Form P-4 · Page 1 of 2 | 1. Approving civil aviation authority / countryCASA – AUSTRALIA | AUTHORISED RELEASE CERTIFICATECASA FORM 1 | 3. Form tracking numberGG52688 | |||
| 4. Organisation name and addressInFlight Graphics Pty Ltd Factory 6, 1–3 Frederick Street, Sunbury VIC 3429, Australia | 5. Work order / contract / invoice610802 Ambulance Victoria – Air Operations | ||||
| 6. Item | 7. Description | 8. Part number | 9. Quantity | 10. Serial number | 11. Status / work |
|---|---|---|---|---|---|
| 1 | See Attached Pages 2 to 2 | See Attached Pages 2 to 2 | 329 | N/A | NEW |
| 12. RemarksThe parts identified above were manufactured in accordance with approved design data and are in a condition for safe operation. Task card 52688. Manufactured under the InFlight Graphics Procedures and Quality Manual IG001 Rev 10 and Process Specification Manual IFGPS01 Rev 10. | |||||
| 13a. Certifies that the items identified above were manufactured in conformity to: ✓ Approved design data and are in a condition for safe operation Non-approved design data specified in block 12 | 14a. Maintenance release (CASR Part 145) Other regulation specified in block 12 Not applicable — new parts | ||||
| 13b. Authorised signatureDaniel Burton | 13c. Approval / authorisation numberPA-592089 | 13d. NameDaniel Burton | 13e. Date (d/m/y)21/10/2025 | ||
CASA Form 1 · Authorised Release Certificate · InFlight Graphics Pty Ltd, CASA Process Approval PA-592089
ATTACHMENT TO CASA FORM 1
Form tracking number GG52688 · PO 610802 · Ambulance Victoria – Air Operations
| Item | Part image | P/N ordered | Description | Qty | Shelf life | Authorised document |
|---|---|---|---|---|---|---|
| 1 | AV-0078 INFG PN 6156B | LIVERY – TAIL LOGO – PORT | 1 | 1/07/2027 | AAV-EO-AW139-11-0001 | |
| 2 | AV-0079 INFG PN 6157 | LIVERY – FUSELAGE TITLES – PORT | 1 | 1/07/2027 | AAV-EO-AW139-11-0002 | |
| 3 | AV-0080 INFG PN 6158B | LIVERY – FUSELAGE TITLES – STBD | 1 | 1/07/2027 | AAV-EO-AW139-11-0003 | |
| 4 | AV-0081 INFG PN 6159 | LIVERY – ENGINE COWL BRANDING | 1 | 1/07/2027 | AAV-EO-AW139-11-0004 | |
| 5 | AV-0082 INFG PN 6160 | LIVERY – WINGLET DECAL SET | 1 | 1/07/2027 | AAV-EO-AW139-11-0005 | |
| 6 | GM-SVC-0000-9227 INFG PN 9227 | SERVICE – LIVERY INSTALLATION – LABOUR (PER HOUR) | 284 | N/A | — | |
| 7 | GM-SVC-0000-9229 INFG PN 9229 | SERVICE – LIVERY DESIGN & ARTWORK (PER HOUR) | 40 | N/A | — |
Shelf life = the earliest expiry (SLX) across the jobs that made each line.Released by Daniel Burton · 21/10/2025