What it approves
Fabrication and installation of split rear seat back.
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 S*v«n Bar Flying Service, Inc.
10,001 Coors Ed* N,W, Albuqu«rqu«, N«w Maxloo FORM APPROVED, BUDGET BUREAU NO. 04-R015
INSTRUCTIONS - SUBMIT IN TRI PLICATE TO LOCAL FAA FLIGHT STANDARDS INSPECTOR.
COPY WILL BE RETURNED TO APPLICANT UPON
ISSUANCE
2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:
I X! AIRCRAFT 1 1 ENGINE 1 1 PROPELLER
ORIGINAL MODEL DESIGNATION PA-24 or PA~24*250 w*** NEW MODEL DESIGNATION (If demired) Ban* $. DESCRIPTION OF CHANGE Removal of original single piece rear Beat back. Fabrication ami installation ofaplit r««r seat back. *» «««*i4M«« witb ltot«il«tt««iMeruetimia 4«t«d 11/19/63 ud drwrlng d«t«t 10/24/63.
4A. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO
b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAR
5. SIGNATURE AND TITLE OF APPLICANT /0/2Z/4Z
DATE OF APPLICATION OTHER PERSONS? [XI YES 1 1 NO 1 .55)1 CH YES PC"] NO xkc>A/k S\K.^L _"* SIGNATURE X A««nt U TITLE
6. To fee Completed by FAA
NATURE AND LOCATION OF DATA &*£• listed in Item I above on file at Rafereaee Pro1«ct M5tW*.
Stf-210, Applicable GAft*a aatei aa origin*! certifie*tion.
ORIGINAL TYPE CERTIFICATE NO. FAAAP 1A15 EMENTAL TYPE CERTIFICATE NO.
SA315SW A t J**DATE OF APPROVAL (/ ( I2/1S/63 =ROVAL fliwmstjL.-S 1 GN A TU R E
1. H. Slaughter :hief , tegtoMrtog aa« HMHilacturlng Branch Tl TLE * U.S. GOVEBHIHEIIT PRINTING OFFICE : 1959 O—509657 FORM FAA-2417 (5-59)
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.