1. Approving Civil Aviation 2. 3.

Form Tracking Number:

Authority/Country AUTHORIZED RELEASE CERTIFICATE
R100085
FAA/United States FAA Form 8130-3, AIRWORTHINESS APPROVAL TAG

4. Organization Name and Address: ICON AEROSPACE, LLC. FAA Repa ir Station : 68IR700B 5. Work Order/Contract/Invoice Number:
2617 EXECUTIVE POINT DR. EASA Reference : EASA. 145.6295
MONROE, NC 28110 Ph: 704-821-4266 Fax: 704-821-4286 W79465
6. Item 7. Description: 8. Part Number: 9. Quantity: 10. Serial Number: 11. Status/Work:

1 INDICATOR, FLAP 2061-14-1 1 2148 REPAI RED

POSITION
12. Remarks: REPAIRED In Accordance with CMM 27-50-03 Rev. : 04 Date: JUU04/2014
The above specified unit was manufactured by: GE AVIATION

FULL DETAILS OF WORK CARRIED OUT PER COMPLIANCE WITH MANDATORY AIRWORTHINESS DIRECTIVES (ADS):
WORK ORDER NUMBER: W79465 N/A
I COMPLIANCE WITH SERVICE BULLETINS (SBs/EOs):
N/A

Certifies that the work specified in blocks 11/12 was carried out in accordance with EASA Part-145, and in respect
to that work, the component is considered ready for release to service under EASA Part 145 Approval Number EASA.145.6295

entified=above=wer 14a. [!] 14 CFR 43.9 Return to Service [!] Other regulation specified in Block 12.
'
Certifies that unless otherwise specified in Block 12, the work identified in Block 11
.. and described i n Block 12 was accomplished in accordance with Title 14, Code of
- aT.a_s:n~r.i:1:rea::&:~fOCt\-1 .r&..
= Federal Regulations, part 43 and in respect to that work, the items are approved for
rell rn to ser · ce.

= ~ ~ i -•ure l'O-Va•H•utlloi'izition No~ 14b. At horized gnature: 14c. Approval/Certificate No. :

68IR700B
ataj'datmmm!#W). 14d. Na ne(Typ I or Printed) 14e. Date (dd/mmm/yyyy)
-
- AL'~vc;:t ~NDER GARCIA 22/Mar/2018
'
-= "1/
User/Installer Responsibil ties

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

Where the user/installer performs work in accordance with the national regul ations of an airworthiness authority d ifferent than the airworthiness authority of the country specified in
Block 1,it is essential that the user/installer ensures that his/her airworthiness authority accepts aircraft engine(s)/propeller(s)/article(s)from the airworthiness authority of the country
specified in Block 1.

Statements in Block 13a and 14a do not constitute installation certification. In all cases,aircraft mainten~nce 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:0052-00-01 2-9005

 Page 1
FAA REPAIR STATION 68IR700B
WORK ORDER
EASA REFERENCE EASA.145.6295
2617 EXECUTIVE POINT DR.
MONROE, NC 28110 W79465
Ph: 704-821-4266 Fax: 704-821-4286 Date Rcvd : 11/Dec/2017
EMail: sam@iconaerospace.com

TEAR DOWN REPORT

AERO BRAVO INTERNATIONAL B.V. Cust RO#: R100085 Manual Loe: GE-073
KROMME SPIERINGWEG 476 P/N: 2061-14-1 ATA: 27-50-03
VIJFHUIZEN, NH 2141AP Rev: 04 Rev Date: 04/Jul/2014
S/N:2148
THE NETHERLANDS
Desc: INDICATOR, FLAP POSITION
Contact: MARIJN VANDENHEUVEL Mfgr: GE AVIATION Tag Date: 22/Mar/2018
Contact Ph: 31233031009
Contact Fax:
Reason Removed: UNIT RECEIVED FOR BENCH CHECK AS PER O.E.M SPEC'S

FINDINGS
RECEIVING INSPECTION:
VERIFIED UNIT DATA PLAT E, UNIT WAS RECEIVED AS BOEING PN: 10-61926-4 ON REPAIR ORDER, CORRECT PN: 2061-14-1

PRELIMINARY INSPECTIONS:
TESTED UNIT. FAILED FUNCTIONAL TEST.

HIDDEN DAMAGE:
NONE

CONTINUED INSPECTION:
TESTED. UNIT HAS CONTAMINATION AND BAD LAMPS. DISASSEMBLY IS REQUIRED.

CORRECTIVE ACTION: UNIT CONDITION REPAIRED

REPLACED LAMPS AS REQUIRED. CLEANED AND REASSEMBLED UNIT. TESTED AS PER O.E.M. SPEC'S.

SB's, AD's, EO's and RMK's:

NONE

CERTIFICATION
Service Performed: [)REPAIRED

MODIFIED TO:

PARTS AND MATERIALS

QTY PART NUMBER DESCRIPTION COND
5 7152 LAM P(S) NE

MAINTE JAt CE RELEASE

The component identified above was serviced as specif d abc lre in accordance with the current regulations of the Federal
Aviation Administration and is approved for return to se ~ice. ( ther pertinent details of the repai r are on file at this
repair station.
APPROVED FOR RETURN TO SERVICE BY: ) DATE: _ __22 _/_M_a_r/_2_0_
18_ _ _ __ _
ALEXSANDER \Gp.RC IA
FORM IAF-3116 (TOR) REV 01/ 10 www.lLSmart.'(i'mlOptitnizer © ILS eBusiness Services, Inc. Printed by ILS Optimizer
 WO Packing List
FAA REPAIR STATION 68IR700B
EASA REFERENCE EASA.145.6295 Ship Doc I81321
2617 EXECUTIVE POINT DR. Shipped MAR/22/2018
MONROE, NC 28110
# of Items 1
Ph: 704-821-4266 Fax: 704-821-4286
EMail: sam@iconaerospace.com Page 1 of 1

Bill To: Ship To:

AERO BRAVO INTERNATIONAL B.V. AERO BRAVO INTERNATIONAL B.V.
KROMME SPIERINGWEG 476 KROMME SPIERINGWEG 476
VIJFHUIZEN, NH 2141AP VIJFHUIZEN, NH 2141AP
THE NETHERLANDS
THE NETHERLANDS

Customer : ABINT Our WO : W79465 Order Date : MAR/22/2018

Terms : Credit Card Sales Person : Ship Date : MAR/22/2018
FOB : Monroe, NC Cust PO : R100085 AWB # : 771811785043
Ship Via : FED EX ECONOMY Attention : MARIJN VAN DEN HEUVELWeight : 12
Ship Account : 489371162 Phone : 31233031009 #Boxes : 1
Insure N Fax : Dimensions : 30 X 12 X 12
Resale : N/A Email : purchasing@aerobravo.aero

Item Part Number/Description CD UM Qty 8/0 Shipped/Initials

1 2061-14-1 SV EA 0
DESC: INDICATOR, FLA P POSITION
S/N: 2148

Special Instruct ions:

ro # R100085

Picture Taken: D www.lLSmart.com/OptimizE© ILS eBus1ness Services, Inc. Pri nted by ILS Opt1m12er
FORM NUMBER: ILS8920; Date: 08/10/2010