What it approves
Removal of door
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 1113 Bingla B0*J Bouaton, ?OXM 77053 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 g | AIRCRAFT I I ENGINE I I PROPELLER
ORIGINAL MODEL DESIGNATION Suraty Crodit tLwBOrtol 8A NEW MODEL DESIGNATION (If. demited) $. DESCRIPTION OF CHANGE Umv*l *f door iu accordant* with attacfaaant Be. I "Aircraft Operating IiiniCatiointt with Ooot Beiaove*,*" «H:
A copy of ti* "Aircotft Operating Ujrttatlona with Door Rowod" la roguirod in tho alrplan* wfctn flight la coaductod with th« door rooovod. Xn addition to tho ro^uirod placard callod out lo tho Oporating Uoltatlona, « placard a tat lag
•^Muiwn a!**?*** with Uoor ranoved . 100 MPB" la t* b« Inatallod by tho air«pM« Indicator. *^ \ »a. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO
b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAB
5. SIGNATURE AND TITLE OF APPLICANT January 4. 1964
DATE OF APPLICATION OTHER PERSONS? Ig I YES I ~l NO 1 .55)1 [~] YES JLJ NO
SIGNATURE TITLE
6. To be Completed by FAA
NATURE AND LOCATION OF DATA Bottt lieetHt to icon a «bo»«, e«d night Alteration 4afc«d i/30/64 on file «,t Sw* Kofer«nc« Frojoct A47MKS.
Applicebio CAft'a aaaMt aa origififii c«rti ORIGINAL TYPE CERTIFICATE NO. FAAAP ELEMENTAL TYPE CERTIFICATE NO. £ 8A3J78W /——————————————————————————————— /TrZ^tiDATE OF APPROVAL / "" t/ Chj l/30/b4 ———*r *^?9 **** KsgiR0«riE3 Racorrf. ci Mre:t«;.ft
210.
£]bC»iH ClOf^ » °ROVAL
SI GNATURE Lof , inginooring and tfaswcaccuribg Braoub Tl TLE 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.
Approved models · 1
| Make | Model | Data sheet |
|---|---|---|
| Good Earthkeeping Organization Inc | 8A | A-694 |