STC SA445SW

I FEDERAL AVIATION AGENCY

1. NAME AND ADDRESS OF APPLICANT Mitchell Industries, lac.

P. O. Box 610 Municipal Airport Mineral Wells, Texas 76067

3. DESCRIPTION OF CHANGE Installation of Mttchotl Automatic Pilot fnrfimtvfe*. Inc. Bulletin No. 290 datad approved Bulletins and/ or Supplements.

System Modal AK141 hi accordance wit) Ifl dated 10-13-64. Installation of Mlt Modal AK123 in accordance with Mitche datad June 10, 1964.

Notes: Mitchell Industries. lac. F.A.4 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 CERTI F 1 CATE APPLI ED FOR:

I y] AIRCRAFT 1 1 ENGINE 1 1 PROPELLER

ORIGINAL MODEL DESIGNATION Cessna 116 NEW MODEL DESIGNATION (If detired) Hoao Medal AK140 ia accordance with Miteholl 10*11.64 and subsequent F. A. A.

installation of Mitchall Pitch Trim i Mitchell Industries, lac. Bulletin No.

ehall Lateral Guidance Radio Coupler II Industries, Inc. Bulletin No. 206 u approvad placard 13A234-140 required.

WiLL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? 53 YES O NO

b. WILL PARTS BE MANUFACTURED FOR SALE (Kef. CAR 1.55)1 GE YES l~~] NO

5. SIGNATURE AND TITLE OF APPLICANT /? ^^- JS*J S Revised 1 1 - 1 0*64 wO/O^ /L<&£^SLj2^)

11-3.44

DATE OF APPLICATION

6. To be Completed // ^^ ' 'SIGNATURE ~~^ ' Project fiacixioor TITLE by FAA

NATURE AND LOCATION OF DATA Data listed in Item 3 above, and TW A637SWS on file at SW-210 Applicable regulations: same as original certification.

ORIGINAL TYPE CERTIFICATE NO. FAA APPROVAL A2CT I/I/ <?? S /C//. .. ——— SUPPLEMENTAL TYPE CERTIFICATE NO. ~*~~/~&-/'l X / ' . / SAA45SW V r //*^---^7fc^^"1^KP«WJ* J /'sISNATURE DATE OF APPROVAL fl. H. Slaughter 2/8/65 — Chief. Engineering and ManufurtuHng «,anrh ——Tl TLE * U.S. GOVERNMENT PRINTING OfFICE : 1959 O—SO»6S7 FORM FAA-2417 (5-59)