What it approves
Cargo conversion.
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
SUPPLEMENTAL TYPE CERTIFICATE 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
1. NAME AND ADDRESS OF APPLICANT Airlift**, Inc.
206 I. Tondnal Brivo Intoroatioiial Airport San AaMoio, to***
2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:
AlRCRAFT ENGINE PROPELLER
ORIGINAL MODEL DESIGNATION Coaapa lf0.lfSfre*iaotA.i,iCKltM. «. 1951 NEW MODEL DESIGNATION (If demited)
DESCRIPTION OF QHANGE Cargo convaraion in «eaordanca with Bxactttiva Air HUM, Inc. driving nyofcara 1060 dfltftd 5/12/63, 1001 Caaag* 0 datod 3/6/64, 1002 Chaaso A datod 7/If/63, 100$ Chaag.
B datod 3/5/64, 1004 Chang. B d«tod 3/5/64, 1005 Change C datod 3/5/64.
Not«*l
1. It«« 609 <lart« W|f«a« 4«Mr> of air«r«ft «p«o A-7*0 i« r«quir«d.
2. A loading tahodulo is ro^uirod for oaeh «ori«l tUMoor aircraft.
4*. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? YES
b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAS 1.55)1 CS YES NO NO
5. SIGNATURE AND TITLE OF APPLICANT Itey 10, It63
SIGNATURE
DATE OF APPLICATION TITLE
6. To be Completed by FAA
NATURE AND LOCATION OF DATA Data listod In lta» 3 abevo, loading o«bodiilo for COMMI 193, S/i 7392, Richard D.
Craft'a FAA-1600'a dotod 7/9/63, 8/22/63. U/ll/63, 12/8/63, 1/22/64, and 3/10/64, to*t Baport Mo. 205. and 8traaa Analyai. loport 205. on fila at Stf-210.
loforoa«o fvojoefc A3668W-DS.
Appliea»l« CAK'a aa«a aa original ccrtifieaeion.
ORIGINAL TYPE CERTIFICATE NO.
790 ''PLEMENTAL TYPE CERTIFICATE NO.
DATE OF APPROVAL 3AO/64
FAA APPROVAL
SIGNATURE . 8*/ Chi«£, iii» and Manufactorlng Branch Tl TLE * U.S. GOVERNMENT PRINTING OFFICE : 1959 O—509«57 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.