STC SA395SW

FEDERAL AVIATION AGENCY

SUPPLEMEHTAL TYPE CERTIFICATE

1. NAME AND ADDRESS OF APPLICANT ?. 0. lo* 8 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:

F J AIRCRAFT 1 .1 ENGINE L J PROPELLER

ORIGINAL MODEL DESIGNATION Aaro Daaioa 720 NEW MODEL DESIGNATION (If dtmired)

•ana

3. DESCRIPTION OF CHANGE ImfcftHafcion •€ % alaaa fummh in (mayfium with dark BMftiMMvlng Bawiaa Dravlata 1030002 (2 abaata) datad 2-5-61, B030009 datad 2-5-61. and M30004 datad 2-4-41.

•OHii a) thl« a»dlflcattan it allgibla on Aare rnaa*nitir 720, f/H 720-810-12, laittliaitiai Vo« V62300, ttaly* (2) tHitii fwr 6 plaea ala^la aaata auat firat oa imtaliad. thia is a factory itaau H&. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO

b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAR

5. SIGNATURE AND TITLE OF APPLICANT

DATE OF APPLICATION OTHER PERSONS? C YES 1 1 NO 1 .55)1 E YES ["I NO

SIGNATURE TITLE

6. To be Comp/etee/ by FAA

NATURE AND LOCATION OF DATA Data lUtad to HUM I aa*v», CUrk ftginaartni ftanrlea Bjeport •». H610205 > « datad 2*3*41, aad DO Waltar T* Clark. Jr. ACA-1600 datad 3-14*61 on fiia | at 8W*210* .-; -, Appliaabla Gala aaaa aa oviginal eartlfleatioa.

-« , . * , '' . ' , £C--i '' ''' ORIGINAL TYPE CERTIFICATE NO. FAA API 2*4 I.EMENTAL TYPE CERTIFICATE NO.

•OiSaW ^^ DATE OF APPROVAL CMUi mi a*l*AI Vaviaadf ArfAwAA =ROVAL ' .

SI GNATURE I, ftiifnaarlng and Mtaufaaturlog Braneh Tl TLE * U.S. GOVERNMENT PRINTING OFFICE : 1959 O—509657 FORM FAA-2417 (5-59)