L. Nicholas Lacey

Director, Flight Standards Service

 

Department of Transportation

Federal Aviation Administration

Airmen Certification Branch, AFS-760

P0 Box 268872

Oklahoma, OK 73126-8872

 

 

L. Nichios Lacey:

 

I do not wish to have my address released to the aviation industry and others.  Please regard this letter as my written notification and do not release my address to the aviation industry or others.

 

 

Name: ___________________________________________

 

Address: _________________________________________

 

City: ___________________ State: _____ Zip: ___________

 

 

Certificate Number: _________________________________

 

 

 

Thank You,