EFTA00622746.pdf

Gulfstream' O COVIOAMICO COMPANY PRELIMINARY INVOICE Part/Model #: GIV AC Serial No./Tail No.: 1085 / N212JE Bldg C.-FAX 561-681-9392 - West Palm Beach, Florida 33406 Mail Remittance To: Overnight Remittance To: Wire Remittance To: Gulfstream Aerospace Corporation Gulfstream Aerospace Corporation (Box # 730349) Gulfstream Aerospace Corporation P.O. Box 730349 do JP Morgan Chase Bank, NA JP Morgan Chase Bank, NA Dallas, Texas 75373-0349 ATTN: Dallas National Wholesale LockboxTX1-0029 Chicago, IL 60670 14800 Frye Road Account No. 10-15825 Ft. Worth, TX 76155 Fedwire Routing No. (ABA) S.W.I.F.T. ACII Credit Routing No. (ABA) IALALLJHunlInJull Invoice Number: 7117000541 Bill To: JEGE LLC Invoice Date: 3/19/2017 C/O GALAXY AVIATION INC Customer ID: BJ419 ATTN: LARRY VISOSKI P.O. Number: 3800 SOUTHERN BLVD, SUITE 204 Repair Station: FAA CRS PB8R624N WEST PALM BEACH, Florida 33406 In Date: 03/07/2017 United States Out Date: 03/08/2017 Payment Type: Credit Card - AMEX Payment Terms: Title: JEGE LLC INVOICE SUMMARY FOR WORK ORDER NUMBER: SC20066 lime & Materials Flat Rate Total Labor USD: $7,164.50 $644.00 $7,808.50 Services USD: $3,012.97 $0.00 $3,012.97 Detail Subtotal USD: $10,177.47 $644.00 $10,821.47 Subtotal USD: $10,821.47 Funds on Deposit USD: $0.00 Total USD: $10,821.47 For detail description of the work complied with see the Work Order Detail report. Unless otherwise indicated, all financial values listed in this document are in US Dollars (USD). GAC_WorkOoderPrelintinaryInvoice.rpt 2011 Page I of 6 Printed: 3/21/201712:18:56P1 Rai EFTA00622746  Bill To: JEGE LLC WO H: SC20066 Invoice Number: 7117000541 Item: 1 Airframe Gulfstream Road Trip GIV N212JE Team Manager: Jorge Hernandez Part/Model tk GIV Customer Coordinator: Elizabeth Ronayne AC Serial No)Tail No.: 1085 / N212JE TSN/TSO: CSN/CSO: Aircraft Time: Discrepancy: 1.1 Return to Service Resolution: ACTT: 9497.2 ACTL: 4341 DATE: 03/07/2017 I certify that the maintenance listed was performed in accordance with current Federal Aviation Regulations and is approved for return to service with regards to the maintenance accomplished. Further details are on file at this repair station under the above work order. A copy of the work order has been provided to the operator. Todd Cuinn. Airworthiness DQR Gulf-stream West Palm Beach, FL 33406 FAA CRS PB8R624N Labor USD: NO Charge N/ C Discrepancy: 1.2 Technician Travel Time (Depart ) Technician Travel time (Return) Travel from PSI to Resolution: Technician Travel Time (Depart ) FLL to St Thomas Technician Travel time (Return) St Thomas to FLL Travel from PBI to St Thomas Todd Cuinn and Richard Wan Billing Method flours Rate Total Labor USD: Time and Material ST 30.00 ® 5161.00 54,830.00 Total USD: 54,830.00 Discrepancy: 13 Comply with Travel Expenses as Required For detail description of the work complied with see the Work Order Detail report. Unless otherwise indicated, all financial values listed in this document are in US Dollars (USD). GAC_WorkOnderPrelintinaryInvoice.rpt 2011 Page 2 of 6 Printed: 3/21/2017 12:18:56P1 Rai EFTA00622747  Bill To: JEGE LLC WO A: SC20066 Invoice Number: 7117000541 Resolution: MEALS LODGING CAR RENTAL GAS PARKING/TOLLS BAGGAGE FEES PER DIEM MILEAGE WORK PERMITS OTHER Billing Method flours Rate Total Labor USD: No Charge N/ C Services USD: Time and Material $2,111.47 Total USD: $2,111.47 Services: Ref. No. Description Quantity Sell Price USD Extended USD 13 #1 Travel - Expenses 1.00 51,001.62 $1,001.62 13 #2 Travel - Expenses 1.00 51,109.85 $1,109.85 Discrepancy: 1.4 Airline Tickets Only (DO NOT CLOSE) Resolution: CW Billing Method Flours Rate Total Services USD: Time and Material $901.50 Total USD: $901.50 Services: Ref. No. Description Quantity Sell Price USD Extended USD 1.4 #1 Travel - Airline 1.00 $450.75 $450.75 1.4 #2 Travel - Airline 1.00 $450.75 $450.75 Discrepancy: 1.5 Time for preparation prior to departure and recovery upon return. Resolution: Complied with Time for preparation prior to departure and recovery upon return. Billing Method !lours Rate Total Labor USD: Flat Rate $644.00 Total USD: $644.00 For detail description of the work complied