What it approves
Installation of dual pivoting litter.
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.
FAA Form 8110-2 (5/14) Page 1 of 2
Number: SR09030RC
Part 29 of the Federal Aviation Regulations.
Original Product – Type Certificate Number: H4SW Make: Bell Helicopter Textron Inc.
Model: 412/412EP Description of Type Design Change:
Installation of dual pivoting litter installation in accordance with Heli-Dyne drawing list HD412-00-0100 Rev. A dated June 6, 1995, or later FAA approved revision.
The installer must determine whether this design change is compatible with previously approved modifications. 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.
Date of Application: May 30, 1995 Date Reissued: June 23, 1997; January 30, 2017 Date of Issuance: July 28, 1995 Date Amended:
Signature
Title James A. Grigg Manager, Fort Worth Aircraft Certification Office, Southwest Region RSG Products 3900 Falcon Way, Hangar 16S Fort Worth, TX 76106
FAA Form 8110-2 (5/14) Page 2 of 2
Transfer the ownership of Supplemental Type Certificate Number: SR09030RC
To (Name and address of transferee)
From (Name and address of grantor)
United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: ST10962SC
FAA Form 8110-2 (5/14) Page 3 of 3
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.