EFTA00811330.pdf
dataset_9 pdf 631.9 KB • Feb 3, 2026 • 11 pages
Gulfstream*
A G DYNAMICS COMPANY
Preliminary Invoice
Part/Model# GIV
AC Serial Norfail No: 1085/N1201E
Gulfstream Aerospace Corporation
7 Char Drive-Westfield,MA,01085-1493-Telephone
Mail Remittance To: Courier Remittance To: Wire Remittance To:
Gulfstream Aerospace Corporation Gulfstream Aerospace Corporation
P.O. Box 730349 Gulfstream Aerospace Corporation JP Morgan Chase Bank, NA
Dallas, Texas 75373-0349 ATTN: Treasury Manager Chicago, IL 60670
30 Innovation Drive Account No. 10-15825
Savannah, GA 31407 Fedwire Routing No. (ABA) 021 000 021
S.W.I.F.T. CHASUS33
ACH Credit Routing No. (ABA) 071 000 013
Bill To:JEGE, INC. Invoice Number:90129760
3800 SOUTHERN BLVD Invoice Date:11/15/2018
Customer ID:61388
SUITE 204
PO Number:
WEST PALM BEACH, Florida 33406 In Date:10/04/2018
USA Out Date:11/09/2018
Payment Term:Cash on Delivery
Team Manager:Charles Helwig
Title: JEGE, INC. Customer Coordinator:Matthew Landry
INVOICE SUMMARY FOR INDUCTION NOTIFICATION NUMBER: 300016796
Time & Material Flat Rate Total
Labor USD: $1,746.60 $4,473.00 $6,219.60
Pans USD: $12,506.37 $438.50 $12,944.87
Services USD: $0.00 $7,744.50 $7,744.50
Policy Prices USD $0.00 $0.00 $0.00
Detail Subtotal USD: $14,252.97 $12,656.00 $26,908.97
Tax USD: $0.00
Subtotal USD: $26,908.97
Funds on Deposit USD: $0.00
Total USD: $26,908.97
Comments:
For detailed 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 Printed: 11/15/2018 11:28:36
Page: I of II
EFTA00811330
Bill To: JEGE, INC. SN 300016796 Invoice No: 90129760
Item: 1 AIRFRAME
Item/Squawk: 50016245 Ref. Doc. Apvd:
Discrepancy: INBOUND/OUTBOUND TRAVELER - ACCOMPLISH APPROPRIATE INBOUND/OUTBOUND TRAVELER
Resolution: ACCOMPLISHED APPROPRIATE INBOUND/OUTBOUND TRAVELER
Billing Method Hours Rate Total
Services USD Flat Rate $7,744.50
Totals USD $7,744.50
Services:
Part No Description Sx santit Scll Price USD Extended USD
MISC_CHARGES Fuel Charge - Engine Runs 1.000 57,744.50 $7,744.50
Work Detail:
STEP: 1 PERFORMED INCOMING INSPECTION ON CUSTOMERS ORIGINAL R.4-1 ENGINE PIN TAY 611-8 S/N
16292 USING ENGINE /APU INBOUND TRAVELER REV NC DA TED 08/17/18
STEP: 2 COMPLIED WITH INBOUND INSPECTION IAW GULFSTREAM REPAIR STATION TRAVELER
BAF-RSQCT-001
STEP: 3 PERFORMED INCOMING INSPECTION ON CUSTOMER'S ORIGINAL Lill ENGINE P/N TAY 611-8 SIN
16291 USING ENGINE /APU INBOUND TRAVELER REV NC DA TED 08/17/18
Item: 13 ADD CUST REQUESTED MAINTENANCE
Item/Squawk: 50020834 Ref. Doc. Apvd:
Discrepancy: GIV_712053_OUTBOARD FORWARD ENGINE SUSPENSION LINK (LEFT) - NDT INSPECTION
Resolution: COMPLIED WITH CMP 712053 OUTBOARD FORWARD ENGINE SUSPENSION LINK (LEFT) - NDT INSPECTION
DEFECTS NOTED FOUND LEFT HAND LINK GAUGED AND SHOWING FUZZY INDICATIONS AT END OF
GAUGE REPRESENTATIVE OF SUBSURFACE DEFECT PER GIV NON DESTRUCTIVE TESTING MANUAL 01-000-
0 9 PAGE 3 REVISION 25,DECEMBER 15,2017. MAGNET PARTICLE INSPECTION PERFORMED PER CMP
712053 AND IN ACCORDANCE WITH GIV NON DESTRUCTI VE TESTING MANUAL 71-00-002 PAGE 607
REVISION 25, DECEMBER 15,2017. MAG PARTICLE BENCH SN 1060 CALIBRATION DUE 1/27/2019.
