What it approves
Installation of Mitchell Automatic pilot AK111.
What the certificate says
From the PDF’s text layer, without the form’s printed wording. Layout and order may differ; the PDF is the record.
FEDERAL AVIATION AGENCY
SUPPLEMEKTAL TYPE CERTIFICATE FORM APPROVED, BUDGET BUREAU NO. 04-R015
INSTRUCTIONS - SUBMIT IN THI R-(CATE TO LOCAL FAA FLIGHT STANDARDS INSPECTOR.
COPY WILL BE RETURNED TO APPLICANT UPON
ISSUANCE
1. NAME AND ADDRESS OF APPLICANT Mitchcll Industries, Inc, P.O. Box 610 Xunicipal Airport Mineral '..ells, Toxas
2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:
! V | AIRCRAFT \__\ ENGINE 1 ] PROPELLER
ORIGINAL MODEL DESIGNATION Ct>«!.ina 210 .V. 21UA NE» MODEL DESIGNATION (If demirtd)
f.cne
3. DESCRIPTION OF CHANGE Installation of Vltchell Automatic Pilot Model AK111 in accordance with Mitchell Industries, Inc. Bulletin No.IS? dated 7-25-^2 and subsequent P.A.A. approved bulletins and/or supplements.
Notes: Mitchell Industries Inc. F.A.A. approved placard 13AC9-111required.
WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS?
b. WILL PARTS BE MANUFACTURED FOR SALE (X*f. CAg 1.55.17 YES jj YES l~~l NO
5. SIGNATURE AND TITLE OF APPLICANT 7-25-62
SIGNATURE General ''.DATE OF APPLICATION Tl TLE
6. To
NATURE AND LOCATION OF DATA DATA LISTED IN ITEM $ ABOVE ON FILE AT SW-210.
REFERENCE PROJECT A137SW.
APPLICABLE CAR'S SAME AS ORIGINAL CERTIFICATION.
ORIGINAL TYPE CERTIFICATE NO.
3A21
DATE OF APPROVAL 8/28/62 FAA APPROVAL.
SIGNATURE K. H. SLAUGHTER
CHIEF, ENGINEERING AND MUNUFACTURING BRANCH TITLE FORM FAA-2417 (5-591
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.