STC SA374SW

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 2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:

Mitchell Industries, Inc. gg A1RCRAFT Q ENGINE Q PROPELLE« P.O. Box 610 . — - -Municipal Airport ORIG.NAL MODEL DESIGNATION Lii i w 11 T joeecn a»*3SMineral weus, Texas NEW MODEL DESIGNATION (if demired) None

3. DESCRIPTION OF CHANGE {installation of Mitchell Automatic Pilot Model A Industries, Inc. Bulletin No. 229 dated 4- 14>-64 bulletins and/ or supplements. Installation of M in accordance with Miteheil Industries, Inc. Bu Installation of Mitchell Automatic Pilot Model A Industries Inc. Bulletin No. 234 dated^ 4-2 1*64.

System Model AK132 in accordance with MitcheJ dated 6-16x^4 and subsequent F. A. A. approved Installation of Miteheil Lateral Guidance Radio < with Mitchell Industries Inc. Bulletin Npt 206 da Notes: Miteheil Industries, Inc. F. A. A. approi K131 in accordance with Mitchell and subsequent F. A. A. approved itch ell Automatic Pilot Model AK131E lletin No. 233 dated ^-21-64.

K131E-3 in accordance with Mitchell Installation of Miteheil Pitch Trim H Industries, Inc. Bulletin No. 230 bulletins and/ or supplements.

Coupler Model AK123 in accordance ted July 25, 1963.

red placard 13A235-131 required.

WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? E YES D NO

b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAS 1.55)1 CD YES Q NO

5. SIGNATURE AND TITLE OF APPLICANT S Rev. 6-16-64 — ^^ 4*14-64 \DATE OF APPLICATION «-"> >^%>£**-«iA«—— .

SIGNATURE fice President TITLE

6. To be Completed by FAA

NATURE AND LOCATION OF DATA Data Hated in Item 3 above, and TIR A539SWS on file at SW-210.

Applicable regulations same as original certification.

ORIGINAL TYPE CERTIFICATE NO. FAA APPROVAL 3A15 J^// SUPPLEMENTAL TYPE CERTIFICATE NO. fyfflZM' SA374SU / '^^ SIGNATURE DATE OF APPROVAL / /^H . H. Slaughter 1 rt_l I-A/, v fShl^f Rnvin«i<>r1ntT and Manu£ac*-lllr*ri«' Branch Tl TLE <p * U.S. GOVERNMENT PRINTING OFFICE : 1959 O-5096S7 FORM FAA-2417 (5-59)