BLACK L IGHT S/N 90406 USED UV INTENSITY AND WHITE LIGHT INTENSITY CHECKED BY LIGHT
SENSOR 1964667 CAL DUE DATE 08/01/2019.
Billing Method Hours Rate Total
Labor USD Time & Material ST 1.500 $142.00 $213.00
Totals USD $213.00
Item/Squawk: 50020843 Ref. Doc. Apvd:
Discrepancy: GIV_712054_OUTBOARD FORWARD ENGINE SUSPENSION LINK (RIGHT) - NDT INSPECTION
Resolution: COMPLIED WITH CMP 712054 OUTBOARD FORWARD ENGINE SUSPENSION LINK (RIGHT) - NDT INSPECTION
For detailed 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 Printed: 11/15/2018 11:28:36
Page: 2 of II
EFTA00811331
Bill To: MOE, INC. SN 300016796 Invoice No: 90129760
Billing Method Hours Rate Total
Labor USD Time & Material ST 0.700 $142.00 $99A0
Totals USD $99A0
Item: 30000 GIV,G300,G400 Dual Eng CorpCare ATA 71 (Left)
Item/Squawk: 50016037 Ref. Doc. Apvd:
Discrepancy: REMOVE LH LOANER ENGINE SN 16694 & INSTL REMOVE LJH LOANER ENGINE S/N 16694 AND INSTALL
THE CUSTOMER'S ORIGINAL ENGINE S/N 16291, RETURNING FROM ENGINE SHOP INSPECTION /
MAINTENANCE. ENGINE R & I USING GIV M/M QEC PROCEDURE 71-03-02 & CMP CODES BELOW.
Resolution: RQCI - COMPLIED WITH CMP 710001 ENGINE (LEFT) - REMOVAL / INSTALLATION#REMOVED LOANER
ENGINE PN TAY 611-8 SN 16642 AND INSTALLED CUS TOMERS ORIGINAL PN TAY 611-8 SN 16291
USING GIV M/M QEC PROCEDURE 71-03-02 & CMP CODES BELOW. #MIDLIFE REWORK AND CALENDAR LIFE
REWO RK ACCOMPLISHED ON ENGINE P/N TAY 611-8, S/N 16291 BY ROLLS ROYCE CANADA, APPROVAL #
AMO 1-58. REFER TO TC FORM ONE TRACKING # 2018- 2000038 DATED 25/OCT/2018.#TSN: 9690.4
CSN: 4396 TSO: 2567.5 CSO: 1138
Billing Method Hours Rate Total
Parts USD Time & Material $410.70
Totals USD $410.70
Parts:
Part No Description uanti Sell Price USD Extended USD
MS35335-6I WASHER, TOOTH LOCK, 114 IN DIA, SS 4.000 $2.09 $8.36
X513 1-21-H CLIP 4.000 $31.12 $124.48
011157-015-20 GASKET 1.000 $108.29 $108.29
RTV106 SEALANT,ADHESIVE,2.8 O7,500 DEC F,RED 1.000 534.93 $34.93
NAS1580C3R5 BOLT,100DEG FLHD,OFS CRUCIFORM,DVTL SLOT 16.000 $2.24 $35.84
AV30-00372 CORROSION PREVNTIVE,13.5O7,AEROSOL,12/CS 2.000 549.40 $98.80
Item/Squawk: 50016105 Ref. Doc. Apvd: 40000874
Discrepancy: Engine Alternator (Left) - Removal / Installation
Resolution: COMPLIED WITII GIV CMP 242005 ENGINE ALTERNATOR (LEFT) REMOVAL/INSTALLATION.
