RETURN INSTRUCTIONS
1. Please complete and detach bottom portion of form
2. Fill out accompanying Unit Failure Data Sheet
3. Return paperwork (items 1 and 2 above) and equipment to address below
Please return the CORE/RENTAL to:
Wichita Service Center
Rockwell Collins, Inc.
2051 Airport Road
WICHITA KS 67209-1949
USA
Please Detach and Return Bottom Portion
___________________________________________________________________________________
Transaction Type: EXCHANGE
Pool Order: 3213568 Shipped Serial No: 4FKG18
Material: 822-1543-201 Expected Serial No:
Returned Serial No: __________
Customer Sold To: GULFSTREAM AEROSPACE CORPORATI
Customer Returning: _____________________________
Contact Name: _____________________________ Contact Phone:__________
Email Address: _____________________________
Purchase Order Number: SAPO19-46668 Aircraft Type: Gulfstream G150
Aircraft Tail No: N963CH Aircraft Serial No: 0316
Contract: Yes No Contract Number:____________
Warranty: Yes No