STC SA196SW

FEDERAL AVIATION AGENCY Form Approced, Budget Bureau No. 04-R015 INSTRUCTIONS - Submit in triplicate to local FAA Flight Standards Inspector. Copy will be Supplemental Type Certificate returned to applicant upon issuance.

1. NAME AND ADDRESS OF APPLICANT Supplemental Type Certificate APPLIED FOR:

J. B. SIMPSON AIRCRAFT ENGINE PROPELLER P. 0. BOX 126 ORIGINAL MODEL DESIGNATION GILLIAM, LOUISIANA PIPER PA-145-150 NEW MODEL DESIGNATION (If desired) NONE

3. DESCRIPTION OF CHANGE INSTALLATION OF HARTZELL MODEL HC-82XL-6F/7636D-4 PROPELLER, WOODWARD GOVERNOR 2100SOP, PIPER P/N 14-733-00 PROPELLER CONTROL PER DRAWING 100 DATED FEBRUARY 7, 1963.

NOTES: 1. FAA APPROVED AIRPLANE FLIGHT MANUAL SUPPLEMENT DATED 3/13/63 REQUIRED.

2. STC SA3-106, FLOAT INSTALLATION REQUIRED.

*4. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? ¡ YES NO

b. WILL PARTS BE MANUFACTURED FOR SALE (Ref. CAR 1.55)? YES _ NO

5. SIGNATURE AND TITLE OF APPLICANT FEBRUARY 7, 1963 SIGNATURE Date of Application: TITLE

6. To be completed by FAA

NATURE AND LOCATION OF DATA DATA LISTED IN ITEM THREE ABOVE, AND TIR A274SWS ON FILE AT SW-210.

APPLICABLE CAR'S SAME AS ORIGINAL CERTIFICATION.

ORIGINAL CERTIF CATE FAA APPROVAL 797 Willer *PLEMENTAL TYPE CERTIFICATE NO.

SIGNATURE DATE OF APPROVAL SA196SW OH. H. SLAUGHTER

CHIEF, ENGINSERING & MANUFACTURING BRANCH MARCH 13, 1963 TITLE 3540 Form FAA-2417 (5-59)