Billing Method Flours Rate Total
Parts USD Time & Material $0.51
Totals USD $0.51
Parts:
Part No Description Quantity Sell Price USD Extended USD
For detailed 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 Printed: 11/15/2018 11:28:36
Page: 3 of II
EFTA00811332
Bill To: MOE, INC. SN 300016796 Invoice No: 90129760
MS29512-06 PACKING, PREFORMED, FUEL RESISTANT, TUBE 1.000 $0.51 $0.51
Item/Squawk: 50016107 Ref. Doc. Apvd: 40000874
Discrepancy: Engine Alternator Spline Adapter (Left) - Removal / Installation
Resolution: REMOVED LEFT ENGINE ALTERNATOR SPLINE ADAPTOR PART NUMBER 1595443-1. INSTALLED LEFT
ENGINE ALTERNATOR SPLINE ADAPTOR PART NUMBER 15 95443-1 RECEIVED FROM GULFSTREAM SAVANNAH.
REFERENCE FAA FORM 8130-3 WITH AUTHORIZATION NUMBER ODA-602216-NM, TRACKING NUMBER
800787 3862-10 DATED 17 OCTOBER 2018. IAW GIV AMM 24-01-01-RI ENGINE ALTERNATOR SPLINE
ADAPTER (LEFT) - REMOVAL /INSTALLATION.#10-50 IN LB TORQUE WRENCH ID NUMBER 1750O00 CAL
DUE DATE 12 OCTOBER 2019
Billing Method Ilours Rate Total
Parts USD Time & Material $3,926.64
Totals USD $3,926.64
Parts:
Pan No Description Quantity Sell Price USD Extended USD
1595443-1 ADAPTER SPLINE (CIMS) 1.000 $3,926.64 $3,926.64
Item/Squawk: 50016115 Ref. Doc. Apvd: 40000874
Discrepancy: Fuel System - Bleed
Resolution: COMPLIED WITH CMP 280020 FUEL SYSTEM - BLEED
Billing Method Hours Rate Total
Parts USD Time & Material $21.08
Totals USD $21.08
Parts:
Part No Description Quantity Sell Price USD Extended USD
AS20911 BOLT 2.000 S10.54 $21.08
Item/Squawk: 50016117 Ref. Doc. Apvd: 40000874
Discrepancy: Engine-driven Hydraulic Pump (Left) - Removal / Installation
Resolution: COMPLIED WITH CMP 291045 ENGINE-DRIVEN HYDRAULIC PUMP (LEFT) - REMOVAL / INSTALLATION
Billing Method Hours Rate Total
Parts USD Time & Material $2.000.27
Totals USD $2,000.27
For detailed 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 Printed: 11/15/2018 11:28:36
Page: 4 of II
EFTA00811333
Bill To: MOE, INC. SN 300016796 Invoice No: 90129760
Parts:
Part No Description Quantity Sell Price USD Extended USD
21190 ADAPTER,SPLINE 1.000 52,000.27 52,000.27
Item/Squawk: 50016134 Ref. Doc. Apvd: 40000874
Discrepancy: Nose Cowl (Left) - Removal / Installation
Resolution: TQ WRENCH USED 1457U00 CAL DUE 3/21/2019##COMPLIED WITH GIV CMP 711001 - NOSE COWL (LEFT)
- REMOVAL /INSTALLATION
Billing Method Hours Rate Total
Parts USD Time & Material $13.35
Totals USD $13.35
Parts:
Part No Description Quantity Sell Price USD Extended USD
NAS1580C3T5 BOLT, SHEAR, 100 DEG FL HD,OFS CRUCIFORM 15.000 $0.89 $13.35
Item/Squawk: 50016138 Ref. Doc. Apvd: 40000874
Discrepancy: Upper Cowl Door (Left) - Removal / Installation
Resolution: COMPLIED WITH GIV CMP 711061 UPPER COWL DOOR (LEFT) - REMOVAL / INSTALLATION
Billing Method Hours Rate Total
Parts USD Time & Material $2.30
Totals USD $2.30
Parts:
Part No Description Quantity Sell Price USD Extended USD
MS24665-227 PIN,COTTER,0.62 IN L X 0.07 IN DIA,STL 10.000 $0.23 $2.30
Item/Squawk: 50016142 Ref'. Doc. Apvd: 40000874
Discrepancy: Engine Forward Beam Outboard Suspension Link (Left) - Removal / Installation
Resolution: RQCI#COMPLIED WITH GIV CMP 712051 ENGINE FORWARD BEAM OUTBOARD SUSPENSION LINK (LEFT) -
REMOVAL/INSTALLATIONINREMOVED DAMAGED L/H E NGINE FORWARD BEAM OUTBOARD SUSPENSION
LINK
P/N 09-9023-01 S/N BAL0301 AND REPLACED WITH INSPECTED VII ENGINE FORWARD BEAM OUTBOARD
SUSPENSION LINK P/N 94756-05 S/N BAL1432. PART RECEIVED FROM GAC SAV. REFERENCE FAA FOR
8130-3 WITH TRACKING # 20061004103050, APPR OVAL # FAA CRS GR4R216M, DATED OCT, 04 2006.
