STC SA396SW

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 Municipal Airport P. O. Boat 410 Miami Wollo, TOUM 7404?

2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:

AlRCRAFT I I ENGINE I I PROPELLER ORIGINAL MODEL DES I GNATI ON $4QA S40K ll 490 A»ro Commaodor 500. SOOA. §QQB. 140.

NEW MODEL DESIGNATION (If demired) ————turn 3. DESCRIPTION OF CHANGE laotallatlon of Mitekoil Automatic Pilot Modol AKIU ta accordance with Mltcaoll IftftMti***, Inc. Buttotift No. 1*4 datod 9-S.44aad «>uboo<iuottt F.A.A. approvod BuUotia* aad/or SvpplomoaU. laatallation of Mitchoil L*toral O«i4*ac« Radio Cotplor Modol AKUJ porMUcaoll laduotrio., lac. Bttllotia No. 104 datod 4-10.64.

lMtattatio« «l UitekoU Pitck Tf Im Modol AXIIi por Mitci^ll Indwtriot. I»c.

Buttotto Ho. SI9 datod n-U-44 applicUbto to SOOA It 500B only.

Moto«j 1. MitehoU Iad«atrio«, lac. F.A.A. appmod flight Manual Svpplomoat *»*•* ll»lo-44 '•qoi^»d loir Modol 480.

I. MitckoU ladaatrios, iat. F. A. A. approrod FUfht Manual SuppUmoat datod

4.17-44 roquirod for Modol SOOA a»d SOOB.

S. MitckoU ladvfttrlM, lac. F. A. A. approvod Flight Maaval Supplomont datod Il*l§»o4 *•*•§*•« fog Modoto, S00f §40, S40A aad S40C.

DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS?

b. WILL PARTS BE MANUFACTURED FOR SALE (Rot. CAK 1.55)1 YES

YES CH NO

5. SIGNATURE AND TITLE OF APPLICANT 11*12.44

4-24.42 //r -. . SIWATUREProjoet

DATE OF APPLICATION TITLE

6. To be Completed by FAA

NATURE AND LOCATION OF DATA Data li»t«u la Ifcoa 3 «od TIR A558SW3 on file »t SW-210.

Applieaal* regulation**• origiaal cvrtifieatioo, ORIGINAL TYPE CERTIFICATE NO.

& , A4 SUPPLEMENTAL TYPE CERTIFICATE NO.

DATE OF APPROVAL 11-16-64

FAA APPROVAL Tl TLE * U.S. GOVEBMMEHT PRINTING OFFICE : 1959 O—509657 FORM FAA-2417 (5-59)