nts and Is approved for the above described aircraft subject to calamity inspection by a person authorized In FAR 43, Section 43.7'. Date iz/9/9( FAA Inspector GL13 4. Unit anti cation 6. Type Unit Make Model Serial No. Repair Alteration AIRFRAME As described in Item X 1 above) POWERPLANT PROP

03-3742 he alteration aircraft subject DATE identified herein complied to conformity inspection 2-1/4 -4/ 2-6'D 7 with applicable by a person FAA Inspector 3. For FAA Use Only air-worthiness requirements and is approved authorized in FAR 43.7. only for the above described 4. Unit Identification 1 5.

dd coihnsefoarenn i:PnritocyttlemdinP.sioliileityvif:oitnrhtabpeypaliablbpeleerdsactisrn: • authorized in PAR. 43.7. 3 -IX 75" a 7:747,1_, