ia Van Nuys Name and Address B. Kind of Agency C. Ceni icate No. Inc. Ave. CA 91406 • u.s. Certificated Mechanic AQ4Ft059M Radio Cl 1.2 3. LTD Instr. LTD Airframe. LTD Spec Service. Foreign Certificated Mechanic x Certificated Repair Station mannoovref D. I certify that the repair and/or al