STC SA2-195

146 FORM ACA-2417 (7-56) CIVIL AERONAUTICS ADMINISTRATION U,S. DEPARTMENT OF COMMERCE Form Approred, Budget Bur au No. 41-81823 Supplemental Type Certificate

1. NAME AND ADDRESS OF APPLICANT funnell incrit service :. % 20x 109 alles, Texas

3. DESCRIPTION OF CHANGE INSTRUCTIONS - Submit in triplicate to local CAA Aviation Safety Agent. Copy will be returned to applicant upon issuance.

Supplemental Type Certificate APPLIED FOR:

AIRCRAFT • ENGINÉ

ORIGINAL MODEL DESIGNATION Hyen navion NEW MODEL DESIGNATION (If desired) None pec: 702 2De chancer 40 : CA 4210 100 0-61R01 221112g and coolice sy: tam.

This modification is ell itle on Ayan savion, serial No. SAV 4-1278, N42787, *LL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? YES ¡ NO

•. mILL FARTS BE MANUFACTURED FOR SALE (Ref. CAR 1.55)? _ YES A NO

5. SIGNATURE AND TITLE OF APPLICANT

SIGNATURE 1- 22-57 Mechanic 169689 Date of Application: TITLE

6. TO BE COMPLETED BY CAA

NATURE AND LOCATION OF DATA Form ACA-337, dated 4-15-56, Tunnell TIE No. S42-195, all on file at Fr235.

ORIGINAL TYPE CERTIFICATE NO. CAA APPROVAL віД Китии 702 Supplemental Type Certificate NO 1. Ludwig, Pr-231

SIGNATURE SA2-195

APPROVAL Acting Chiel, Aircraft Engineering Division September 25, 1957 TITLE COMM-DC 32484(1.5 FORM ACA-2417 (7-56) REM 19-