying war-surplus North American AT-6 Texan trainers from the government and refurbishing them for resale top

owners across the country.

Over the years, Marc Foose also rebuilt and flew many other aircraft, including the American Eaglet. A40 Taylorcraft, Porterfield. Waco GXE. B.W. Bird t SMSA and Gullwing Stinson, Star Cavalier. Laird. Bellanca, Piper J3 Cub, Driggs. Curtiss Robin, Curtiss 0-52 Owl, and many more. He has been an acti"

member for many years of the Experimental Aircraft Association and the Antique Aircraft Association, as well as the OX-5 Club and the Air Force Associ,

Foose has donated aircraft. engines. and parts to many aviation museums across the United States. including the National Air and Space Museum of th,

Smithsonian Institution. He also donated a fully restored Boeing P-12E to the United States Air Force Museum. In 1999 and 2000 he donated the balanc

private collection and aircraft workshop to Octave Chanute Aerospace Museum.

These historic items, including many objects formerly owned by Cornelius Coffey and other famous aviators, will be the centerpiece of the new exhibit

Barnstormers, Wing-walkers. and Entrepreneurs: 150 Years of Aviation in Illinois, slated to open in 2002. Mr. Foose is also helping to design many comi

the new exhibition.

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Foose, Marcellus - tribunedigital-chicagotribune Page 1 of 4

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Foose, Marcellus

December 29, 2004

Marcellus "Celly" Foose, age 91, beloved husband of Mildred, nee Ames; dearest father @ of Sharyl Sackett and Lynda Hemann; fond grandfather g of Terri and Dan; great-grandfather ofTristen. Former owner of B&F Aircraft Supply. Member of the Experimental Aircraft Assoc. and Antique Aircraft Assoc. Services Thursday 11 a.m. at the Hickey Memorial Chapel, 2429 W. 1271:h, Blue Island. Interment Beverly Cemetery. Visitation Thursday 9 a.m. to 11 a.m. 708-388-1636. In lieu of flowers, donations to the Octave Chanute Aerospace Museum, 1011 Paceseter Dr., Rantoul, IL 61866.

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Name: Marcellus F. Foose

SSN: 347-05-1399

Last Residence: 85308 Glendale, Maricopa, Arizona

BORN: 26 Jun 1913

Died: 19 Dec 2004

State (Year) SSN

issued: Illinois (Before 1951)

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Number: 347-05-1399; Issue State: Illinois; Issue Date: Before 1951

Source Information Ancestry.com. US., Socia/ Security Death Index, 1935-2014 [database on-line]. Provo, UT, USA: Ancestry.com Operations Inc, 2011

Original data: Social Security Administration. Socia/ Security Death Index, Master Fite. Social Security

Administration.

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Name: Marcellus F Foose

Bi11h Date: 26 Jun 1913

Address: 984 W Sunward Dr, Gilbert, AZ,

85233-7121 (1993)

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Name: Marcellus F Foose

Birth Date: 26 Jun 1913

Phone Number: 388-0734

Address: 12626 Elm St, Blue Island, IL, 60406-

1938 (1976)

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Marcellus F Foose

~ 1940 United States Federal Census

Marcellus Foose

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Death Notice: MILDRED FOOSE - tribunedigital-chicagotribune Page 1 of 4

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Death Notice: MILDRED FOOSE

December 11, 2007

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Mildred Foose,nee Arnes, age 91, beloved wife of the late Marcellus; loving mother of Sharyl Sackett and Lynda Hemann; fond grandmother of Terri and Dan; great-grandmother ofTristen.

Services Wednesday, 11 a.m. at theHickey Memorial Chapel, 2429 W. 127th, Blue Island.

Interment Beverly Cemetery.

Visitation Wednesday 9 to 11 a.m. 708-388-1636.

Sign Guestbook at chicagotribune.com/obituaries

***

This is a paid death notice.

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Mr. and Mrs. Marcellus F. Foose. 12626 Elm St. announce the engagement rf their daughter. Sharyl Lynn, to Douglas L. Koopman. son of Mr. and Mrs. Henry Koopman of Chicago An October wedding is being plan- ened

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Residence Place:

Spouse:

Publication Title:

Sharyl L Koopman

Female

1968

San Diego, San Diego, California,

USA

Douglas L Koopman

San Diego, California, City Directory,

1968

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7438 W. Oraibi Drive, Glendale, Arizona 85308 I Phoenix Page 1 of 2

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7438 W. Oraibi Drive, Glendale, AZ 85308

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Foose Family Trust Sharyl Sackett,

Lynda Hemann (Trustee) Glendale

85308 Maricopa County AZ

Valley of the Sun Central North Glendale/Arrowhead

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Yr. Built: 1986

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Sqft (land I living):

Bedrooms:

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NIA

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U.S. Representative: U.S. Rep. John Shadegg (R-03)

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Median Income

White:A11•

\IVhite: Latin or Hispanic*

Black or African American*

American Indian and Alaska Native*

Native Hawaiian and Pacific Islander*

Asian*

$79,417

91.5%

4.3%

2.8%

0.7%

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Source: U.S. Census

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7438 W. Oraibi Drive, Glendale, Arizona 85308 I Phoenix Page 2 of 2

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Nicole Torchia 7437 W. Orarbi Drive 3 bd I 3 ba 11452 sqft

Neldon R. Foote 7 432 W. Oraibi Dnve NIA bd I NIA ba 11514 sqft

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Address History Queen Creek, AZ

Mesa, AZ

Aliases Sharyl Lynn Koopman

Relatives Teri Koopman Barbara Sackett Ralph Sackett Marcellus Foose View More

Sharyl Lynn Sackett, 72 Queen Creek, AZ

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- A.TTACHIIENTS (Cited •Ailcl)

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o6ac&-H7~CJSrECIAL APPROYAlS

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r.ERT IFY ·THAT THE ABOVE STAT(!ENTS ARE TRUE I ·

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LISTllfi IN INSP.fCTOJl'S HANDBOOK, CMAP. xvur AIICRAfl SP(CIFICATIDM llRWCtRTHIIIESS Dllil(CTIYC

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2, OWNER

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A)'l'l.tCAJION FOR AIRIIORTHINESS CE«TIFICATE AND/OR IHTRIICflOH ANNUAL .IISPECTJ.ON. OF AN>AIRCRAfT Plaaee Hbmlt tkla fom to t"lid CIYU:·•ro-

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~ AIHOiTHl.t:SS CERTIFICATE

CJ ANNUAL INSPf.CTION . . I CAA IDENTl~FICATION

CCJ IC O •• 0 •• 0 onmi (SpooJ/7) -------------

IIAAE

· Boeiniz: MODEL

l[G·I STR'AT UtN NO.

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MAKE MODEL

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c:)N[W [T]USED CJOVERKAULED . J ~AJE OF OVE~tlAUL

·-··· _ .... } (JD AIACAA.n NOW AEGISTEUD WITH TH[ ADMINISTRATION D APPLICATION FOR REGISTRATION AND BILL OF SAU (FORMS ACA-,01 AND ,02J ATTACHEO

·, , ~ER'S NAME.

'--"i.vil.liam P .Egger PERtlANENT ADDR(S5 (.StrHI and N•• • City • .1'•11•. $1.te)

3500 North Narragansett A~e. Chlcago,Illinoie •

A.TT .ACN»HTS .(CIIIHt "hJoltJ

CCJ ACA-)19 .°. CX)WEl&NT AND BALANCE liEPORT

IJC) •CA-337 c:, SPECIAL •"••~•~s I CERTIFY TltAT .. THE ABOVE STATEIENTS ARE TRUE

D •c•-••, . D ••u, oou1•••, crc. O ACA-,11 CJ UHAPP~DV'ED D£V_IATIDN DATA.

DAT[

DWIEI OI AUTNOIIZU UllT

~ ~°"" ACA-3~!,a 1Fo .. uu •u-,01 l AIRCRAFT INSPECTION REPORT

ITa b• ca••l•l•d 1,., • CAA. in•-clor or • d••J,n•l•d Jnepector or rapra••ntatl••) IT NAS B[u DETERMINED THAT THE AIRCRAFT DUCRIIED IN )05 HOYE IS IN CONFORMITY WITN TH( fOllOWING

LISTING IN INSPECTOR'S HANDiDDK,, CHAP. XVJ 11

Al RCRAFT SPEC I Fl CAT I ON AIRWORTHINESS o•R£CTIVf

ClD

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F(IRN ACA-)19 A,,rAOV(D D'T

t=::!;;• •• Earl R.Floren FORIII AtA.-IJ6~ CERTIFICATE VALID TO (SpecJ.lr d•t•J I SSU[D

EXCEPTIONS,- IF ANY (ti •dd1tl.on•l apace l• nqdrid, ••• , ... ,.~,. ~ -

llt~H· CERTI F. AND RATING NG. DATED

A&:E-108025 10-20-1946

CXJ AIRCRAFT AIRWORTHINESS C[RTIFICAT[ WITN OP'EUTIDIII LIWITATIONS FOAM tATTACHEOI WAS ISSUU

Al Jt.OHHY

UNAtRWORTHY

D£5:IG~ ... -..,.._

Earl B.Floren · CAA INSPECTDR'.S SIGNATU~

Fl•or•GS

IU::::::f ... ccEPTto

ID REINSPECTED

DATE

Nov. 20-1946

REASON fOA DI $APPROVAL. O,._ REMARKS ~lndir:•t'4/JI )'ou f:.t• •••4 th• r•••r•• to co"t ln"• thl• .or iath•r ll•• 0 l'•• [Zl.t!P)

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. UNITED STATES OF .AMERICA . 'DEPARTMENT OF.,-,COM.MERCE·

CIVIL AERONAUTICS ADMINISTRATION

WASHINGTON

Budiet Burma No. Cl-ROH. Form Awrovod,

(To be filled in by lnsoeetor)

DIIUPf'ROVJtD

,Date -~-.:Z. () -~ '-----· Date J{::~----­De,ig,,u t.:_~t[{~- Imp'jJ'>r _ ------·

N-umber -,$_,;t_q__q___________ ~cc,,pte . D R ',peeled.

