STC SA38SW

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 Xaplan, Loulelana

2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:

T*"*1 AIRCRAFT 1 1 ENGINE [ 1 PROPELLER

ORIGINAL MODEL DESIGNATION Beting Model ?5 S*vt*«NEW MODEL DESIGNATION (If d»mir»d) Wen*DESCRIPTION OF CHANGE Mount for Pratt & tfhltney fi-1340 imagine in accordancewith Okywayt Inc. Drawing No. 001!

Ta» •a IMf (MWMMNMI OMftJF MM iMMW MC MWlttMt 4*. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? ^SjJT] YES

b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAK 1.55)1 3JXD YES 1 1 NO NO

5. SIGNATURE AND TITLE OF APPLICANT ipril 3, 1962

DATE OF APPLICATION Si — > {^L Agtat for TITLE

6. To be Completed by FAA

NATURE AND LOCATION OF DATA BV*vi* 0*11 3/20/61, «i 204 co fiU at »w-2lO.

ORIGINAL TYPE CERTIFICATE NO.

PLEMENTAL TYPE CERTIFICATE NO.

DATE OF APPROVAL

FAA APPROVAL ^m. i.

SI 6NATURE Tl TLE * U.S. GOVEBHMtHT PB1HTIHG OFFICE : I9S9 O—509657 FORM FAA-2417 (5-59)