STC SR03572NY

FAA Form 8110-2 (5/14) Page 1 of

Part of the

Signature

Title SR03572NY Airbus Helicopters Canada Limited P.O. Box 250, 1100 Gilmore Road Fort Erie, Ontario L2A 5M9 Canada * Regulations.

1. Installation of a Standard Interior Modification in accordance with Airbus Helicopters Master Drawing List MDL-11-030, Issue H, dated November 6, 2014 or later Transport Canada-approved revision.

(See Description of Type Design Change continued on Page 3 of 3)

1. A copy of this Certificate and FAA Approved Model List (AML) No. SR03572NY must be maintained as part of the permanent records for the modified aircraft.

2. The installer must determine whether this design change is compatible with previously approved modifications.

3. If the holder agrees to permit another person to use this certificate to alter a product, the holder must give the other person written evidence of that permission.

Gaetano Sciortino Manager New York Aircraft Certification Office * See attached FAA AML No. SR03572NY * See attached FAA AML No. SR03572NY May 25, 2015 October 19, 2015 IMPORT * See attached FAA Approved Model List (AML) No. for the list of approved aircraft models and applicable airworthiness regulations.

FAA Form 8110-2 (5/14) Page 2 of

To (Name and address of transferee)

From (Name and address of grantor)

3 SR03572NY

FAA Form 8110-2 (5/14) Page 3 of

3 Date of Issuance: October 19, 2015

Description of Type Design Change (continued):

2. Rotorcraft is to be maintained in accordance with the following:

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