REP.AIR AND ALTERATION FORM AIRCRAFT-ENGINES-PROPELLERS-INSTRUMENTS

Aircraft ldentiftcatlon Mark No.l!C9548H

Chvne;,8 ~nme __ William ·Egger ------------------------------------------------------------------ _ _ __ _ Owner's Ad.dross __ 3500_NorthHarl:(l,£allB§t:LA.ve ___ ChJcago.,_Illinoi_a. ___ · __ _. __ ·_ - ------Aircraft manufacturer o.nd model .l3.a.e.ing __ A7..:i-=lil .• _________________________ Serial No . .1Q::.4~_@ __ :_ __ Engine manufacturer and model• ---------------------------------------"--------"·- Serial No.'---------------Propeller manufacturer a'nd mode!• ---·--------------------:---------------------------- Serial No. -------------------Propeller blade model• ___ .. ____ --------------. - -------------------.--·--·-. --------------- Serial No. ------·-------------Instrument name, manufactmw, and model•------------ Serial No. -------­

•Tobe Jll1ad. Ul only tor unit repwred or altered. ·

REP.AIB OR ALTERATION AGENCY

· • _ __: ___ Mnnnfacturer. •---·-----' Approved repair etation No. --.- •_]!;; __ Certificated mechanic

Agency'e nnmo _ ·Round It._akeA,ir ..Par)( _____________________________ . ----------- --~- ;

R d Lale Illi i Date of reP\ill'. l.l-20~46 .Addreee __ oun _ e, n_o B • -------------------- or alteration -------------

. The following w.ork has bsen accomplished in accordance with Pn.rt 18, Ci...U Air Regulations. (For recommended practice refer to QA,.\{ 18.).

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'· REGISTRY / . DATE: ~//? /8'z-

Q Badpt Dmcau No. 41-R052. J'orm Apprond.

Nnuu or Won P•aoaMu · c~~noR MaJorn,plllr MaJaraJtoratlQa ;UNITED STATES OF'AMERIGA

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(To be tllied. In b7 lmpector)

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CIVIL AERONAUTICS ADMINISTRATION Drm,aono

WASHINGTON

Data J ~ ~ ~d~~ C. .. · .... Date _j /1)~=Jtf ···· DesigMe ~~:J~- In81j¢br~:::~--

Nu.mber ----------···· [B" Accept . D nspt ,

REPAIR AND ALTERATION FORM · AIRCRAFI'-ENGINES-PROPELLERS-IN~TRUMENTS ·

.:, Aircraft Identification Mark No. NC9548H__ ____ _ /

Owner'• name __ _Ii.1.l1AZll..ll,gg_er ------------------·--------------- 11-------·-·····-·-· . ------ . ·····-Owner's addrees •••• ~.5.QQ.JlQX'.t.h. • .ll~:r..kMBett Ave Qh..l~-~C?.r1. __ ! ____________ .... : .... ~ .. :...:~-------Aircra!t manufacturer and model • .:B2~lM~ . .A1.§Ji.l ...•.................. ________ Serial No • ..'l.5.ee.4.9.il.. ..... Engine manufacturer and model* ...•• .:._.:_·-··-------------··-·····---------- Serial No. --------------·- ' Propeller manufacturer and model* ·····-····-----·-···---'...s .•. __________________ Serial No.----·······-'-"·····

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REPAIR'OR ALTERATION AGENCY

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Address _Jlq_WJgJlH~.i..J::_],l,J,P.9i e ! __________ :._ ___ :... or alteration' _l..9.:::2...Q~l.9..4.6 i I· . /' .

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·A-743-2 Aircraft Spec. Note-4 (a) complied with, remoTed ·o.040• aluminum firewall and replaced it with a o.01s• mild steel firewal.1. . · Note 4 (b) complied with, installed oil stio~.

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I DEREGISTRATION OF UNITED STATES CIVIL AIRCRAFT I U.S. Registration Temp LR Manufacturer Model Serial Number

N-9548H Yes D No~ Yes D No~ BOEING A75Nl(PT17) 75-4961

Last U.S. Owner of Record SALE REPORTED

GENEVA CONVENTION - Lien/Lease Information on File D None

D Lien Conveyance No. -- Lien holder: __

D Lien Conveyance No. -- Lien holder: __

D Lease Conveyance No. -- Lessee: __

D Lease Conveyance No. -- Lessee:

CAPE TOWN TREATY- Lien Information on File

D Written certification was received from IDERA authorized party that all registered interests ranking in priority to authorized party have been discharged or the holders of such interests have consented to the export.

Conveyance No. __

IDERA Authorized Party: __

D Written certification was received from the owner that all outstanding interests in the FAA aircraft record have been discharged or the holders of such interests have consented to the export.

D None

D Lien Conveyance No. -- Lien holder: --

D Lien Conveyance No. -- Lien holder: --

D Lease Conveyance No. -- Lessee: --

D Lease Conveyance No. -- Lessee: --

The above registration is to be cancelled for the reason checked below:

~ Expired D Exported to:

D Totally destroyed or scrapped

D At the request of: D Registrant D Owner D IDERA Authorized Party (Export only)

D Other (Specify) __

Official approving the cancellation: Name: JOE D MCLAIN

CONFIRM TO: __ FOREIGN MARKINGS:

The above registration has been cancelled and records adjusted accordingly.

AFS-750-17 (01/12)

I TIME: IDATE: June 27, 2013

COPY TO: D WIRE D MAIL

DATE: June 27, 2013

Accepted JD Jun/27/2013

U.S. Department of Transportation Federal Aviation Administration

Civil Aviation Registry Aircraft Registration Branch (AFS-750) PO Box 25504 Oklahoma City, OK 73125-0504 OFFICIAL BUSINESS PENALTY FOR PRIVATE USE $300 AC Form 1360-42(5/01)(NSN 0052·00-578-0002)

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(:,~~Pas,-~ c 0 /:!~~/il!'U .. · wctJ z' 1 ~m= .=.=== i-S ::) = PITNEY 80WES

g~ 02 1M . $ 00.433 w~ 0004236138 MAR 12 2013 fu::: MAILED FROM ZIP CODE 731 69

NIXIE

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600 OE 1 00 03/17/13

RETURH ~0 SE~OER I1:4'$.UF F IC.IE~ T .~O.D.RE SS ~~A~L~ -1~ IUR=AKD

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OKLAHOMA CIT{ OKLAIWMA

-----

U.S. Department of Transportation

Federal Aviation Administration

March 11, 2013

MR ROY HAZLERIG BOX 451 RT4 ELGIN IL 60120

I ,II .. I I, 1111111 .. 1.111 ...... 111

Dear Mr. Hazlerig:

Flight Standards Service Aircraft Registration Branch, AFS-750

P.O. Box 25504 Oklahoma City, Oklahoma 73125-0504 (405) 954-4206 Toti Free: 1-866-704-4715 WEB Address: http://registry.faa.gov

Records maintained by FAA Aircraft Registration Branch (Registry) indicate that N9548H, a BOEING A 75N1 (PTl 7) aircraft with serial number 75-4961, has been sold to you. The continued assignment of an N-number to an aircraft is directly linked to its registration. An N-number is required for: obtaining the registration of an aircraft, operation while it is registered, and for a reasonable period during transfer of ownership. Under 14 C.F.R. 4 7: l 5(i)( 4)(i), six months is established as the limit an N-Numbcr may remain assigned to an unregistered aircraft after a notification of a sale has been provided to the Registry and documents necessary for registration have not been received.

The Registry has previously received a notice of sale from the aircraft's last owner of record. In response, a letter outlining the requirements to complete registration was sent to the reported purchaser, and the aircraft status ·revised to indicate that a sale was reported. As of the date of this letter, this aircraft is and has been unregistered for more than six months.

The assignment of registration number N9548H will be cancelled no sooner than 60 days from the dale of this letter unless documents enabling registration are tiled before cancellation.

If application for registration is not desired or cannot be made at this time, the N-number may be reserved in the aircraft owner's name. If the number is not reserved, upon cancellation it will be designated as unavailable for the next five years. To reserve the N-Number or report a change in the aircraft's disposition, please mark the applicable block(s), sign, and return the attached notice.

If you require further assistance, please contact the Aircraft Registration Branch at ( 405) 954-3116 or toll free 1-866-762-9434.

Sincerely,

Walter L. Binkley Manager, Aircraft R~gistration Branch~ AFS-750

1: .

. ·,:.· .. ;,,:; .. . · ·,' 1 ' ' ' , ,· . , • I .- r • ~ • • • •• · . • , ••,-:. , '

. AFS-750•REREG: I ·(09/10), . . . ; ....... ,. ,, .

U.S. Department of Transportation

Federal Aviation Administration

March 11, 2013

MR ROY HAZLERIG BOX451 RT4 ELGIN IL 60120

1.11 •• 11 •..... 11 •• 1.111 ...... 111

Dear Mr. Hazlerig:

Flight Standards Service Aircraft Registration Branch, AFS-750

P.O. Box 25504 Oklahoma City, Oklahoma 73125-0504 (405) 954-4206 Toll Free: 1-866-704-4715 WEB Address: http:1/registry.faa.gov

Records maintained by FAA Aircraft Registration Branch (Registry) indicate that N9548H, a BOEING A75Nl(PT17) aircraft with serial number 75-4961, has been sold to you. The continued assignment of an N-number to an aircraft is directly linked to its registration. An N-number is required for: obtaining the registration of an aircraft, operation while it is registered, and for a reasonable period during transfer of ownership. Under 14 C.F.R. 47.15(i)(4)(i), six months is established as the limit an N-Number may remain assigned to an unregistered aircraft after a notification of a sale has been provided to the Registry and documents necessary for registration have not been received.

The Registry has previously received a notice of sale from the aircraft's last owner of record. In response, a letter outlining the requirements to complete registration was sent to the reported purchaser, and the aircraft status revised to indicate that a sale was reported. As of the date of this letter, this aircraft is and has been unregistered for more than six months.

The assignment ofregistration number N9548H will be cancelled no sooner than 60 days from the date of this letter unless documents enabling registration are filed before cancellation.

If application for registration is not desired or cannot be made at this time, the N-number may be reserved in the aircraft owner's name. If the number is not reserved, upon cancellation it will be designated as unavailable for the next five years. To reserve the N-Number or report a change in the aircraft's disposition, please mark the applicable block(s), sign, and return the attached notice.

If you require further assistance, please contact the Aircraft Registration Branch at ( 405) 954-3116 or toll free 1-866-762-9434.

