STC SA526SW

FEDERAL AVIATION AGENCY Supplemental Type Certificate

1. NAME AND ADDRESS OF APPLICANT 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:

Mitchell Industries, Inc.

Municipal Airport P. O. BOx 610 Mineral Well#, Texas 76067

AIRCRAFT ENGINE PROPELLER

ORIGINAL MODEL DESIGNATION Cesana 210-5, 210-5A, 206, P206, & U206 NEW MODEL DESIGNATION (If desired) none

3. DESCRIPTION OF CHANGE Installation of Mitchell Automatic Trim Model AK171 in accordance with Mitchell Industries, Inc. Bulletin No. 284 dated 6/16/65 and aubsequent FAA approved bulletins and/or supplemente ¡ILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? YES NO

b. WILL PARTS BE MANUFACTURED FOR SALE (Ref. CAR 1.55)1 YES _ NO

5. SIGNATURE AND TITLE OF APPLICANT

SIGNATURE June 15, 1965 Project Engineer Date of Application: TITLE

6. To be Completed by FAA

NATURE AND LOCATION OF DATA Data listed in Item 3 above, and TIR A726SWS on file at SW-210.

Applicable regulations: same as original certification.

Reference Project A7269WS ORIGINAL TYPE CERTIFICATE NO. FAA APPROVAL 3A21 andASCE Supplemental Type Certificate NO.

SIGNATURE SA526SW DATE OF APPROVAL H. H. Slaughter 6/18/65 Chief, Engineering and Manufacturing Branch TITLE * U.S. GOVERNMENT PRINTING OFFICE: 1959 0-509657 FORM FAA -2417 (5-59)