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Budget Application Form – Medevac Flight

All medevac flights are performed with the assistance of SAMEC. That agency is the only one that confirms the possibility and convenience of patient transportation.

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ITINERARY

Nº  From  To  Date  Time
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PATIENTS

Nº  Full Name  Age
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Satellite Location Location Map Aeronautical Data of Interest
Learjet 45XR STOL IAI Arava Bell 412EP Bell 407
Gabriel Horacio Muñoz Eric Gustavo Ortiz Carlos Andrés Marton Ricardo Funes Oscar Rubén Isasmendi Martín Toledo Horacio Tulián Claudio Zanlongo José  Manuel Lamelas Javier Ignacio Nuñez Pablo Antonio Guerrasio Federico Pérez Torres
Ing. Julio De Lucía José Luis Castro Mario Garozo Juan Carlos Nelson Mario Rubén Castro
Rodrigo Salim Cecilia Castillo Analía De Singlau Reynaldo Valdez Reina Cobo Roncal
General Information Services
Legal Authorizations and Certificates Photographs
Special Missions Statement of Creation Used Aircrafts Historical Photographs
Medevac Flight Executive Flight