Sincerely,

Walter L. Binkley Manager, Aircraft Registration Branch, AFS-750

AFS-750-REREG-1 (09/10)

Directions:

Select and complete the appropriate section below then send, with the indicated fee (if appropriate), to the FAA Aircraft Registration Branch.

U.S. Postal Service, Regular and Priority Mail FAA Aircraft Registration Branch P.O. Box 25504 Oklahoma City, OK 73125-0504

Commercial Delivery Services: FAA Aircraft Registration Branch Registry Building, Rm. 118 64 25 South Denning Oklahoma City, OK 73169-6937

Make fee payment by check or money order payable to the Federal Aviation Administration.

For additional information call toll free 1-866-762-9434, or visit http://registry.faa.gov

Sale Reported

Regarding N9548H, a BOEING A75Nl(PT17), serial number 75-4961:

D The aircraft will not be registered at this time. Please cancel the N-number and reserve it to the aircraft's owner ofrecord as established by the enclosed bill(s) of sale or evidence of ownership on file at Registry. A $10.00 check payable to the Federal Aviation Administration is enclosed to pay the reservation fee.

D The aircraft has been destroyed or scrapped. Evidence of ownership, signed in ink, from the last registered owner through all intervening owners to me is enclosed or on file with the Registry.

D The aircraft was sold to:

(ADDRESS) (CITY & STATE) (ZIP CODE)

D The aircraft was exported to: Evidence of ownership, signed in ink, from the last registered owner through all intervening owners to me is enclosed or on file with the Registry.

Name of Owner:

Signature/Title Date

AFS-750-REREG-l (09/10)

2

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· PAA AIRC:U.P CA~EllA NO.

DEPARTMENT OF COMMERCE Cl Vil AEIIONAUTICS _AbMINISTRATIOf,I ·

REGISTRATION CERTIFICATE

'fl'HEFIEAS IT HAS BEEN DECLARED THAT TttE ABOVE DESCRIBED AIRCRAFT IS MOT REGIS­TERED UNDER Tt!E LAWS OF ANY ·FOR(.IGN COUNT RT AND IS OWNED ,B'I' A CITIZEN OF THE UNITED STATES, SUCH AIRCRAFT t1AS BE£N DULY REGIS.TEAED AS A CIVIL AIRCRAFT ~~ r:~HUHITEO STATES IN ACCORDANCE WITH TtlE CIVIL AERONAUTICS ACT OF 19)8,

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STATE

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A N CERTIF.ICATE St4Al!.. REMAIN IN EFFECT UNTIL SUSPENDED OR REVOICED OR OWNER­SHIP OF it.I RCRAFT IS TRANSFERRED. OR TttE C'ERTIFfCATE IS OTl4ERWI 5£ TERMI­NATED AS PRDVIOEO IN P..ART ~Ol. OF TtlE REGULATIONS OFTffE ADMINISTRATOR.

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· FAA AIRCRAF , lll!GISTB.Y.., / /. CAMEB.A NO. DATE:.:?<..//"/ lJ'Z...

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'ALL lllFOl!IIATIQI GIVEN Ill COIIPLBTIIIG FORMS Off Rl!TI!RSK SIDI 1tuo, BK TTPIID ·

PART A.• REGISTRATION CERTIFICATE 0, It .. I • ,li;craft rerbtTation numb•r shall be haerted. (The rerbt~&ti~a

· •umb_!r ii,· that·.vhich baa been aseirned to the aircr&ft bf Ci Ti 1. Aeroa.a.utica Adra.iaiat.ra'tion: · a.11.d will be shown oa the old reehtr&don cet"titicate, or tb&t Dtu'flber whicla ha• beea paint_ed on th• airc.n.ft.} ·

· it.• ·2 .• Aircraft· •Make" ahould be inserted. _For en.mp~e:- •Sti.nao:a. 11 , etc.. Item, ... Maau.factarer' a serial number 111:it.ll be iuerted~- Thia .atrial nunt>er may b_e _tat~a. from the maaufacturer' s nameplate oa the aircraft.

!!::C:a;i:,c:~:~r;o~~;\o:n!:rabi:!~. ::m;111r ott\e 0 fp?:t;~~~8o~1~o~c;~:~ ~LJ . lh• 5 .. Mai-1,inr &ddreaa of purchaser allal·L. be haerted, comprillbr atre-et and number, c;:itJ' and st.ate •. (Zone if &pplic;:able. J

. . The bal&ace Ot Part "A". will aot be ·ccmpleted bJ the purchaser. The orirh,al Part •411 aad duplicate Parts •A" a.ad "11", aad Part •en if an oat-aud-ont sale (see coaditioa. lJ, will.c:;:o_n.atitute tbe file to be forwarded to theCil'il A.eronautics !dminiatration. Certification andRetord,tion Sectioa.

!;::~• ::11::::~°:r!~ Dtf ih:c!~::a1:: ~{e •1!::.~:e:6~:0t11:•~:r::d~1t:~::: (Curre:n.c7 :torwa.rded at JODt' risk - stamps not· accepta.ble. I It aircraft !. .. bltiar sold ••d•r Coaditio11.al SaleContrac"t or chattel mort.rar•, aeecoaditioa !: or s. wbichel'er' h ap_plicable, - . (!":"/· ·:., The oririaal of tlais Pa.rt."A".~ill be returned to"tbe pur"ch5,..:_.._.aa the Refia'tratioa CertitJ.cate to be rr.a.intained iD the -.lrcraft h. accord&ace wltb CiTil Air Reialationa, ·

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FAA AIRCRAF CAMEil.A )JO.-

JlEI.ISTJlY _, / /,- -DATE: ~//? 8'Z..,

PAllT ,· - APPLICATl;oN FOR REGISTRATION----'..-·-:-.. -.-1

lte•• i'·eo'A ·ia'ol~dwa • Kxcept tar. c)iaare in ~equence, iator,natioa JiiTr.-,:J·tL tbea,...-.. items will ·be identical to tJlat ·riTeA ia ·hans 1 to. 6 iDciua~a

·Part •1". , \ .. 1- • ..

-~tit•' s • Tbft .date that the Parcbaseri fOn,ll,lr'ds -tbe 9ri1iual ·at Part "A• aDd

c!;ti~~:~i :! '·!:~1R.:!:d. :::n68s!:~~o;~. :~:o ~: yi!/1t8i~~~~~ tiz~: A~~~:·: :rt0:~

!::e::::; d~;~;!ri~isot~:r:i::'11!~t:!::: p~~~1:!~~~t-~~{1:e~~ ~:q!~:ie!:;· ot ,applicable Civil Air Ree:ul.Ation.s are canp_liell with. ·

1pplica.u.t mu.at be the owiie~ of the aJrcraft_ excep~ vken oner ie artiticial peraoa, - tba t ia, corporat.ion,. etc; Sign& ture of a.pplican.t as required in item 5 certi.U•• lb&t tll9 airCraft is aot reriatered un.der the l.&wa of an.Jfor~ig:a cou11tr7; that O.eow11er ia a citlt:e11 of tile United States,, a.n.d that.application for reaietratioa ill the owner'• name bas bee.n made aad file torwarded to tile Civil Aeronautics Admia.iatra.doa, Certificatfoa 11.nd Recordation Sectioa., A-800, YaabingtOn 26, D. C.

11Cith:eit of the United ~t~t~a" mean.a U.) u individual wbo~ia a

!~f!••:t 0!tit~~ ~:{~~:;•~i:rs:~h~: i~!f:i:::if~!!0 j~j !~ c'!~p:ri:[::•~; ::r~~\::~~·r~;1~~~~·~::a ~~~i:r;~/·!~~r m::: !;"\b:1 B!!:d u:} tD:r:~:!::· .:~ other ma.naaing otfieera thereCrt· are such hdi..,iduals and ia wkicb at l..eaat 76 percentnm of the votinr intere8t ia awDed or con.trolled by persons who a.re ch.hens ot 'lbe ·U11ited·.~to.tea or of oa.e of lta posaeasiona. · o

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llEGIS'tltY · / · . . DUB: ,:?_ //? /8' Z-

oors ·1~.1 ,12th · oAY o, SeJ:Jtember t,tfREBY SELL, GR.\NT, TRANSFER ·J.ND DELIVER ALL O~ IN AND TO suctt AIRCRAFT UNTO: NAME OF PYRCHA .. $ER ~

,\NO INTEREST

ADDRESS OF PURC.HASER (Street· .arid n~•fl•r, cJty, .:sane .1nd •t•te)

6141 ·1.·es~ 9 Sth st.

AND AS.SIGNS, TO HAVE CERTIFIES THAT SAME

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READ INSTRUCTIONS ON REVERSE SI DE CAREFULLY

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,, PART C - Bl LL OF SALE

·TO PURCIIASBltt It is your respo1.sibi~itJ to detenniae~ at tilpe of purcbaae of aircraft tha.t chai:a of title to you is b order··"lfran.la.st re1iatere"d ownei. and all interven.iur owa.ers or, if aot preTioasly registered, tram ~nufactnrer t~rourh a.11 interTeniar ow•erst, and wh"etber OT aot \II.ere la a.

!;~·~~i':'~~m~!:,°~~:i:•~;m~i~i~e st~:~•\:•~:t:l~~~·l~d a~!~~!/~oBm: when fonrat'decl for reeistratioa. in your aa,ne. For use ia checking this· fonn at the tlnte 'lf pu\'ebaae, bot.b in coa.nectioa. with previou·sly unreriltere~ and preTioualy reria~ered aircraft, the following Coa.ditioas are discH111ed:

CondJtlon l -SALB· OP..:~lRCRAFT iirlTR Cl.BAR f'ITLE -The seifer will canplete Pa.rt "C" ia. detail aad-t ·purchaser il;hoa.ld check itaa.ccura.cy. Botboririna.1 and copy· mast be airaed 'in iat. by the seller and both a.ttested. to by a Notary 'Pablic. The purchaser should detach the orirbal of t);e Bill ·of S11le and retain it as proof ~povnerabip. · · .

