What it approves
Installation of Mitchell pitch trim system AK148.
What the certificate says
From the PDF’s text layer, without the form’s printed wording. Layout and order may differ; the PDF is the record.
FEDERAL AVIATION AGENCY
1. NAME AND ADDRESS OF APPLICANT MitchoU te*utrU«. lac.
Uurtcipal Airport P. 0. mm 410 Miami Wotta, T**M 7404?
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:
Ijgl AIRCRAFT I I ENGINE I I PROPELLER
ORIGINAL MODEL DESIGNATION fHpa* PA.21.21! fc PA.21.2«fi NEW MODEL DESIGNATION (If detired) MAM*
3. DESCRIPTION OF CHANGE Institution of MlUftaU Pitch Trim Syatam Modal AK14i In accordaaca with MitcaaU ladtaatriaa, Inc. Bullatia No. 2§» datad U-2J-44 and >ubaa<iiiaat F. A. A.
apptovo* bvtlotiaa and/or attpplomonfca.
WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO
b. WILL PARTS BE MANUFACTURED FOR SALE (*•/. C4J?
5. SIGNATURE AND TITLE OF APPLICANT / 11*23.44
DATE OF APPLICATION OTHER PERSONS? K] YES 1 ~1 NO 1 .55)1 Qj0 YES I""] NO rf S// • ^n, < )^^" ^^^^^J^^ ^^^^£^^^ f
SIGNATURE Viea Pr*di«mt TITLE
6. To be Competed by FM
NATURE AND LOCATION OF DATA D«t« H»C*«i in Item 1 *bov« oa fil« at SW-^10.
An4ittaM« rogttlatioaa MBW a* otigtaal eaxtifieation.
ORIGINAL TYPE CERTIFICATE NO. FAA API IMO SUPPLEMENTAL TYPE CERTIFICATE NO.
1MWW DATE OF APPROVAL B> 1-14-65 CM 3ROVAL ^ ~7 /? •C:L /^J&'^e>0-4^~-<£*-&^f SIGNATURE J —————BrSlMfhtar
•f . &iaiB««riiui an4 Hnn^aatwriME BraaehTl TLE * U.S. GOVERNMENT PRINTING OFMCE : l»59 O—509857 FORM FAA-2417 (5-59)
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.