What it approves
Oxygen service installation.
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.
Hiritrd gtfltta of amrrita ©cpartmtnt of i:raa8portation— JFcdtral aoiation administranon Supplemental ICgpe Certificate 'iSZtvrrvvev1' SA1709SW
ATRMOTIA P. 0. Box 35033 Dallas, Texas 75235 no project post rev. JL rw t^ vfb jefie- Civil Air 0-159 service Installation In accordance with Clark Engineering Service Drawing Ho. 730629, Revision A, dated 7/16/73- ^e?'W!/>^ .
: July 31, 1973 July 31, 1973 ,J/^* (Signature) W. Welsh yy Chief, Engineering aod Manufacturing Branch alteration of this certificate i"j punishable by a fine of not exceeding SI ,000, or imprisonment not exceeding 3 years, or both.
7/in certificate may be transferred in accordance uiilti i-AK 21,47.
FAA FOIM 81 10-2110-4S|
The FA A. will reissue the certificate in thr name of the transferee and forward it to him.
TRANSFER ENDORSEMENT Transfer the ownership of Supplemental Type Certificate Number to (Name of transferee) (Address of transferee) (Numbti and Itrett) {City, Sloli, and %1P toil) from (Nome of grantor) (Print or type) (Address of grantor) (Fvumbtt and slitft f (Cily, SlaU, and -J//> lade) , ",s\ . - Extent of Authority (if licensing agreement):
Date of Transfer: __ Signature of grantor (In ink):.
C FAAACe'J-5536
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.
Approved models · 1
| Make | Model | Data sheet |
|---|---|---|
| Gulfstream Aerospace Corporation | G-159 | 1A17 |