CondJtlon 2 .- SALE OF kNa111BDBD AIRCllAi-T • O'TJIBR 't'HAN CONDITION .1 -~ir sba"ll complete Pait -~~w &8 deacdbed a.bo•e, and iD addition, \ __ ,£1 hdicate ia the spaces--proT.j.~ed for the purp.~e, the type o! encmnbr.a11.ce aad th amouatand cl&te tberedf, .and the name of tbe. owaar of the eacmnbra.11.ce. · HoweTer, if it is "'dea·tf.'84 t(at:..:.the encmnbriu1ce: be recorded wH,h dr'4... Ci.Tit lero11autica Admi1i8'tratf9.1,, tba oririnal or a.a executed ~ouaterpart thM"eo:f, (aicaed &Jld. aot.a.:rtsed duplica't.~J ama't be f()rwarded to' Civil AerOD&"rr·-7 !dminiatratioa, Ce,r:ti~iC?•\ion &l!i'Recordaticm Section, A-100, Yaabbgtou,~· _,, D.C., to1ether.witbr•cor.datlon fee of$5.00, tin addition to the n~htr•tlon

~~:a.~r.!5~~0}b:·o:t;:ii l.~:~1-r6::~ .. ~r, ~~:;~r!!:""&t ·~.~~· rt!~·: ~~.!:: not a.cceptable. I :.: ... ;. ....:.,

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ConditJ'on J • ,URC.RAPr SOi.b WITH 'CONDITIONAL SALB CONTRACT• (PO• ACA•I06' OR EQUIVAtBHT.) - P&rt ·~c~ tllili (?f Sale, wili not be camplel.~d bf the

;~!!!~~. !:~. l!"t~c!r .;"n. 'ii'fl'!~i· s!t~:· t;!' .~'i~1::; c';:,df~~~:~'tt: ~i!;ract 4>;Jl'xecuted counterpart threo!. 1si1nd aadaotarhed dapUcatel, ~·· ~t'rr..ii"'.,.d copy o! Part "A", and copy of Part "B", to1etbn with fee . ~hall . :! i!;~~~d!t ,~·stma l!~~.:!~i';;~~1!1!~~:~t~!~

0~.0;t!~t~.~~:l!r•:!J Recordation SectiOo, A-SOD, Wuhin1toD 2.5, D. C. Such r·emittan.ce may be ma.de by money· order or check m&da p&y&ble to tka Treasurer ot tbe United

~,States, . (Cur·renc:, to'rY&Tded at JOIU' risk - a tamps a.ot a.ccept&ble, 1 Title · .. t.o th• aircra.ft is reta.i~)d by tile seller uatil the tefl'l.8 of the coaditi"f\.&l

sale _con.tt'&ct.J ~re:}U~~lrfd· .... U· Con~lf';_{_- ·DCORllATION BYHOLllBlt a, IIDRT'OA0£ Olr.OTHE.R lNS'TRVMBNT.APPHCTI/10 TITL8. }b..J~l!JICT.Jfflp~.t.J.I~BAPT - Thia m&J be accompliabed by !orw&rdi11.1 to the Civi~rliiWDYf_ef/1; dm1~iatra.. tiou, CertUicatioa aad Record& tioa Section, l-300, V~A\.i:0¥-.P.;"' t1§•, the oririii•l 1ra1e or lien or aa esec1p.ed CPA•i!irt tb~. (a1Ka~d aa.4. no.J-~~1· uPlicate), to1ether wit~ . , uqp {Jtteord&t"ioa. fee of S&·.Ofin~ei oner order or clleck d'!'av ... ..,:.O tlle . loC/l,h.e,.1[e&aurer of·~ , d tates ... _g:urreDCJ' !orwa.rded. &t your· risk - k&mPe'l"'\1,l'Pc~ptahl1,"I · • , ~1 .)J;, . , .,, . ~ l\g;\\ 11". . ,

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•\\'l\~~.Jt!l iu ~",'!\ ,,;;;. . AFTER AN ENCUMBRANCE HU BEEN OED AND ASSIGNED, WILL 'E FURNISHED BY THE CU. TO THE HOLDER•

AN -ACKNOWLEOGHU::. . l __ ,L_J

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· .PAA Ail!.CllAP CAMERA 1'10.

REGISTRY / · llATE; ~//"?/8'z....

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.! .___=-,!=l!!~:vi,!,!ch!!:1!!!8::!:J ,___...,....__,.,....,.. __ ......,,._---1 ~ FOR (N••• of oorpor•tlon, pa_rtnar•IIJoJ t ! ·,

ACICNOWLEDGMEIIT

5TATEOF ~~· COUNH OF -

ON ,TKIS 7~,r OF~ 4c: , 19

BEFORE ~filALLY A~;;E ABOVE-NAUED 5£.LlER, TO ME KNOWN T.0 BE, THE PERSON DESCRIBED IN AND WKO EXECUTED TIIE FOREGOING 81 LL OF SUE, AND ACKNOWLEDGED TKAT ttE LXECUTED TttE SA.ME AS 1415 FREE A.CT ANO DEED• GIVEJ4 UNDER Jl.f ,HANO AN(! OFF.fCIAL SEAL THE DU ANO YEAR ABOVE WRITTEN•

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READ"f NSTRUCTI ONS ON REVUSE SI DE CAREFULLY . [.

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FAA All.CRAP CAMERA NO.

I.EG:tSTRY · / DATE: rfl. //? / 8'2--

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PART C - JILL Cli .SALE

TO PU1lC11ASBR: It ia your respon.aibility to ·detennine ~t · time of. put"Cbilae of airCraft that Chain of title to JOU is la order· Uran las~· r-,iatered owa.e-r and all inten-eaiar owners or, · it not Prt!!iously !"•ria.tered, trcrn manlifa.c::ta.rer through all ia t.erve•br :owners I, and wb'etber or· not ti.are is a lien, mor'tR:•r• or other a11ctimbraoce arainat aac- aircr.1i'ft. Copies of Bills of Sa.le coa.finninr chain. of title shou.ld. be .obta.bed aD.d a.ttacbed to file when. forwarded for reristratioo h. your name. Por use· in ·cbec~ial thla fonn at the time r,! purchase, boil1. in conaecuoa with pr.&vion.sly anrerist&red and previously reristered aircraft, the followinr el>Dditloaa att dbcuased:

~~ndJtlon. "i. ~ .. ·5..;_B Q~ AN Ai~cliAP1" .,,;B a.BAR r1;If-~}Tbe seller w~l1 ccmple;e P&rt ·~ in ct.eta·11 aad,tbe .. par'cbaser ebould cbeclr iiaaccuracy. • Botborieiaal aad .copy·· ~st - be siraed h. iat. b1 tb.e 1eller and both atteste-d to b:, a Notary l'abli~. TJu1· purchaser sho•ld de ta.ell. t~e oricinal of tlle Bill.of Sale aad retain it·•• proof ~f owuerabip •

. ;_~ ~onditJon 2. ~ SAL~'·i,,1BNCUNBERBD-.AIRCRAF7·· OT11sR TRAN ·~DlTION J -~r . r--:... _ :.-, sllall com.plete-..Part.~-l!~a..;.m:aet.ly-r . .u -.dEacribed ·abcrrit( alld · in. adOhion, \ •. ~'11

· t iitdica.te i.a th·e. apaCes ,piofi'ded tor the purpo1e, the type· of en.c11mbraace I and the ainouatand d&·te .... tbe·reOf, ·and tbe 1u,me of.the oner- of the encumbrance. , l However, if it is d81dred tJiat the·oncwnbr&nce be recorded with the Civil

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ub~t:[f.A!r~!:;;r~~ Admin.iatration., Certfficatioa:.aadRecordatioa Section, A-800, Wa1hhgtoa 25, D.C., toeetherwitbreC1rrd.tJO~ fee ofS:5.00, th addition to the u,l•tntJon fee of $6 .. 00) payabl8 · by mo~ey order or check d~ to the order of the 'l'reasurer of the UJ1ir~~ Stat~IS.- (Currency !orvarde!:;"at 70~ rhk - 11tainps a.ot a.cceptable.) 7 -· ~ ~ ..... CondJtlon J ~ AIRCRAri SOLD WITH CONDITIONAL SAL~JJA.~ (POg ACA-106 OR eQUl.Y.ALiiliT.) - Part "C" (Bill ot Sale) will;.."a,0,r be~pleted by the 11eller. 'I'-e pu-rchaaer shall complete Parts "!~~. "B" &l!I hsiruction11 proyide, and b place of the Bill of Sale, th~~nrh(bCo.1.ditio.1.al Sale Con.tract. or an. ,-::ecated coua.te1pa.rt thereof laiW~d 1@,(&rbed daplicate·J, 11.i. oric.,,_11.l:CILnd copy of Part "!" aad copy o~I/V. 11 11-11

- torether wit~ tee &z.:. 'Stt).,OO.q$g ~0 for refiStratiOD &Dd S5 ,00 fO!::'-feCOrdal,r~Ul Of ll&le CODtrac;t~ 11ball ·be fDt'W'arded to Civil Aeronautics Adffll~trati~~Certificatioa aa.d Recordatioa Section, A-aoo, -Vulahctoa Z&, lb C. Su1:1t remittance may be

s::: •• ~1 .TC:~;e:~~·~o~r:!:ct.;-::ur~t:~1 -~~.!!: ~::~:~1::1!~i 0T}!!! to the aircraft. is retained by the eeller until the terms of the coadhj "'l,•l eale contract ~re ta.ltllled. · ' . _ .. , :- - fJ ,t;ondl Uon 4 - RHCORllATION BYHOLDBlt o, MORTGAGB 01t,OTHE1l INSTRUIIBNT AFl'r.x::TINO TITLI! ?'O •BOISTBlfHD .. URC•An - Thia .may b• accanplbbed by forwardb.1 to the Civil A.ero11.aatic.1 Adm.bhtra.tioa, Certitic&tioa and Recordatio11 Section, A-300, Yashi:aetoa· 25, D. C., the oricin.a.l mprtrare or lien or aa execnted

~:;:i:!r~!co~~rt·~ .. f~i~o~8 is ~:t. ~~~:~i~et/!!!;a!~~r t~~·:t:~lt ~~~at!:

_tile order .of tbe 'treuurer ~t tbe Uait&d Sta.tea. (f1u·rtrftfKS.,t'dN at rour rtet - otu,pa not acceptable. 1. -~"'itootl ilVH

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AFTER AN ENCUHBRAICE HU .IEEI RECORDED AND ASS,':ftr~~!P WILL BE FURNISHED IV THE CAA TO THE HOLDER• ·• ) .,

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· FAA AillC'BAF CAMERA 1!10.

