What it approves
Installation of Mitchell Automatic pilot AK119.
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 FORM APPROVED- BUDGET BUREAU NO . 04-R015
INSTRUCTIONS - SUBMIT IN TRI PLICATE TO LOCAL FAA FLIGHT STANDARDS INSPECTOR.
SUPPLEMENTAL TYPE CERTIFICATE COPY WILL BE RETURNED TO APPLICANT UPON
ISSUANCE
1. NAME AND ADDRESS OF APPLICANT Mitchell Industries, Inc.
P, 0, 8ox 610 Municipal Airport Mineral Wells, Texas
2. SUPPLEMENTAL TYPE CERTIFICATE APPLIED FOR:
|^ 1 AIRCRAFT 1 1 ENGINE 1 1 PROPELLER
ORIGINAL MODEL DESIGNATION — -Bn«erh DSOB & J50NEW MODEL DESIGNATION (If demired) None 3- DESCRIPTION OF CHANGE Installation of riitchell Automatic Pilot Model AK119 1" accordance with hitcuell Industries, Inc. iiulletin No. 195 dated 7-9-62 and subsequent i'.A.A. approved bulletins and/or supplement a.
Notes: fiitehell Industries, Inc. F.A.A. approved flight manual supplement dated ' 9/14/62 required.
4*. WILL DATA BE AVAILABLE FOR SALE OR RELEASE TO OTHER PERSONS? Q YES d) NO
b. WILL PARTS BE MANUFACTURED FOR SALE (*•(. CAX 1.55)1 G^l YES CH NO
5. SIGNATURE AND TITLE OF APPLICANT Rev. 7-9- (-- 2
DATE OF APPLICATION /4~;/> rXvir,.n.,Tr^I,.a'rer TITLE s>— —
6. To be Comp/etec/ by FAA
NATURE AND LOCATION OF DATA Data li«t*rt In XtM> 3 *K<w« oa fiU at 3W-210.
J^plieablft GUI's aas* as original certification.
ORIGINAL TYPE CERTIFICATE NO.
SA4 SUPPLEMENTAL TYPE CERTIFICATE NO.
DATE OF APPROVAL 11/28/62
FAA APPROVAL s ' SI 6NATURE T^i- —H. H. Slaughter :h Tl TLE * U.I. GOV»NNINT PRINTING OFFICE : 1955 0—SOM57 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.