Received 8130 Certificate

This is the received 8130-3 form, included in the component shipment. We must verify the paper document matches what the issuer submitted.

The component

Constant speed drive declutch assembly

P/N: VP-2256-70
S/N: SN-796872

Scanned 8130

SYNTHETIC
NOT AN AIRWORTHINESS RECORD

FAA/United States

AUTHORIZED RELEASE CERTIFICATE

FAA Form 8130-3 · AIRWORTHINESS APPROVAL TAG

Block 3 · Form tracking number SYNTHETIC81309952

Block 5 · Work order / contract / invoice WO20269952

Block 4 · Organization name Saltmarsh Aviation Technics

Block 4 · Organization address 215 Tidewater Drive, Charleston, SC 29405

Block 6 · Item 1

Block 7 · Description Constant speed drive declutch assembly

Block 8 · Part number VP225670

Block 9 · Quantity 1

Block 10 · Serial number SN796872

Block 11 · Status / work NEW

Block 12 · Remarks Visual and dimensional inspection per CMM 63-21-15; cam follower surface and spring free length within limits. No defects noted, returned to service.

Block 13/14 · Certifying block RETURN_TO_SERVICE

Block 13a/14a · Approval basis PART_43_RETURN_TO_SERVICE

Block 13c/14c · Approval / certificate no. SYNTHETICCERT20955

Block 13d/14d · Name P. Halloran

Block 13e/14e · Date 2026-10-07T21:25:00Z