UGISTU.; / / .. . DATE:,:?<..//? 8'2--

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t~· ·FoRN Ac11-,oo >.No :tEGA L. ev·1 oFN~E c,., .. n.YfN ER"':.. j ~.:~.~- · : ·- ·_ - \ o·:y'o·:TH[ CHlt.i', REGIST!UTION ANORECOROATIOH SECTION~- CIVlli i

,' :}: -~fRO~J.UTl·cs· A, f'NIST~:l'ION, WASHP•:;:;TON 2!),D.c.-, ON J:n]j· J~ 19_!7;: ;_~:~:·· !' t~J .. ~ Tf1AT~-:.,,Jt(£" ABO, -DESCRIBED AIRCRAFT~ IS NOT REGISTEREO'UNOER-!THE LA-WS OF ANY !.· ~jj : FOREIG'Jt COUHT Y,, ANO THAT THE OWNER Tt4£R£0F 1$ ACITIZE~ OF TttE UNITED STATES

•1 -·a: AS DEFINED ~ SUBSECTION <l)J OF~~ r,F THE ~1J'~~JAUTICS ACT OF, ~ ··.~·1939. (S~11t1f•1:•r~,•.-!i~e)~ ~ .·rp~l ,' ('> r;;' ,,_':f·- :·::,. ¥~~~ -!{

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: '·t-' ,- · .. 'z . ' • SIGllAT£0FPUCUT ·~,'_:_~.-.'.~,'.f:; __ :_.·. -·,-,. ·j J -1... ,, ' l;I · r'' ,.~: ·: - · ! : ,-. . _f A LL . THE,: ABO,~ ,~:$:T ~'(E~l"ilrffS · ~RE TRUE .. A.N~- _MADE I H .GOO(!.. F A,l'T:~, THE· Al RC RAFT'

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. :: .. _.! ':( }l~;~:1~~!~~~8-::~~t~}iw~E!~~p~:T!~rr~~~~~tI~ri!~1~;,·~.~~ui~~r~~/:!: ~6~~~~~~- J. :{ ',· •WI-T~- TttE;-,ORIG"JfN~Li.OF, THIS AP_PLIC_ATION -(~~_ft:r,,{B.~J~.)~IJ:5} -BE. RETAl,N~O llf THE .j.:

_: AIRCRAFT nuR;l~G_J_uCH ·TIME· . • . • .. ,.~ ... J.

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· PAA AIRCRAF CA!(EJ.lA NO.

REGISTRY / ; DA, TE: ,fl_ //?" 8' z_.

~t;~~.:. ···~. : ~·. ,:~OUTON ~.-...:.A~,~~ , G .. :,,~~•:/ ~·~ •:·~~n'oi~.,~·;, • h~e~t ta, ~llanre 111 ae·.,~~ce,. i~fo,rnatioa fiT~~

tbeae items: ·.will be ideatlcal to. ""'.hat rit'&II in item.a :1 ta 5 ·inc;ta.ai~

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Par.t •,•.... ' · · .. ~ •. • '.!·, .. \ _' • • ,.:.· I :. vO. . ' .• • • . .

· ·!h• s •. The·,da~e t~·at the pardue.r torwarda i•• orirhal ot Part .•A• a.~'d.

·. c;;t1;r:::1:! 1 ::tie:!~ ;::ta!:fi~!:~ :~0~,1·i!;11:~:t~~: Ar.~:--!:i?~:~ inserted. ·. Un ~i.l · t hie ia accmnpliabed, t.he a_ircraft mar aot be flown. tor

-!:~a;!iJ!.:i! =8:!f~dAi!h::;!:t!!!r:;~_ ::;t:::· :!:~rthhee~ r!~uir~ate

:: _ .. A.pplicaat must., be the owner of the aircraft e:zcept ,;.hea owner la arilUcial person, .tbt. i~, corporation., etc. Siraature of applicant as .required ia hl!fll 6 certifieS ikat the &ircraft.. b aot rerietered under the laws of &n.J_foreir,.11 country; that tbeow:aer ia a cithen of·tbeUnited Statea, and that appllcation for reei~r11tion in tbe ow-11er' a aa.me Jiaa b&ea m&d4t ·and tile forwarded to tha CiTil Aerol'!autica Admhiatration., PertUie&tioa aad ReCordatiOll Section; 1-800, Waslahrton 2fi, D. c. · ·

•'CitheD of the D;ited Si.ate•" meaaa U) aa indhidu.al_. vho is a citizen· of the United Sta tea .or of" one Qt' it• poseeasiona; or (BJ ri. p&rtaer­ahip of lrhicb each memb.er is aach u iad.i1"ida11l, or (Cl a corporation or asaoct.tt.ioa created. oi-, orraaized. uader tit.e laws of the United. States, o1. V:hicb •the Pi:,.Bideat and .t,..O:...tb,ll"tis ·or· more Ot the Board ot Directors· &ad other maaar;lne · otficer"a tbereof·.·are each indi•idual.a aad la which at least T& perceanm ot th'e YotiD.r interest ia .. avaed or controlled. by peraoas ~1'0 are citil:ena of. ~he O~it&d S~atea or Ot one _of iu poaaHalo.~•· . (:._)

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· FAA AIB.CltAF CA!(ERA 110,

UGISTB.Y / . DATE; .f<_ //? /8' Z-

(DUPL_ICATE)

. DEPARTMENT Of COMMERCE CI\I.IL AfRONAllTtCS ADMINISTRATION

REGISTRATION CERTIFICATE

A75B1.

- ·· .... ··.·- ,· -r:1:-t<_·

~O •. R~~1.s~R~T..tl:J.N·.. l't: ,.· ' ,•

-WHEREAS. tr. HAS IIEEN DEC I UED ,TIIAT THE ABOVE· DESCR ,aio,.Jd.RCU,FT ·IS· °NOT REG Is-:

·~:~i~o u:~:;Er~E S~~:\ ~=c:-:;, FOHR,_E~G: E~~U~~~~ ::g I ~~E~::E\:\ A cCi'J11LZf:: I ~~R!~f z: ~~ 1:~tlUNITED 5T_ATES IN ~CCOROANCE WITH TH CIVIL AERONAUTICS ACT OF 19)8,·

!:! :;: :,: .. ~

•· m.Btii1. n',Floren

!:! _a. P,O,Box A.603 Round·Lakeei:Uh1a1a. A.DD1t£SS: ;, STRE~T • .UMflE,< J .. ..

i e CITY Lslce9z0.,

Round

,.._.::·,ir E I SSUEO

1947 ti; \' ·;~- ,. ··_··· ..,_, . ,·~-·.'

Ill1nola. ST-ATE

.:f

I N CERTIFICATE ~14A~L REMA IN IH fF.FEC,T

~:!~~ /ou~~f ~D.~OE~-~ SHIP OF A(FjCftAF:T Is TRANSFERRED a·n 11-tE CERJ t ~ 1CU E l·S 0TKERWIH TERMl'.­NATEO AS PROVIDED IN PART 501 OFT H.E AEGULAT IONS OFTI-IE AOMINrSTRATOR.

. J --"-----------------

. ··.··-· .:.

11.EGISTR.Y / · . DA TE: ~ //? / 8' Z.,

t,:-

ALL Il!PORll.lTI<ll GmN IN,·COIIPLBTING PORHS. ON RIWKRSK. ~IDB MUST.BB

,AR'r A - REGISTRATION CHTIF.ICATE

lt .. ,. • Airc~aft rerietratJ.on~n~ber·ahall be iaaerted. (Ttie' rer111tratl~n amnber \R. t;liat whlcb ltaa been ariair•ed. "to tbe:a.ircraft by Ci•il leroaaaHca Admiaiatratioa. and will be abow11 on "tbe old reriatr&Uoa certUica.te, or that· ~amb•r whicla .hu been. pa.lated oa tlle aircraft',)

. rt•• 2 ... Aircraf_~. "Hake" 8boa.ld be h.aerted. For e~amJJle: •~tin11oa 11 ,."-8tc. lt.9• :, • Munfacta.N-r1 a aerial av.mber shall· be iDaerted. Thia aerial alllhber ma.7 be tatea from. the nsaaufac n.rer1 a nameplate on the &ircraft.

l t•• , · Purchaser a hall eater !1'111 name or allffle of paruaraUp,: (Cltab, . aaaociatioa.J 0"'.'.corporatioa aa a•on in Bill of Sale (Part "C" r:l Form ACA-

600.J . .

rte. 5 • .Mailing addi'eaa. ot purctaaaer ,ahall be inaarted, campriainr Ntreet ud umber,. city and st:ate, IZooe if applicable.} · .

Tbe balance· of Part "A" will not be ccmpleted by the pu·rchaser, Tbe oriri.A&l Pt.rt "A" and d·aplicate Fartll '!'A" and "B",. and Part "C" if aa out-and-out aale lsee conditio1 IJ, will con.atinte the tile to-be forwarded to the Civil Aeroaautica AdmiaiatratiOJl, Certitication. and Recordatioo SectiOD,

!;:::, ::•::::~o:-~!!:_ 0t;• tb:cg~::111:t ~le11 T:::a:!.!6 ~:o~b:•tf:rt:d bit~:=~ (Currency forwarded at Jo,r riak - Bta.mpl!I not .acc·aptable.-,J. rt aircraft. ~a ;e~:r.:o;:i:::::r Cr:d!;;u~;b\~:e Contract or chattel mortrare, aeecoad~2J}

Tbe ori.rinal of tbia Part •A" will be returned to the parcbaaer· aa t~e Re,:b .. ration. ger.tUlcate to be m&.1!2,taiaed ·i. tb.e aircraft la accord~ace W"itb Civil Air Rerolatioaa. ·

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REGISTRY f DATE; .f<_ /r'? /8' Z-,

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. ~·/1~1-_'_:_.· __ •· ·,,;HM: A;,.ROVED '( ·F BUDOET BUREAU NO, ., ........ j L, ..

·-;/:'

1· r~·, Cu" R'EGJS·l'RATH)ti No; . [/ .

. 954$H.: . ,,_, ]:, r·---"t,

~-!.

~NO INT~~-~st~-

1:

- TRt.11011 -.. AND=IO' bis . . oiM»'AL~~s ... OMINISTRATORS ANO AS-SIGNS,_ TO'HAY_E'!

