STC SA379SW

FEDERAL AVIATION AGENCY

1. NAME AND ADDRESS OF APPLICANT The Hamilton Coopany 196 Seuhau* Street International Airport Houaten 17, Texaa 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 NEW MODEL DESIGNATION (If demited)

3. DESCRIPTION OF CHANGE Inatallation of The Heailton Go. type MF*V overapeed warning ay item in accordance with Hamilton Inatallation Manual No. 4.

KOTl; FAA approved AIM Supplement dated 5-15-64 required.

4*. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? SH YES CD NO

b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAR 1.55)1 C YES O NO

5. SIGNATURE AND TITLE OF APPLICANT ^ ^ 2*24*64

DATE OF APPLICATION

SIGNATURE TITLE

6. To be Completed by FAA

NATURE AND LOCATION OF DATA Data lictod in Itan 3 above, Manual Mo. 1 and t» T517SW8 on file at Stf-210.

WOTKi gee STC SA302-8W file for Manual Ho. 1 Applicable regulation* 114304, & *ae* a* original certification.

ORIGINAL TYPE CERTIFICATE NO. FAA APPROVAL.

814 . / , / s"# //£ —— 'PLEMENTAL TYPE CERTIFICATE NO.

SA379SW . B. 9iDAlt Of nrrnuvAL * * Chief) 1 ,^y*4f ^t*^rf^U^ \l V S 1 GN A TU/fE Laughter engineering and Manufacturing Branch Tl TLE * U.S. GOVERNMENT PRINTING OFFICE : 1959 O—509657 FORM FAA-2417 (5-59)