ALL WORK DONE IN ACCORDANCE WITH GIV CMP 712051.
For detailed 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 Printed: 11/15/2018 11:28:36
Page: 5 of II
EFTA00811334
Bill To: MOE, INC. SN 300016796 Invoice No: 90129760
Billing Method Ilours Rate Total
Parts USD Flat Rate $389.20
Totals USD $389.20
Parts:
Part No Description Quantity Sell Price USD Extended USD
94756-05 Link assembly 1.000 5389.20 $389.20
Item/Squawk: 50016209 Ref. Doc. Apvd: 40000874
Discrepancy: Engine (Left) - Removal / Installation
Resolution: RQCI - COMPLIED WITH CMP 710001 ENGINE (LEFT) - REMOVAL / INSTALLATION#REMOVED LOANER
ENGINE PN TAY 611-8 SN 16694 AND INSTALLED CUS TOMERS ORIGINAL PN TAY 611-8 SN 16291.
#MIDLIFE REWORK AND CALENDAR LIFE REWORK ACCOMPLISHED ON ENGINE P/N TAY 611-8, SIN 16291
BY RO LLS ROYCE CANADA, APPROVAL # AMO 1-58. REFER TO TC FORM ONE TRACKING # 2018-2000038
DATED 25/OCT/2018.#TSN: 9690.4 CSN: 4396 TSO: 2567.5 CSO: 11380/TORQUE WRENCH USED
WAS ID 1750Y00 CAL DUE DATE IS 02-28-2019#
Billing Method Hours Rate Total
Parts USD Time & Material $1,097.24
Totals USD $1,097.24
Parts:
Part No Description Quantity Sell Price USD Extended USD
M83248/1-219 O-RING FLUOROCARBON 1.000 $1.05 $1.05
64CTG GREASE: SYNTHETIC,14.1OZ 1.000 528.36 528.36
MS21919WCH2 CLAMP, LOOP, 0.38 IN W X 0.2 IN DIA, STL 18.000 541.00 $738.00
NAS1297-5D20 BOLT,SHOULDER 6.000 549.15 $294.90
RTV106 SEALANT,ADHESIVE,2.8 OZ,500 DEC F,RED 1.000 534.93 534.93
Item/Squawk: 50016218 Ref. Doc. Apvd: 40000874
Discrepancy: Engine Starter Oil Level (Left) - Check
Resolution: COMPLIED WITH CMP 801011 ENGINE STARTER OIL LEVEL (LEFT) - CHECK#TQ WRENCH ID #
1750O00#NEXT CAL DUE 12 OCT 2019
Billing Method Ilours Rate Total
Parts USD Time & Material $64.91
Totals USD $64.91
For detailed 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 Printed: 11/15/2018 11:28:36
Page: 6 of II
EFTA00811335
Bill To: JEGE, INC. SN 300016796 Invoice No: 90129760
Parts:
Part No Description Quantity Sell Price USD Extended USD
S9809-3 GASKET 2.000 $10.72 $21.44
S9809-6 GASKET, C 2.000 $7.27 $14.54
2380 OIL, TURBO, 1 QT 1.000 528.93 $28.93
Item/Squawk: 50021688 Ref. Doc. Apvd:
Discrepancy: GIV_761021_ENGINE CONTROL - RIGGING
Resolution: VOID
Billing Method Hours Rate Total
Parts USD Time & Material $25.35
Totals USD $25.35
Parts:
Part No Description Quantity Sell Price USD Extended USD
GAS13F23 SEAL, PRESS 1.000 525.35 $25.35
Item: 30001 Discrepancies - GIV,G300,G400 Dual Eng CorpCare ATA 71 (Left)
Item/Squawk: 50021106 Ref'. Doc. Apvd:
Discrepancy: WHILE PERFORMING PYLON INSPECTION ON LII SIDE NOTED FIXED COWL ACCESSORY DOOR CANNON
PLUG TO BE UNSERVICEABLE.
