What it approves
Installation of Mitchell Automatic pilot AK106.
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
SUPPLEMENTAL TYPE CERTIFICATE FORM APPROVED, BUDGET BUREAU NO, 04-R015
INSTRUCTIONS - SUBMIT IN TRI PLICATE TO LOCAL F*A FLIGHT STANDARDS INSPECTOR.
COPY WILL BE RETURNED TO APPLICANT UPON
ISSUANCE
1. NAME AND ADDRESS OF APPLICANT Mitchell Industries, Inc.
Municipal Airport P.O. Box 610 Mineral Welle, T*xa« 76067
2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:
IX! AIRCRAFT 1 ._! ENGINE LA PROPELLER ORIGINAL MODEL DESIGNATION [ 7 J> £ 1 7 SB fc 17'K Caiina 172*. I72A. 172B. 172C. } 72D. 175.
NE* MODEL DESIGNATION (If None
3. DESCRIPTION OF CHANGE Installation of Mitchell Automatic Pilot Model AK106 in accordance with Mitchell Industries, Inc. Bulletin No. 182 dated July I 6, 1964 and subsequent F. A. A.
approved bulletin! and/ or supplements.
Installation of Mitcbell Lateral Guidance Radio Coupler Model AK123 p«r Bulletin No. £06 4**vd June 10, 1964.
Notes: Mitchell Industries, lac. F.A.A. approved placard 13A89-106 required.
*ILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS?
b. WILL PARTS BE MANUFACTURED FOR SALE (fief. CAR 1.55)1 YES YES NO
5. SIGNATURE AND TITLE OF APPLICANT
7-16.64
DATE OF APPLICATION Vice President TITLE
6. To be Competed by FAA
NATURE AND LOCATION OF DATA Data lilted ia fen 3 •bove and TW A379S VJ on £il« at SW-210.
AffllHble CAS's MEM as original cartlflcatiatt.
ftefarence Project A1403U.
ORIGINAL TYPE CERTIFICATE NO.
3A12 & 3A17
•PLEMENTAL TYPE CERTIFICATE NO.
SAlOMff DATE Of APPROVAL 6-10-02 Revised: 9-25-64
FAA APPROVAL
SIGNATURE -11. H. Slaughter Chlafi Engineering «od MRnufacturing Branch Tl TIE 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.