What it approves
Installation of Mitchell Automatic trim system AK165.
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
NAME AND ADDRESS OF APPLICANT Mltchell Industries, Inc.
Municipal Airport P. O. Box 610 Mineral Wells, Texas 76067
DESCRIPTION OF CHANGE Installation of Mttchell Awtomatl Mitchell Industries, Inc. Bulled subsequent F. A, A. approved bu
WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO WILL PARTS BE MANUFACTURED FOR SALE (K»f. CAR
SIGNATURE AND TITLE OF APPLICANT May 21. 1965
DATE OF APPLICATION 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:
Ijg 1 AIRCRAFT 1 1 ENGINE L J PROPELLER
ORIGINAL MODEL DESIGNATION Piper PA*21.21Sr PA. 23 .2 SO NEW MODEL DESIGNATION (If demired) Ic Trim System Model AK 165 per la No. 2S0 dated May 21, 1965 and Lletins and/or supplements.
OTHER PERSONS? [jgl YES Q NO
1.55)7 §£] YES [ "1 NO /flf^s ^2?L.
Vica President TITLE h*«lW«...
6. To be Competed by FAA
NATURE AND LOCATION OF DATA Data listed in itea 3 above on file at SW-210, Bafereaee Project: Hone Applicable regulation*: Sea* as original certification.
ORIGINAL tYPE CERTIFICATE NO. FAA AP 1A10 SUPPLEMENTAL TYPE CERTIFICATE NO.
SA523SW
DATE OF APPROVAL Cbi */2oV63 =ROVAL (fytfiZfrr ^ZfiL/^/fct^ _
SI GNATURE ef , Engineering and Manufacturing Vr< inch Tl TLE * U.S. GOVERNMENT PRINTING OFFICE : 1959 O—509657 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.