.... ~ND TO .IIOLO SINGU._lARt:Y,. TttE SAID AIRCRAFT FOREVER, AND CEIITIFIES THAT SA'ME~ :!s NOT ·suaJECT'~TO ANY MORTGAGEtiQR .OTHER ENCU1ri18RANCE C:<CEPT: • ! . ;, ·'

h,:·· i" ,,, L

TYPE OF ENCUM!~~~~-~E

None IN F,AVOR OF c-.:

:~.:. ,-DATE

i . -·--- . . -·- ... '.-·-· 1--"-!

I

I I

/

READ INSTRUCTIONS ON REVERSE SIDE CAREFULLY

.I • 1

......

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"B.EGISTRY / . DATE: .:l..//?/8'~

. ,.··

·.~;·::(l!)~;<~:ttJ¥(ic··

:,: PART C - BILL OF SALE

~ P,iJ~~ni,; Ii: la--· yonr respJ~aibilitJ to deiermbe a.t time of pu.rcbaae (!, il.irCr&t!",.that· ciaia of· tit~& ~o :,oa la in ord~r (1ran l&et_ reristered ~er. and all intenen.ia.g owners or, U aot preYioa.sly reri~t.ered, frMl ma.aufa~t.urei- tbr~arh all int,tr'f&a.iDf owuirsl.,. and wb~t!ler or aot t.bere is a lien,_· niorir&re of' ot.ber eacuinbl'&nce a.r~hat 11uc1' aircraf't. Coples of Bill.a of Sale_ Con~imiar:·c_bain of ti1tle aho11ld be nbta.iaed a.nd attaclted to Ule When forwa.rded for reriairatloa'·iD you.r name. For uae ia claectia.r this form. A~ the"ti~·-01 purchase, botb. t,tcoaaectioa with previo-uatr aareristered. and -p~yioualy rerliltered aircS'.IiJ i tile followin.r condi~ioas are discDB~: ·

Con~~tlon ;:.si£~ OF~ ~jR~A,.; rtTB ci.BAR T~TL& •'fbe seller will c lete Part "C" i.n. ldetail aqd tbe- ~urcbaaer •hoald check its accaracr. Both or rha.l u.d copy mast_ b& a~ir!;d:11D;4•k_!;,b7 ~.be ,.s,}-ler aad both attested to by •· N.otary Public;:. Tbe pure baser 18~0ald: det~~}. ~be oriria.al of the B~ll ot Sal• and ~eta in it aa proo: ~~f ~~7~hiP: : . · . · CondJ.tlon 2 • SALB OF DICVMBUim-AlRCRAirr • 0-rHBR THAN CONDITION J -Seller a.ball complete Part "C" ·ai:&Ctly; · &,ti ·des;ribed above, and b 11.d:dition, shall bdicate ia.. the spaces provided tor ·the parpose,:~be ti of enc11111br&Df-" ~ a11d the unouat_aad d~te thereof, fl.ad the name of.the ~aer- o he eacmnbranc;_ · HoveTer, U it is deairad tit.at! tb• e11.cumbi-ilnce ~ recor e with the CiT\-_..., Aeroaa.utlcs ldmiaia1:ratioa, the· fl'.:ifhal or aa ext1cgtQ co· erpart thereof, (siraed aad notarized duplicate moat· be fonra.!q;;to 1..vil Aeroaaatica Administration, Certification andRecordation Sect nA-300, llaabiDrtoa 25, D.C., toretber with i·ecord•tJon fee ofS6.DO, Ha a ic,ioa (Obe r•~htutJon fee of S&.OOJ payabh. b_y money order or c~ect'19aije te,.the order o! the Treasurer of the United St&tea. (Curreacy forv11.t'Ud,.,.t z;qur risk - stampa, aot acceptable. I ~ ~ CJ ·~

C~11dltJon 3 • A12CRA'1' SOLD rtTH F"JNDCTlO/IIAL SALc:!CiJNTR.fl:t'-· (FO& ACA··906. o• B0UIVAL.1!11T.) - Pa.rt "C" (Bill 1?~ Sale) wilEnot b~anplet~d by·tbe •eller. .The pu.rcllaser aba.11 complete ?•rte "A1t.._aad ""8".....aa iaatructioae pro'f'ide, and ia place of the Bill o.f Sa.le~ tbe oririna,l Coaditioaal Sa.le Coairact or an e:racuted coant.erpart tbereqf lai1aed a.ad aotariud daplicateJ, t~e oririnal and copy 9f Part "A" and cop7 o1 .Pa.rt "B", torether wit.la tee

:f.U 0::e0 J!;.;::d:r 1!.!t:tr& :.!~~.::~i~! -~~:: i!:~:~t:!t0 Ce0/t~:t:&~1::r~:!~ Re-cordaJioa Sectio•, A-BOO, Wu,hia.rtoa 26. D. c. Sacla remi t"taace may be ma.de bJ•.IIIOlleJ. order or:··chect1m&ckt payable to the Treasurer of tbe- United States, .1_qu·r.r.e~•.ci;.fo_rw&-ra8d: fai-,:Y,~1' riat - stamps aot acceptable. I Title to the aircra.ft:'"i:!rr•taiued bJ "tlte ••ller uatil tbe urm.s ot the coaditioaal sale contract are· tal,Ull;ed. ·

Co~dltlon 4 • RECORDA.TION BYIIOJ.DBR 01' M1RTOAO£ Oil OTHER lNSTRUIIENT ATPBCTf' ••. TITLB 'ff) Jll!OI.ST.B.RED AlRCIUrT .... .. tbis m&J be accoinpU.abed bJ fo~rdbri I

the Ch"il Aerountica-·.ldmhil!ltzt_tlo'a, .Certifica.tioa andRecordatioa Secti611,· J..-100, Vub,iarton. 26, D. c. NO~JffJim IDCtrt111.1e or liea or I.D 81:~catad

~::1:;r~!co~:_~i0:11: f~~

1~1·t&MPJ.1lliiet~ d:!!;a~~~r i:~·!~:!t ~~~ t~: tile ord•r ot the Tre&surer at· tile U-ait8d Stat.as. lCarre•cJ to"!"&rded a~. rowr riot - stamps •otf,,i"1flJ6i!"'£ 61 BlJ · ·

"INOY S!IUIIIIIHIY ,,,,, •. ' f'311t-!l'1io llliH111\f, ·)

AFTER AN ENCUMI.RANCE HAS BEElf' RECORDED ANO ASSl@NEO, AN ACKNOVlEO&MENT VILL BE FURtllSHED BY THE CAA TO THE HOLDER•

·'

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· FAA AIRCR.AF CA!fERA NO.

R.EGISTRY / DATE: .:<_ //? /8' 2-

~·

' .. '· .. : .~·.

· .PAA AIRCB.AP ~AMERA NO,.

;-.. ;.

~:.....;;_-+'---'--"-'---.,;,-,---,--,,__,,.,.,.,-=-,-c...,.'-o.~··,,.,.·.; . .c..,;.+;:,,...· ___ ;~~_: ~' (.). :i.··: ~:.~:-~,;,; :.~ :·?, .:;...

' ,. ; ~! . : .... · ... _. •. ·-·

(Sl~NA.TUR2 O~ REOISTElED OWNER)

.........

(SIGNA"J'.UR.&:,OF REGISTERED OWNERj

~-; ,NAM~_~N~ ~~~:~:Si:(O!)r~~~-~~">" R·. -"', ..:..:,~_,..:;.__-,--.:,.,----------.,:...~...,..:.;.;"'"

4,,:,z,,. ,···~ ·:·; ., .• : ... ';. .,,- ··.,..:.<1,..l -.• i·. ·. · ,:'-,,/·: •, ·. ~ _.\·,,_.: .-.• -... l' . . . .:··

• ·-·. j ,- • ,; . :; . • ·- -~ . ,.-. - . ~,;, .• ,l ,. -

. p"AiE"OF··sA· .: ;:,, "' .· · : i'.:,.·.·· .-,-:, .:. . . ,, ' ,·. ' (SIONA TUR£ OP' REGil.STEREii OW~ER)

Up~n th• transfer of OUJMr•hlp, thl• al~c .. aft •hall not be op~alal or na»lgatal·until- llae. purchaser· haa compli~. wllla the crindltlon• prescribal In ti.~~~ 1~dion• ~f Ae current CIDtl Air Regulatlort-1 applicable to the. registration ~nd transfer of ouinenhlp of alrcrqft. IF' Tt<1tS.cE·ff'f1.:1b~1·i IS ~~-~.dk':;~~~¥Rci~ED. A i>lJPt.lCATE MAY .BE OBTAINED FROM THE CEF. • . }_ CA:TE, _sECTJON. _ _.CIVIL AEAONAU.TICS ~OM.!NIST~ATION, -W!I-SHINGTON, D. c .• FOR SI.DO. (Mo, ... _-y ORDER OR CHECK SHOULD !IE MADE PAYA8L.E TO THE TR"EASURER OF THE UNITED &TATES.) .

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· FAA AIRCRAF CAMEllA NO.

R.EGISTRY / " · . DATE: ,Jl._//? /8'z.-

-·~-- ,: ... <- ·.- ··-]

• .,,, ->-APPl(cfri·oN :.ri>R10··;~;'~\ ~; :,,,

REGI s:rRifrotfcff= i. lttc~iFf}'·:' • ·._. . •.••. - ••..•.• ,, .. - • ,, •• -. ··.I

-.;·-:::;. ::_.:_ .... ·· 35_00 N .Narroga.nsett

: _ ff.1.c~!>~ rp.1110 is. ,. APPLICATION IS 'MEREBT MADE FOR THE ISSUANCE OF A REGISTRATION CERTIFI.CA.TE F0R···THE FOLLOWUG. AIRCRAFT

- '- A75Jll i.M.A~£. ··-- .. ·• . . :Boeing Stear.man ·· · ·

MODEL

CAA.lDENTlflC.t.TION.,.!ARK _ ~ I 1

•

· None · ·, ·q fl'J 14 · -I. CNECK IHETHER

X:::J -'110 l:VIO.UA,L. D PARTNERSHIP o ,ssoc, .n·,o. · D c0Rrmu.r1i>w · 6. IF PlRTtERSNa, OR UlflMCORPORATEO ASSOCIATION, LIST THE IAMES 4'10,ADliR.{SSES OF All MEMBERS"(r~- :Rll'orc S1'•n· J • n •c••••r, • .._.. Hdl tJonaJ' •h••f•.}

', .

