What it approves
Installation of Baumann Model BF-2100 BF-2100 floats.
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.
FAA FORM 8110-2(10-68) PAGE 1 of 2 PAGES Number SA355CH R eissued on 05/25/22 to supersede the original STC, which has been lost or misplaced.
This certificate issued to Baumann Floats, LLC 255 West 35th Avenue Oshkosh, WI 54902 Part 3 of the Civil Air Regulations (See Aircraft Specification No. A-780 for the complete certification basis.)
Original Product--Type Certificate Number : A-780 Make : FS 2003 Corporation Model : PA-12, PA-12S Description of Type Design Change:
Installation of Baumann Model BF-2100 Floats in accordance with Baumann Drawing List BF-2100-03, no revision, dated May 10, 1995, and Baumann Floats “Installation Manual for Piper PA-12”, dated May 10, 1995, or later FAA approved revisions of the previous documents.
L imitations and Conditions:
1. C ompatibility of the design change with previously approved modifications must be determined by the in staller.
2. I f the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission.
Date of application : February 14, 1993 Date reissued : October 23, 2001; May 25, 2022 Date of issuance : May 22, 1995 Date amended :
(Signature) Monica L. Nemecek Manager, Airframe & Administrative Services Section Chicago ACO Branch
(Title)
Transfer the ownership of Supplemental Type Certificate Number
to (Name of transferee)
(Address of transferee) (Number and street)
(City, State, and ZIP code)
from (Name of grantor) (Print of type)
(Address of grantor) (Number and street)
(City, State, and ZIP code)
Signature of grantor (In ink):
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