STC SA149SW

FEDERAL AVIATION AGENCY

SUPPLEMENTAL TYPE CERTIFICATE FORM APPROVED, BUDGET BUREAU NO. 04-R015

INSTRUCTIONS - SUBMIT IN TRI H-ICATE TO LOCAL FA4 FLIGHT STANDARDS INSPECTOR.

COPY WILL BE RETURNED TO APPLICANT UPON

ISSUANC E

1. NAME AND ADDRESS OF APPLICANT MltcheU Jnduetries, Municipal Airport P. O. Be:: 630 Mineral 1irellE, T

2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:

[fe 1 AIBCRAFT I I ENGINE !""_" I PROPELLER ORIGINAL MODEL DESIGNATION , „„ , . ,,-«, Cessna ?-lO-5. ?10-5A, 206, P206 fc U206 NEW MODEL DESIGNATION (II demirtd)

DESCRIPTION OF CHANGE Installation tf J^-Utchell Automatic Pilot Model AK 120 In accordance with MltcbsU Ind-jatrlaa, Inc. Bullrtin No. 197 dated 6-15-6S and subsequent F.A, A. npproved Bulletins and/or aupplemeits. Inatmllation of Mitchell Automatic Pilot Model AK120E in accordance with Mitchell Industries. Inc.

Bulletin No. 225 dated 6-15-65. Installation of Mitchell Automatic Pilot Modal AK 120E-3 in accordance with Mitchell Industries, Inc. Bulletin No. 226 dated 6-15-65. Installation of Mitchell Lateral Guidance Radio Coupler Model AK 123 par Bulletin No. 206 dated June 10, 1964.

Note: Mitchell Industries, Inc. F.A.A. approved placard no. 13A235-120 WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS?

b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAg 1.55)1 YES YES QNO NO

5. SIGNATURE AND TITLE OF APPLICANT Revised 6-15-65 1C-17-62 tr -—————- S_ SIGNATURE Project Znpf^ft^

DATE OF APPLICATION TITLE 4L To be Cornp/eted by FAA

NATURE AND LOCATION OF DATA Data Hated in I tea 3 above, and TIR A195SWS and TIRA488SWS on file at SW-210.

Applicable CAS's sane as original certification.

ORIGINAL TYPE CERTIFICATE NO.

3A21 & A4CE SUPPLEMENTAL TYPE CERTIFICATE NO.

SA1498W .DATE OF APPROVAL Revised:

11/29/62 6/18/65

FAA APPROVAL

SIGNATURE

1. H. Slaughter Chief, Bnginearing and Manufacturing Branch Tl TLE FORM FAA-Z417 (5-591