Resolution: REMOVED DEFECTIVE CANNON PLUG P/N MS3126F12-10SW. INSTALLED NEW SECURITY SYSTEM ENGINE
COWLING CANNON PLUG P/N MS3126F12-10SW. ALL WORK DONE I/A/W GAC SAV DWG: SC41 456019
Billing Method Hours Rate Total
Labor USD Flat Rate $852.00
Parts USD Flat Rate $49.30
Totals USD $901.30
Parts:
Part No Description Quantity Sell Price USD Extended USD
MS3126F12-10SW CONNECTOR, CIRCULAR,PLG, SIZE 12 1.000 549.30 549.30
Item/Squawk: 50022157 Ref'. Doc. Apvd:
Discrepancy: WHILE PERFORMING ENGINE RIG CHECKS NOTED LII THROTTLE HAD A SLIGHT BINDING
Resolution: VISUALLY INSPECTED LH ENGINE THROTTLE CABLE AT LII PYLON AND NOTED TORN UPPER CABLE
For detailed 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 Printed: 11/15/2018 11:28:36
Page: 7 of II
EFTA00811336
Bill To: JEGE, INC. SN 300016796 Invoice No: 90129760
PRESSURE SEAL IN BETWEEN CABLE AND TELEFLEX CABLE PULLEY. REMOVED DEFECTIVE PRESSURE
SEAL P/N: GASI3F23 NSN. WITH INSPECTOR APPROVAL - INSTALLED NEW PESSURE SEAL P/N:
GAS13F23 NSN. CYCLED LH THROTTLE AND NOTED NO BINDING.
Billing Method Hours Rate Total
Labor USD Time & Material ST 3.600 $142.00 $511.20
Totals USD $511.20
Item/Squawk: 50022162 Ref. Doc. Apvd:
Discrepancy: WHILE PERFORMING PYLON INSPECTIONS NOTED BROKEN NUTPLATE UNDER UPPER FWD PYLON BOARD
AT
APPROX. FS 526
Resolution: REMOVED BROKEN NUTPLATE PN: MS21060L3 UNDER LH UPPER PYLON PANEL AT FS 526. INSTALLED NEW
NUTPLATE PN: MS21060L3 UNDER UPPER FWD PYL ON PANEL AT FS 526. WORK DONE IAW GAC DRAWING:
1159P41902 REV G.
Billing Method Hours Rate Total
Labor USD Time & Material ST 2.400 $142.00 $340.80
Parts USD Time & Material $2.91
Totals USD $343.71
Parts:
Part No Description Quantity Sell Price USD Extended USD
MS21060L3 NUT, PLATE, TWO LUG, FLOATING 1.000 $1.53 $1.53
CCR264CS3-2 RIVET, CHERRY, 0.19 IN L X 3/32 IN DIA 2.000 $0.69 S1.38
Item: 35000 GIV,G300,G400 Dual Eng CorpCare ATA 71 (Right)
Item/Squawk: 50016108 Ref. Doc. Apvd: 40000874
Discrepancy: Engine Alternator Spline Adapter (Right) - Removal / Installation
Resolution: REMOVED RIGHT ENGINE ALTERNATOR SPLINE ADAPTOR PART NUMBER 1595443-1. INSTALLED RIGHT
ENGINE ALTERNATOR SPLINE ADAPTOR PART NUMBER 1 595443-1 RECEIVED FROM GULFSTREAM SAVANNAH.
REFERENCE FAA FORM 8130-3 WITH AUTHORIZATION NUMBER ODA-602216-NM, TRACKING NUMBER 80078
73862-10 DATED 17 OCTOBER 2018. IAW GIV AMM 24-01-01-RI ENGINE ALTERNATOR SPLINE ADAPTER
(RIGHT) - REMOVAL / INSTALLATION.#10-50 IN LB TORQUE WRENCH ID NUMBER 1750U00 CAL DUE
DATE 12 OCTOBER 2019
Billing Method Flours Rate Total
Parts USD Time & Material $3,926.64
Totals USD $3,926.64
For detailed 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 Printed: 11/15/2018 11:28:36
Page: 8 of II
EFTA00811337
Bill To: MOE, INC. SN 300016796 Invoice No: 90129760
Parts:
Part No Dcscription Quantity Sell Price USD Extended USD
1595443-1 ADAPTER SPLINE (CIMS) 1.000 $3,926.64 53,926.64
Item/Squawk: 50016112 Ref. Doc. Apvd: 40000874
Discrepancy: Engine Overheat Switch (Right) - Removal / Installation
Resolution: COMPLIED WITH CMP 261250 ENGINE OVERHEAT SWITCH (RIGHT) - REMOVAL /INSTALLATION#REMOVED
LH OVERHEAT SWITCH PN 17343-83-860 NSN (BAT CH # 1813) AND SENT TO GAC SAV FOR TRIP POINT
INSPECTION. RECEIVED AND INSTALLED SAME INSPECTED SWITCH. TORQUE WRENCH ID IS 1750Y00
WITH A CAL DUE DATE OF 02-28-19. TORQUE WRENCH ID IS 1750U00 CAL DUE DATE OF 31- OCT-2019.
