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all previous alterations to assure continued conformity with the applicable airworthiness requirements. S. Description of Wotk Accomplished of more Space is required, attach additional sheets. Identity with aircraft nationality and registration mark and date work completed.) Fabricated and installed t
I ewe) Therefore A Recommend approval of these Approve these data SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION(S) .gLits,ci re rt nA--- NM-2128 Systems & Equipment Sarlds A ICara,guzian . orm EI 10-3(11.70) SUPERSEDES PREVIOUS EDITION GPO 901-613 SDNYGlvl_
all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Owwiption of Work Accomplished (if mole Space is required attach additional sheets. identify with aircraft nationality and registration mark and dale work completed./ Aircraft IT. 5.4 Ns N750A
ions of appsttnem N/A nave been examined n Avisbon Regulations. SIGNATUREISI OF DESIGNATED ENGINEERING REPRESENTATIvE(S) DESIGNATION NUMSERS(S) CLASSIFICATION(S) Douglas M. England DERY-830903-NE Systems and Equipment (Electrical) / FAA Form 81104 (1 1•70) SUPERSEDES PREVIOUS EOITION ELECTRONIC FORMAT
-- PrInter typo. Do not wrlte in shaded areas; those are for FAA use only. Submti original only to an authorized FAA Representative. If additional Space's required, usean attachment. Forspeoial flight permits compleloSections II and VI 01.VII LIS 440floa,b11).; , I I. AIRCRAFT l DESCRIPTION ltR
the Federal DI Recommend I Ai/Therefore • • 01 Approve p EN0A SIGNATURE(S) OF DES NAT ! EERDIO RElItESENTAIIVISO all1SIONATION II IMIIIERSIO CLASSIFICATION(S) ,d.A....--...:_i. i Pa s 4. WE-663 • STRUCTURES .-- - ' , - -------- FAk Fore 8110.3 t trio) sissaftscoat *ominous EDITION r•n;Aiki_g41..
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