G H526144

CAGE CODE REV DATE REV LTR SPECIFICATION NO.

99193 See PDM J MC9015

9006280478

ITEM IDENTIFICATION FOR TRACEABILITY FORM

(SEE SPECIFICATION MC9015, APPENDIX 1, FOR INSTRUCTIONS FOR FILLING OUT THIS FORM)

3. Qty: 11
2b. Line Item No.
1. Item Part Number: 3860335-751 2a. Purchase Order No.: 4708620873 —

4. Supplier's or Licensee's Company Name: Honeywell Aerospace de Chihuahua (HCMO)

5. Honeywell-assigned Supplier Code or Licensee Supplier Code (as applicable): 1034

6. ITR Number / RMRA Number (if applicable): NA

7. Outside Production Shipper No. (if material is supplied by Honeywell):

ITEMS SHIPPED

Insert applicable numbers in the columns below. Mark “NA” (not applicable) in any unused blocks in the same
row with a serial number.

8. SERIAL NUMBER 9. LOT No. (Casting, Forging, 10. MASTER HEAT No. 11. SUPPLIER’S INTERNAL
(List in sequential Manufacturing or Machining (Castings / Forgings) I.D. FOR THE ITEM
order) Lot) or Batch No. (If applicable)

3860335-751 LN231034166
NA LN231034166 RC 31.6 D1801034
3860335-751 LN231034166
NA LN231034166 RC 31.6375 D1801034

Shipment items and traceability numbers matched and verified by Supplier

or Licensee prior to shipment:
Luis Terrazas
12. Signature: Date: 06/26/2023 13. Page: 1 of 1