Billing Method Hours Rate Total
Parts USD Time & Material $1.61
Totals USD $1.61
Parts:
Part No Description Quantity Sell Price USD Extended USD
NAS1149C0432R WASHER, FLAT. 7.000 $0.23 $1.61
Item/Squawk: 50016133 Ref. Doc. Apvd: 40000874
Discrepancy: Engine - Operational Test
Resolution: RQCI - COMPLIED WITH CMP 710031 ENGINE - OPERATIONAL TEST
Billing Method Hours Rate Total
Parts USD Time & Material $173.58
Totals USD $173.58
Parts:
Part No Description Quantity Sell Price USD Extended USD
2380 OIL, TURBO, 1 QT 6.000 S28.93 5173.58
Item/Squawk: 50016210 Ref. Doc. Apvd: 40000874
Discrepancy: Engine (Right) - Removal / Installation
Resolution: RQCI - COMPLIED WITH CMP 710002 ENGINE (RIGHT) - REMOVAL / INSTALLATION#REMOVED LOANER
ENGINE PN TAY611-8 SN 16642 AND REPLACED WITH CUSTOMERS ORIGINAL REPAIRED ENGINE PN
TAY611-8 SN 16292. #MIDLIFE REWORK AND CALENDAR LIFE REWORK ACCOMPLISHED ON ENGINE P/N
TAY 6l 1-8, S/N 16292 BY ROLLS ROYCE CANADA, APPROVAL # AMO 1-58. REFER TO TC FORM ONE
TRACKING # 2018-2000040 DATED 31/OCT/2018.#TSN: 9710.3 CSN: 4402 TSO: 2567.5 CSO:
1138triORQUE WRENCH USED WAS ID 1750Y00 CAL DUE DATE IS 02-28-2019
For detailed 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 Printed: 11/15/2018 11:28:36
Page: 9 of II
EFTA00811338
Bill To: JEGE, INC. SN 300016796 Invoice No: 90129760
Billing Method Ilours Rate Total
Parts USD Time & Material $104.04
Totals USD $104.04
Parts:
Part No Description Quantity Sell Price USD Extended USD
UP60024 WASHER 2.000 511.35 522.70
UP60024 WASHER 2.000 511.35 522.70
AS20912 BOLT,DOUBLE HEXAGON HEAD 2.000 512.93 525.86
MS20995C.032 WIRE,SAFETY,.032 IN DIA,' LB,SS 2.000 S16.39 532.78
Item: 35001 Discrepancies - GIV,G300,G400 Dual Eng CorpCare ATA 71 (Right)
Item/Squawk: 50021085 Ref. Doc. Apvd:
Discrepancy: WHILE C/W GIV CMP 710002 RH ENGINE R&I NOTED AREA OF CHAFING ON VIBRATION SENSOR WIRES
AT TOP OF ENGINE.
Resolution: VISUALLY INSPECTED CHAFING AREA OF VIBRATION SENSOR WIRES ON TOP OF RH ENGINE AND FOUND
MINOR NICKS IN GUTTER TEFLON WRAP, NO DAMAGE NOTED TO INNER WIRING. APPLIED CHAFE
PROTECTION AS NEEDED TO PREVENT FUTURE CHAFING. REFERENCED RR TAY-611-8 EMM 71-50-01-300-
001 F OR WORK PERFORMED.
Billing Method Hours Rate Total
Labor USD Time & Material ST 1.600 $142.00 $227.20
Totals USD $227.20
Item/Squawk: 50021105 Ref. Doc. Apvd:
Discrepancy: WHILE C/W GIV CMP 783002 RH THRUST REVERSER R&I, NOTED SPINNING TR MOUNT STUD.
