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Fill and Sign the Uniform Residential Loan Application New Tripoli Bank Newtripolibank

Fill and Sign the Uniform Residential Loan Application New Tripoli Bank Newtripolibank

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QTY. MFG. SYMBOL MATERIAL USED PART NO./DESC. YES SERIAL NO AIRCRAFT PRICE EXT. WHITE — OFFICE APPLIANCE REPORTED DISCREPANCY MODEL COMPLAINT VERIFIED: DISCREPANCY LOCATED IN: PRELIMINARY INSP. HIDDEN DAMAGE INSP. Form 3005, Printed by: PHONE INVOICE NO. TACH REG. NO. I DATE LABOR HOURS ORDER WRITTEN BY DATE SERIAL NO. NAME YEAR NO T CUST. ORDER NO. MAKE & MODEL YES CORRECTIVE ACTION ADDRESS CITY AIRCRAFT MFG. WARRANTY: MR WB 337 YES NO TOTAL TAX FREIGHT SUBLET TOTAL PARTS TOTAL LABOR ________ @ ________ ________ @ ________ TOTAL LABOR HRS. Not responsible for loss or damage to plane or articles left in plane in case of fire, theft or any other cause beyond our control. I hereby authorize the above repair work to be done along with the necessary material, and hereby grant you and/or your employees permission to operate and fly the airplane herein described for the purpose of testing and/or inspection. An express mechanic's lien is hereby acknowledged on above airplane to secure the amount of repairs thereto. X The Equipment described was repaired and inspected in accordance with current regulations of the FEDERAL AVIATION AGENCY. It is AIRWORTHY, and is APPROVED FOR RETURN to service. NAME _________________________________________________ PINK — SHOP CERTIFICATE ________________ DATE ____________________ YELLOW — CUSTOMER

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