STC SA4722NM

United States of America Department of Transportation - Federal Aviation Administration Supplemental Type Certificate This certificate has been reissued to replace the original certificate reported lost.

Number SA4722NM

This certificate, issued to Air Mods N.W.

1424 Ridge Ave Snohomish, WA 98290

Part 23 of the Federal Aviation Regulations.

Original ProductType Certificate Number: A11EA Make: Grumman American Model: AA-1, -1A, -1B, AND -1C

Description of the Type Design Change: Installation of a hat shelf in the aft baggage compartment in accordance with Air Mods, NW Drawing List No. KD330-DL-1, or later Federal Aviation Administration (FAA) approved revision.

Limitations and Conditions: Approval of this change in type design applies to the above model aircraft/rotorcraft only. This approval should not be extended to other aircraft of this model series unless the installer determines that the relationship between this change and any other previously incorporated approved modifications 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 of 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.

Date of application: November 29, 1988 Date reissued: August 20, 2019 Date of issuance: April 17, 1989 Date amended:

FAA FORM 8110-2 (5/14) PAGE 1 OF 2 PAGES By direction of the Administrator

(Signature)

Manager, Seattle 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):

U.S. GPO: 1987-763-289