. . · ·~; .... ;-~; : .. · ..... \ <j.· .

• . r~·- ~ : .• .

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I HE'REBT DECLARE AID AFFIRM, .THAT THE FORECi(J"ING.STATEWUT$·iRE:.TRtiE llf EVERT-RESPECT, AND. IN .TES~I.MON'I' WHE.REDF

SET NY .... · UD ~EAL T~ls . .2ou ~F O_CtObe:r··i,:;_1_9~. . . . .' · ..

......-,'-...... ·~~-~~~-'-'<-~.---C:4 .. i!,::?i!!a:,?:?::;-:Z-·-_Q-£~· -:::.cc--~~~~«G-....,,::_........=--- (S .. l)

·, . -~·:_.,, ·,,.;nuno•u~ ,·,,~ ... If jp~[l'CATIU IS NU£ FOi" IIIUSlUTIDI 1111 UNf Of PA'•'UUUIP,'·

· ~\,'(.tH·:,e)if~tl'-AT!Dl.~·Ol CDIPOliTIOl," SUPPLY TITU DF UPLltAIIT ...

•subsectl-on (lJJ of Hctlon 1L{~'\h1~·>;j;',·, 1~.~~nautlca Act of ·1938 deflnu • c:ltl.un of ihe ur\lt~d State;··.,$·

fol lows: •ch I zen of the Un It~~ .~t•t•!,r ~.~n.a1 ~ •V~n Ind Iv I du& t eho ls • c 11. tun of the Un lt•d Sta1.u or on~ of Jt• poaseulons, or (U a partner1hl"p"111fJir1t\fh~•,te,h •u1bu 11 such an lndlvldu•I, or (cJ • corporation or auo­clatlon created or organized und~rt thll-'1••~ of t~e United State, or t,f aft)' Stata, Territory~ or poueulon of

.!~~ f ::: :•:h:::!:'~r:' ,:~~c~n~~= 1:~:~.!;;.;~11;1~~1:~tt!rt:-•. :; l;~'p!·r~:.:~:11 bo:;d t:! dv1!t•t::~:n:::.,~t~j; ::::~ 1 ~~ · contro I led ~ 'I persona •ho .rt c.lt I.uni.~!~ ~h~; .U!'! tad Stat ts .or one of .lu possess Ions.

,· ;

I 21668 ' ·-------·--'------ ·-------·. ---···----'

------·""--·--------------.····-·· ··~----- -·

· PAA AIII.CllAP. B.BGI S.TB.Y . . / . .. -DATE: ,,:l_ //? /8' Z,.. CAMERA 1110·,

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·.'_\,••,: ., . -»l!Piltrimiirl'cw tli~ -·--""~~ -~--- ......... ,. .. , •. ·;·." · · · · c~~H· A.DU'J.D'l'ICI' ADMIIIITliTIOW : . : ,.:..,_ :. . ..

·niLL)>F sALE··. · . - ., .KNOW ALL· MEN;'BY. TfftSE·PI\BSENTS: That the llllders~~d is· .. the· owner ot the full

. 1&g~ and b·e~ef'i.ci~l. tit~~··. ~o the.!.:toll.owSng aircra.ft: . · · : '>

MANUFAC'tURER OF AIRCRAFT: . .. MANDFACTJJRER'S· SERIAL NO,: MODEL: . . . .. C.A.i. IDENTIFICATiON MA.BK:

. T~a,_t'_~uch t.it;_ii_': ii~- saici' aircraft 1s not subJect . to &n¥ mortgage, or other en­cuiiibrance, except as.follows:

For and in consideration of the sum of ----------------- dollars, ~--''--'..:...--~-'----~------------------~ •. the wide_r_signed~ whose.

(&41.u•r)

address is---------~-------~-'--------------------~ does this ___ day of , 19 _, selJ., grant, transfer, ar \ deliver. all of his above-described r.tght,. title, and interest in a.rui to the above-·:· describe,;i. aircra:t't, together. with such. equipment installed therein, subject·, however,

.. to any ei;icumbrances enumerated above,-unto · (Purcbaaer)

whose address is---------------~----------------- , and to executors, ·adminis tr a.tors, anil a.ssigns, to have and to !'olJi all and singular, ·the said a.ircraft forever.'

,IN TESTIMONEY WHEREOF, ---- have set ----- hand a.rui sea.l this __ day o!' ______________ , 19 __

-------------- (S£AL]

STA.'J'E OF COOIITY OF _.,......_

ACKNOWLKDGllKNT .. .. . ,

. . .- } .. ·, (IJIDIVlli'uAL OR PARTIIEI\)

(9• U•T '• algnatlire)

£ '1 .J

On this __ '-"-__ daf. of , 19 __ , l>efore me personailf appeared, the a:bove-riamed sel.ler, to me kno,m:to be the· person described 'iri· .. and who execµted the t'oregoing b:1.11 of 'sale, a.nd ,.a.c!aJowledged that he executed the SaJII(' as his f'ree act a.nd deed.·

(l;o11P011A'T1011)

On this ______ da;y. of----'-----'--'-------• 19 _, bei'ore me- appeared -,-------,-,-----------------------, t·o me ·persona.lly known; ·who, being by me duly s,worn, sa1s that he is. the'--------------'-------___________________ of the ___________________ _

.~--'--------------"------=---~-=-· corpora~iori, and that ~he seal a.ffixed to ,said instrument is the corporate sea.1 of'.,said corporati:ori, and that sald instru­ment was sign11d 'and sealed in behalf' 'of sa:id corporation "9;y !1,Uthority of the Boa.rd ot' Directors and said acknowledged t·he foregoing bill of sale to be the fr;.e ··act. and deed __ of s11i,f corP1C1~qJyM:_ .

Give_n unde~ m1 hand and _o~ficial seat the· daMff!J·"ltff(. a.bove written.

~' ~ 8! 6 0£ 1.10, M)' commission expires ___________ __, • ..;...l.9. ' · · [ J """'•,1111t101m· ,1,,:;

Nat•J'r PalfH.o.

i.

BEAL<~-.- i~l!llkH03_40 tii3nidi~.lu ~~·1a11;· . . .... .., ... ,. . ....... ~ .... - .. •···· -,,,~,---~-·-.·-,··., I !

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• PAA AIRCRAP t:AMERA NO~

Jl.EGiSTllY / · · · DATE: J<.//? /8' Z..:

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BiLL' OF SALE .le. '.!!)5123'?<&

: ·. '·111[j!j·1i.t-HBJi:BT TliBSB l'iBSUTS: . Tluit Wli 1SSBTS 1Dl!IHISTUTIOJI, orraaized aad eabtlDr aader and b7 vtriDe of. bee. u.tiT. • Order 1689,. lseued Ja.noar7 11. 194G..-l!•.r!..i,!&..Jl~r called tbe

1

. "Seller'!.), vhaee add.reaa· is Y&Slliarto11·'-S6, D •. ·c., &ad ·Yko l&aa a R•rto11al OfficetO!Df.all~a.lsa, Otlalaoaa, is authorised, by the :garplaa. Property Act of UH, aader ht•l&tloaa '-,~~- ~ ¥Ch Sarp ha Propertr let of 19U, to dlsp.·os'. of tb··.·. foll.ovla·e.4ucribo4 propert7 owned ·tit tl!i'll'•'it'tl4·Si&.tH of Amarlca aad w~lch ha beH d~-. clai:e4. st_9: .. ~~·~UTJ>lua :.P•~uant to aald Sarplv.e Prppert:J !ct of 11.c,: . . ..

. · . . .. · • . • •. . · MAR 'I A -:i PH 19&!7 . ~ .c . · l .. Boeing Aircraft :Model .R'2$-4 · . '."r{\J ,r'

Manufacturer I s sifr'llal\l::ditttilhltifCS5-496l t) \.Z ~ ~ J. Identification Nui6fll#HllSJiNJg40N · \ ·

"'.'¥\ .t . q $ lt 1, H-.'.; .. . ·, r·~

For an4·:·ln cauld~ratlo.-_of tbe ,.,. of Three Hundred Eighty-Two and no/100

.. Doil.i.n lS 382,00 l, cub b ha.ad pa.id, receipt of wblcl& ia llerebj actnowledred. Seller doea hereby sell, ·•••ira, ·transfer, aad deliver, all ·rl11&t, title aa.d h .. tareat. h. aad .to tbe abo..-e, deacrlbed e.i~raft, to-

C).:1~ther·wi~h &~l ~pparteu~·· attached ·to or iaate.~etl tbereh, aato Wj J, 1 am p Egger

3500 N, Narro~ansett, Chicaio, Ill. . ·u, (or. bieJ aucceaaon a.ad asa_iens, to ha.Ye an.d to h,old. a.11 and aia11tl.a"f the a&id aircraft foreYer •

Tbe: aa.le of the aboy&-deacribed property ii .de without repreeeatatlo.all or warra•ties· wb.tsoe••r, es­_,. ~ept tbt 11) · tbe Seller warra11ta the accan.cy of t•e d.eacriptioa, &Ad 12) if aold u aew, i•e. aaid prapertJ

~-~'t, ~:ViO:~:..:t.\b1~1a~11tr°c!n !!ts 8~!!•:a::::::::rvlli 1b1: 1r'.~~,~~z!:• a!~!~!-::d:r ::• t:: S:lf.!"{'[~~~~ i~t~i t:~-. ia fifteea 4ap a:tter dell'Yery of said property to. tlae abo?e trau.feree at the locatioa. of aale,--or, if

carried bJ a coano~ carrier, at tbe orir~a.al destiui:ion. ·

St!TB OF On.t.BD!ll,

COUIITI OF TlJL&l.

1 .. I

• JONES e ionai Director

o~ General Disposals

0a thla 3rd daJ of __ _.s..,e._p .. t.,.. ,.e,.m,..b"'e .. r ___ .....; _______ ~_ l fC9, before· me appeared

V:i-ncent L. ionaa .. pereoD&llJ DQl(D -~ beia( .. , .. d•lr aon, aap te a n .. ,ntv R.erioaal· DirectOI' for Var ~••t• .Jdmialatn.tio'•, that said batrwat wu ei"1aed b. beb&U: o~ eai'a lc1m1·a.- ·

istntioa parnnt to nthorttr 01. tu l4mialatrator, u4 .1&14 Vincent L. Jones &e:tnovled(ed. 1:bt forero~•C Bill of Sale to be 1:he tree a~t &ad deed of ·aaid ldmia.U!tr~tloa.

