What it approves
Metal covering of flaps.
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
1. NAME AND ADDRESS OF APPLICANT flbarmn V. Corn»tut»bl« JS07 N. Terry V«rc rforth, TexA* FORM APPROVED, BUDGET BUREAU NO. M-R015 INSTRUCTIONS - SUBMIT (N TRI H.ICATE TO LOCAL FAA FLIGHT STANDARDS INSPECTOR.
COPY WILL BE RETURNED TO APPLICANT UPON
ISSUANCE
2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:
1 Jt 1 AIRCRAFT [T_1 ENGINE LJ PROPELLER
ORIGINAL MODEL DESIGNATION NEW MODEL DESIGNATION (If drilled)
3. DESCRIPTION OF CHANGE MKal c#v*rin£ of £l«iw in •eoordaoea wttt* ftaMMM Gmatubbl* dawiMe ••• I. C. 514 4«t*4 10/10/62.
*«. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO
b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAK S. SIGNATURE AND TITLE OF APPLICANT
DATE OF APPLICATION OTHER PERSONS? CS YES !~~i NO 1 .55)1 f~1 YES CJ] NO -^ Iff) -/"///or-MtQA^LJ iL_ r/ t/^/UJ4J'iJLJs-WJ^ ^ 1IGMATURE TITLE
6. To fae Completed by FAA
NATURE AND LOCATION OF DATA
•MVtag 514 OatiwI 10/10/v2 oo fit* «t SW-210.
ORIGINAL TYPE CERTIFICATE NO. FAA APf SUPPLEMENTAL TYPE CERTIFICATE NO. ^2j 4M55*. K / DATE OF APPROVAL Cilia =ROVAL ^y -/-h -^^Lei^<^f £fi-t_ J'/ ^ISNATURE
• Bl •usbl'nr f . KnjiiAAMPijBa Mod HtDufMltivtnu &rwx:ii 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.