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IDENTIFICATION
Regis#: 128BM Make/Model: LNC4 Description: LC-B200 COMMERCIAL
Date: 04/24/2003 Time: 1750
Event Type: Incident Highest Injury: Minor Mid Air: N Missing: N
Damage: Minor
LOCATION
City: MYRTLE BEACH State: SC Country: US
DESCRIPTION
ACFT NOSE GEAR COLLAPSED ON LANDING. ONE MINOR INJURY AND MINOR DAMAGE.
MYRTLE BEACH, SC
INJURY DATA Total Fatal: 0
# Crew: 1 Fat: 0 Ser: 0 Min: 1 Unk:
# Pass: 0 Fat: 0 Ser: 0 Min: 0 Unk:
# Grnd: Fat: 0 Ser: 0 Min: 0 Unk:
WEATHER: NOT REPORTED
OTHER DATA
Activity: Unknown Phase: Landing Operation: General Aviation
Departed: UNKN Dep Date: Dep. Time:
Destination: MYRTLE BEACH, SC Flt Plan: Wx Briefing:
Last Radio Cont:
Last Clearance:
FAA FSDO: COLUMBIA, SC (SO13) Entry date: 04/25/2003
N128BM is Assigned
Assigned/Registered Aircraft Aircraft Description
Serial Number LIV-434 Type Registration Individual
Manufacturer Name PERRY Certificate Issue Date 10/03/2000
Model LANCAIR IV-P Status Valid
Type Aircraft Fixed Wing Single-Engine Type Engine Reciprocating
Pending Number Change None Dealer No
Date Change Authorized None Mode S Code 50070617
MFR Year 2000 Fractional Owner NO
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Registered Owner
Name GAREY MONA J
Street 2729 SPRUCE CREEK BLVD
City DAYTONA BEACH State FLORIDA Zip Code 32124-6922
County VOLUSIA
Country UNITED STATES
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