with see the Work Order Detail report. Unless otherwise indicated, all financial values listed in this document are in US Dollars (USD). GAC_WorkOoderPrelintinaryInvoice.rpt 201! Page 3 of 6 Printed: 3/21/2017 12:18:56P? Rai EFTA00622748  Bill To: JEGE LLC WO #: SC20066 Invoice Number: 7117000541 Discrepancy: 1.6 Review RSM and QCM SOP Road Trip Debrief Documentation Procedures with QC Department prior to departure. Resolution: Reviewed RSM and QCM SOP Road Trip Debrief Documentation Procedures with QC Department prior to departure. Discrepancy: 1.7 Review RSM and QCM SOP Road Trip Debrief Documentation Procedureswith QC Department upon return. Resolution: Reviewed RSM and QCM SOP Road Trip Debrief Documentation Procedureswith QC Department upon return. Discrepancy: 1.8 Inbound / Preliminary Inspection of area where maintenance is to be performed. Resolution: Complied with inbound / Preliminary Inspection of area where maintenance is to be performed. Discrepancy: 1.9 Outbound / Preflight Inspection of area where maintenance has been performed. Resolution: Outbound / Preflight Inspection of area where maintenance has been performed. Discrepancy: 1.10 List Operator's Airworthiness Requirements and Special Documentation Requests. Resolution: N/A Discrepancy: 1.11 Tool Clearance (SOI' 3.028). Resolution: All tools accounted for and off the aircraft For detail description of the work complied with see the Work Order Detail report. Unless otherwise indicated, all financial values listed in this document are in US Dollars (USD). GAC_WorkOrderPrelintinaryInvoice.rpt 2011 Page 4 of 6 Printed: 3/21/2017 12:18:56P1 Rai EFTA00622749  Bill To: JEGE LLC WO /k SC20066 Invoice Number: 7117000541 Discrepancy: 1.12 Dispatch the following personnel: (Technician name(s) and location). Resolution: Dispatch the following personnel: Todd Guinn and Richard Wan. Labor USD: No Charge N/ C Discrepancy: 1.13 Upon Return contact Return to Service Office to generate Logbook Entries and forward to customer. Resolution: Contacted Return to Service Office to generate Logbook Entries and forward to customer. Discrepancy: 1.14 Time waiting for operator and ramp access to aircraft, and parts, Resolution: N/A Item: 6 Discrepancies Team Manager: Jorge Hernandez Part/Model #: Customer Coordinator: Elizabeth Ronayne AC Serial No)Tail No.: TSN/TSO: CSN/CSO: Aircraft Time: Discrepancy: 6.1 Baggage door is off tracks. Resolution: Verified baggage door had come off the tracks. Customer had attempted to install the door and previously removed interior covering and door cables. Removed the covering on the baggage door. Installed baggage door P/N 1159B20046-1 S/N 1084 back on the tracks along with door cables and all the baggage interior coverings. All work done 1/A/W CIV M.M. chapter 52-30-00 and CMP code 523001, 521008 with no defects noted Billing Method Flours Rate Total Labor USD: Time and Material ST 8.50 ® $161.00 $1,368.50 Labor USD: Time and Material OT 4.00 ® $241.50 $966.00 'total USD: $2,334.50 Discrepancy: 6.2 CMP GIV 523001 Baggage Door - Removal / Installation For detail description of the work complied with see the Work Order Detail report. Unless otherwise indicated, all financial values listed in this document are in US Dollars (USD). GAC_WorkOnderPreliminaryInvoice.rpt 2011 Page 5 of 6 Printed: 3/21/2017 12:18:56P? Rai EFTA00622750  Bill To: JEGE LLC WO it: SC20066 Invoice Number: 7117000541 Resolution: COMPLIED WITH CMPGIV 523001 Baggage Door - Removal / Installation Discrepancy: 6.3 CMP GIV 521009 Baggage Door Inflatable Seal Sys - Ops Test Resolution: COMPLIED WITH CMPGIV 521009 Baggage Door Inflatable Seal Sys - Ops Test Communications concerning disputed debts, including a check or other instrument tendered as full satisfaction of a debt, must be forwarded to: Gulfstream Aerospace Attn: Credit Manager M/S B-05 PO BOX 2206, Savannah, GA 31402 For detail description of the work complied with see the Work Order Detail report. Unless otherwise indicated, all financial values listed in this document are in US Dollars (USD). GAC_WorkOnderPrelintinaryInvoice.rpt 2011 Page 6 of 6 Printed: 3/21/2017 12:18:56P1 Rai EFTA00622751