Ghea a&der rq ~ad Hd oUlci&l """l ••• daJ aod Jear ab~ wrlt~e ~ • /)' 1 / -f.-. . ) rt- J '". :lil . .......,f ,I,, :::::::.:2) ./ I J ~ . ''-'UVQ_c., .

/.'(.'2'\,lllrnlOit HotarJ hbllc for Tulsa Cowity, Okla •. · ... H'nf;l_!:l(H!-l "1 CcmaiAlo& bp1rea: '

~·- •.·:-· ~·;~,.~::~·;').:.![";-:-: r~P.i'.:': . -~ .. ' ; ' ! ~ ., • •

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· PAA AIB.CRAP CAl{ERA NO.

llEGISTllY / /.. DATE: tf<.//? 8'Z..-

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Roy Hazlerig ~ · · • Rt .1. box 101 Eli!;in, Illinois

Federal Aviation Agency Oklahoma City, Oklahoma Aircraft Record Section

Gentl~me:il;

Elgin, Illinois 1rarch. 3.1966

In trying to obtain a certificate ot registration tor a

Stearman (Boeing) that I'm building up, L submitted

several bill of sales and applications for re~istration • • f

I haTen't reoeivea·a notification in the past that this

The attached· .) re~istration had. been appr~ved.

It this registration has been approyed in my name and is

now in full t~rce and effect, please send me ·the preYious owners

name. I need the weight and . ~allance· ~ All 337 forms, etc. ,_

Or can you supply them for me from your records. , .­'

, ... ,

...... - ...

.. :..,.,

.. r ,

..... s.

' .

,~ ·~

UNitED STATES OF AMERICA - FEDERAL .AVIATION AGENCY

CERTIFICATE OF AIRCRAFT REGISTRATION,· NATIONALIT'f AND REGISTRATION MARKS - .

AIRCRAFT MAKE AND MODEL

N 9548.H BOEING·

0 ~LERIG ROY . W .' /4fil../RX~ N. ELGIN ,

E R

DATE OF LAST INSPECTION:·

/2-i:./.--b~x JOI ILL

UNKNOWN It is certified that the above described aircraft has been entered on the register of the Federal Aviation Agency, United States of America, in accordance with the C.Onvention on International Civil Aviation dated December 7, 1944, and with the Federal Aviation Act of 1958, and regulations issued thereunder.

DATE OF ISSUE

-SA PLE FAA Form 500 112-64> oasoLETE PREv1ous EDITION

AIRCRAFT SERIAL NO.

754961'

THIS CERTIFICATE I\ . MUST BE

CARRIED IN THE

AIRCRAIT

(8050)

Form Approved. Budget Bureau No. O.+-R976.l

NOTICE DISPOSITION OF f-lRCRAFT'llllllf

PERMANENTLY RETIRED . tr Section 501({) of the Federal Aviation Act of!958 FROM SERVICE

provides that a certificate of registration shall be con· TOTALLY DESTROYED OR elusive evidence of nationality for international pur· SCRAPPED . poses, but not in any proceeding under the laws of

OWNER HAS LOST the United States. Registration shall not be evidence U. S. CITIZENSHIP of ownenhip of aircraft in any proceeding in which such ownership by a particular person is, or may be REGISTERED OWNER HAS DIED in issue.

HAS BEEN 115 BEING> REGISTERED

This certificate immediately expires when: UNDER THE LAWS OF (Spocilyl

(a) the aircraft is registered under the laws of any foreign country; or (b) the OWNERSHIP WAS TRANSFERRED registration of the aircraft is canceled at the written request of the registered own- ON

er; or ( c) the aircraft is totally destroyed or scrapped; or (d) the ownership ofthe TO

aircraft is transferred; or ( e) thirty days (Hamel

have elapsed since the registered owner's death; or (f) the registered owner ofthe (Addroul

aircraft loses United States citizenship. Up-on expiration for any of the foregoing TITLE

reasons, please indicate disposition ofthe aircraft on this form and return this cert- SIGNATURE -ificate immediately to the FAA, Oklahoma City, Oklahoma 73119.

FAA Form 18158 tl-6!1 USE. PREVIOUI ElllTIOHI

J'aw.N,;-.~

~is--~~~Gt*-**3~_1$66, ~'Vt'fa tJw ....,i. ""'~ IJtt ~ ~ lldi8:blg ,.,,., ~ ~ ,,~ ~:l.ta ._.,._. ~~

A.~ et tt.lb aoc•ertw· • t:Utt ~ t:bt1-~ ._. t,1w ~ ~~ ..... - - Ms.,. ••:.: '1.\1 Ven~ •• ,t <* I.1Mm, X1li2lo1#. - ~ .. ~in~ 1'46

· 1-N! ••~~•.,.a, ~1 -,.111eb'_ ~-~ V. _.. .... io ~ llqf' ....... 'k • ••• , fsbe "tdl 9t'ie3t t;ll 1'1n p:tp .fliaa-.. ~ ltal1l•8l -~ • ~ -. 81~ _.. w 3:1181..,.... JJa ~ .-~ ••trl • • 11.tan-,-., ·

a. lllll.(a) ot. JMl.e bJal Slr.1' ..a&i, r.., ~ 1;lw fl.'ba..1s el: •• ,~-~

J>,. -.;u ... tat.'Nlf ~-

._ tile «s.11JWl ~ ~-.- .tJ•rs~-,. tt1NIIU4& :t.11111,; 1111!• ... - ~ ;tar, 40 .. ,0 !*:I'....... .

a.1...-. JU.. ,... ,oo..., ~.l" -J

-~~, ORIGINAL SIGNED BY JOSEPH E. KORDISH

........ ~I- as1et

.&t.#ial\~··­nrri.. ~ U.'daicc

Bill Morgan:atg:AC-353:x2l.43:3/28/66

OFFICIAL FILE COPY

CONCURRENCES RTG. SYMBOt,.

4e1.s-J

INITIAI.S/SIG.

DATE

DATE

RTCLsYMBOL

INITIALS/SIG.

DATE

RTo.SYMBOL

ibATE

RTCI,. SYMBOL,

INITIALS/SIG,

DATl!C

RTG. SYM!IOL

DATE

RTG.sYMBOL

DATE

DATE:

IN REPLY REFER TO:

SUDJECT:

, DEPARTMENT OF TRANSPORTATION l:'F'f'\r.1'>111 ""ll'Tln ... ~n~'!!!'.!!~T?.ATlON

st/7£/ AAC-250

Nq5/pf!

AERONAUTICAL CENTER P.O. BOX 25082 OKLAHOMA C'ITY', OKLAHOMA 73125 '. ::· ·.:. . .

FROM: Chief', Aircraft Registration Branch, AAC-25.0

\ ! ~-­·-.,·

TO: /2µ,;.. lk- lr A~~ l31:;£J7ld.t/. f? /~ I~~· '; > •

1 :• 60 /ol,0 .__.~,...., I ~ . . .

that at one i;ime you owned ~'i /J~A( / 6/ N'15~J7~ .~ Will yo~ plelise help us -to update

by chec ing one or more statements below? A postage-paid envelope is enclosed f'or your use. Please correct your address for us, if we have it incorrect.

Your help is appreciated.

flt/~ PAUL D. YOST

Enclosure

D Yes I own the aircraft. . fir wish to be advised of the requirements to complete registration. t=Jr would like to have the aircraft removed from the register for one of the reasons checked below.

Aircraft was exported to __ ....,,....__,.. __ ,,_ _______ (foreign country). Aircraft has been totally destroyed. Aircraft has been scrapped or salvaged. Permanently retired from service.

0No, I do not own the aircraf't. It was sold to __________ _

D T'.ae aircraft owner is -deceased. tlRemove aircraft from register. (:]Need to know requirements for registration.

Address correction:~--------------------------------------------~·

(Zip) Remarks: _____________________________________ _

Signature Title ----------------------------------

.. --:,;..-:" ·-. ·-. . :..··}..::.

0 U.S. Department of Transportation

·Office of (L/t)5Jqs1-.5rt lo

P.O. Box 25504 Aviation System Standards · Oklahoma City, Oklahoma 73125

Federal Aviation Administration

~\~f°~ ~, XL Go,~o

~--ct1

A=:;~on°;}:!::~::"/is~;o+ ~ ~l. -O and the security instrument recorded, upon your compliance with items check below.·

O , Include legal name of owner in purchaser's block on enclosed bill of sale .

. ~ubmit completed ~t Registration Application, signed in INK. Fonn enclosed.

D Application/bill of sale must be signe_din INK by _____ . ---------------Carbon ot photocopies are not acceptable.

D Show title of person signing for --------------------------'

O Check Type of Registration block (must agree with title of signer).

O Show title of signer (must agree with-Type of Registration checked). O Shownameof ______________________________ _

O Show complete description of aircrafL

'rJ Submit documentary evidence of own~hip, (bill of sale, etc.) signed in INK by the seller(s~-for eac~ change

7'inownershipfrom S-!4-r /JD§: TllJC; · to~ X Submitregistration/recordation fee of$ .5. . Please return this letter with remittance.

D. Submit authorization for _______________________ ......;... ___ _,

·O Submit certified true copy of Certificate oflncorporation/complete trust instrumenL

. O Submit certified true copy of resolution of board of directors authorizing ____________ '--

O Submit affidavit signed by trustee(s) certifying·citizenship of each beneficiary and each person who may have.

a security interest incorporated in the trust

D See Item(s) on enclosed sheet !

·i

Sincerely; , . ! , ,

. ~~\'.\CRAFT REGISTRATION BRANCh

I

Enclosure

--\-~ AC Form 8050-42 (6/92) (NSN 0052-00-544-0002)

US.Deportment of Transportation

~derat Aviation "itctmtnlstration Mike Monroney Aeronaullcal Center P.O. Box 25504 Oklahoma City, OK- 73125

Qs-lfft-1 Olllclal Business Penalty for Private Use $300

AC Form 1360-42 (7-83) (0052-0().578-0000)

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.1'3'.BAN.

F.o.:m.

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Postage and Fees Paid Federal Aviation Administration

.DOT,515

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