STC SA4-519

Part 3 of the Civil Air Regulations.

Installation of a Lycoming O-320 engine in accordance with McKenzie Aircraft Repair Inst allation Instructions in Piper PA- 12 , and McKenzie Aircraft Repair PA-12 Conversion Drawing No. 200-00, Sheets 1, 2, and 3, dated June 6, 1958, or later FAA approved revisions.

Approval of this change in type design applies to the above model aircraft only. This approval should not be extended to other aircraft of this model on which other previously approved modifications are incorporated unless it is determined that the relationship between this change and any of those other previously approved modifications, including changes in type design, will introduce no adverse effect upon the airworthiness of that aircraft. A copy of this Certificate must be maintained as part of the permanent records for the modified aircraft.

If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission.

John P. Warren 1600 Ormond Road White Lake, MI 48383 780 Make: Piper Model: PA-12

Date of application: June 9, 1958

Date of issuance: June 9, 1958 Date reissued: 3/27/68; 9/27/89; 4/8/91; 4/4/96; 3/ 1/02;

11/19/12; 3/18/19

Date amended: 3/8/68; 1/12/78; 1/7/79; 3/1/02

By direction of the Administrator Original Signed By:

Monica L. Nemecek

(Signature)

Monica L. Nemecek, Manager Airframe & Administrative Services Section Chicago ACO Branch

(Title)

Transfer the ownership of Supplemental Type Certificate Number

to (Name of transferee)

(Address of transferee)

(Number and street)

(City, State, and Zip code)

from (Name of grantor) (Print or type)

(Address of grantor)

(Number and street)

(City, State, and Zip code)

Signature of grantor (In ink):