Form P-4 · Page 1 of 3 | 1. Approving civil aviation authority / countryCASA – AUSTRALIA | AUTHORISED RELEASE CERTIFICATECASA FORM 1 | 3. Form tracking numberGG52939 | |||
| 4. Organisation name and addressInFlight Graphics Pty Ltd Factory 6, 1–3 Frederick Street, Sunbury VIC 3429, Australia | 5. Work order / contract / invoice663152 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 3 | See Attached Pages 2 to 3 | 157 | 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 52939. 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)28/08/2026 | ||
CASA Form 1 · Authorised Release Certificate · InFlight Graphics Pty Ltd, CASA Process Approval PA-592089
ATTACHMENT TO CASA FORM 1
Form tracking number GG52939 · PO 663152 · Ambulance Victoria – Air Operations
| Item | Part image | P/N ordered | Description | Qty | Shelf life | Authorised document |
|---|---|---|---|---|---|---|
| 1 | AV-0153 INFG PN 6231 | PAINT MASK – VH-AMS REGISTRATION – WING | 1 | 28/06/2027 | AAV-EO-KINGA-11-0004 | |
| 2 | AV-0118 INFG PN 6196 | PLACARD – DO NOT THROW OBJECTS IN TOILET | 2 | 21/10/2026 | AAV-EO-KINGA-11-0005 | |
| 3 | AV-0011 INFG PN 6089C | PLACARD – RESCUE CUT HERE | 10 | 6/06/2028 | AAV-EO-AW139-11-0006 | |
| 4 | AV-0132 INFG PN 6210C | PLACARD – DOOR MODE ARMED / DISARMED | 60 | 21/10/2026 | AAV-EO-KINGA-11-0001 | |
| 5 | AV-0151 INFG PN 6229B | ID PLATE – VH-AMS FIREPROOF ID PLATE | 1 | N/A | AAV-EO-KINGA-11-0002 | |
| 6 | AV-0139 INFG PN 6217B | PLACARD – NO SMOKING | 60 | 13/04/2028 | AAV-EO-KINGA-11-0008 | |
| 7 | AV-0160 INFG PN 6238 | LIVERY – FUSELAGE TITLES – STBD | 1 | 9/04/2028 | AAV-EO-KINGA-11-0002 | |
| 8 | AV-0148 INFG PN 6226D | ID PLATE – VH-AMR FIREPROOF ID PLATE | 1 | N/A | AAV-EO-KINGA-11-0008 |
Shelf life = the earliest expiry (SLX) across the jobs that made each line.Released by Daniel Burton · 28/08/2026
ATTACHMENT TO CASA FORM 1
Form tracking number GG52939 · PO 663152 · Ambulance Victoria – Air Operations
| Item | Part image | P/N ordered | Description | Qty | Shelf life | Authorised document |
|---|---|---|---|---|---|---|
| 9 | AV-0113 INFG PN 6191 | PLACARD – FWD CARGO | 20 | 9/04/2028 | AAV-EO-KINGA-11-0009 | |
| 10 | AV-0150 INFG PN 6228B | PAINT MASK – VH-AMR REGISTRATION – WING | 1 | 28/06/2027 | AAV-EO-KINGA-11-0001 |
Shelf life = the earliest expiry (SLX) across the jobs that made each line.Released by Daniel Burton · 28/08/2026