Resolution: REMOVED STUD, CLEANED STUD AND HOLE AND REINSTALLED PER RR TAY 611-8 MM 70-42-10-300-02.
TQ WRENCH USED 1457U00 CAL DUE 3/21/2019
Billing Method Hours Rate Total
Labor USD Time & Material ST 2.500 $142.00 $355.00
Totals USD $355.00
Item/Squawk: 50021180 Ref. Doc. Apvd:
Discrepancy: WHILE INSPECTING RH ENGINE HARNESS NOTED T2.6 THERMAL UNIT CANNON PLUG TO HAVE BROKEN
BACKSHELL
Resolution: INSTALLED NEW CONNECTOR PIN BTRI208-03SD. NEW PART RECEIVED FROM ROLLS-ROYCE APPROVAL
NUMBER: UK.21G.2009. REFERENCE FaSA FORM I W ITH FORM TRACKING NUMBER CN SD000549-001-01,
DATED 04 NOV 2018. ALL WORK DONE UMW G-IV W.M. 75-22-00
For detailed 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 Printed: 11/15/2018 11:28:36
Page: 10 of II
EFTA00811339
Bill To: MOE, INC. SN 300016796 Invoice No: 90129760
Billing Method Hours Rate Total
Labor USD Flat Rate $2,556.00
Totals USD $2,556.00
Work Detail:
STEP: I REMOVED SERVICEABLE BACK SHELL P/N BTRI208-03SD FROM LEFT ENGINE T2.6 THERMAL UNIT
CANNON PLUG. REMOVED BROKEN BACK SHELL P/N BTR12 08-03SD FROM T2.6 THERMAL UNIT CANNON
PLUG. INSTALLED SERVICEABLE BACK SHELL P/N BTR1208-03SD ON T2.6 THERMAL UNIT CANNON PLUG.
AL L WORK DONE I/A/W G-IV W.M. 75-22-00
STEP: 2 INSTALLED NEW CONNECTOR P/N BTR1208-035D. NEW PART RECEIVED FROM ROLLS-ROYCE
APPROVAL NUMBER: UK.21G.2009. REFERENCE EASA FORM 1 W ITH FORM TRACKING NUMBER CN
SD000549-001-01, DATED 04 NOV 2018. ALL WORK DONE I/A/W G-IV W.M. 75-22-00
Item/Squawk: 50022555 Ref'. Doc. Apvd:
Discrepancy: WHILE PERFORMING ENGINE GROUND RUNS NOTED RH P3 LIMITER WAS LEAKING
Resolution: REMOVED LEAKING RH ENGINE P3 LIMITER/AIR POTENTIOMETER ASSEMBLY WITH P/N 77349591, NSN.
REPLACED WITH NEW GASKETS USING P/N 77873641 , 77873643, AND 77873640. INSTALLED RH
ENGINE P3 LIMITER/AIR POTENTIOMETER ASSEMBLY WITH P/N 77349591, NSN. WORK DONE PER TAY
611-8 EMM 73-21-01-400-003. LEAK CHECKED WITH NO FURTHER DEFECTS NOTED.#TORQUE WRENCH ID:
1750Y00 DUE DATE: 2/15/2019
Billing Method Hours Rate Total
Labor USD Flat Rate $1,065.00
Parts USD Time & Material $735.24
Totals USD $1,800.24
Parts:
Part No Description Quantity Sell Price USD Extended USD
77873641 GASKET 1.000 4280.80 $280.80
77873642 GASKET 1.000 $96.13 596.13
77873643 GASKET 2.000 $146.44 $292.88
77873640 GASKET 1.000 565.43 565.43
Work Detail:
STEP: I REMOVED LEAKING RH ENGINE P3 LIMITER/AIR POTENTIOMETER ASSEMBLY WITH P/N 77349591,
NSN. REPLACED WITH NEW GASKETS USING P/N 77873641 , 77873643, AND 77873640. INSTALLED RH
ENGINE P3 LIMITER/AIR POTENTIOMETER ASSEMBLY WITH PIN 77349591, NSN. WORK DONE PER TAY
611-8 EMM 73-21-0I-400-003.#TORQUE WRENCH ID: 1750Y00 DUE DATE: 2/15/2019
STEP: 2 LEAK CHECKED P3 LIMITER WITH NO DEFECTS NOTED.
For detailed 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 Printed: 11/15/2018 11:28:36
Page: II of II
EFTA00811340
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