Work Order Form
Helisafe, Inc. any by a Description Price Totally
5318 E. 2nd St. #499 1 Salus MOZ O/H Exchange 65,000.00 65,000.00 Long Beach, CA 90803 HELISAAO - 1 Salus M03 O/H Exchange 508,000.00 508,000.00 Date: 1 Salus M04 O/H Exchange 80,000.00 $ 80,000.00
[Name: Fontana PD WO: 1 Salus M05 O/H Exchnage $ 65,000.00 $ 65,000.00 Address: 17005 Upland Ave Terms: N/A 1 Salus Free Wheel Shaft O/H Ex. $ 36,000.00 $ 36,000.00 City/State/Zip: Fontana CA 92335 1 Salus Labor for O/H Exchange $ 14,000.00 $ 14,000.00 A/C Model: AS350B2 A/C SN: 7169
A/C Reg: N641EG MX Hobbs:
1 Description of works Hours Worked ar
Removal of the engine 8 hours @ $150/hr
Crating of the engine 2 hours @ $150/hr
Installation of the engine 10 hours @ $150/hr
Miscellaneous Changes
Outside Work
Services Performeda:
Salus will send crate for the engine Shipping from Helisafe to Salus Approx. $1400 Helisafe will return the engine crate after O/H
Shipping from Salus to Helisafe Approx. $1400
We will need a PO and deposit to reserve the M04
Please allow a week and a half turn around time
| Sub Total TO $ 768,000.00
$ 3,000.00
Tax ME $ 79,027.50
Shipping ses 2,800.00
Work Performed By: Art, Tony and Issac $ 852,827.50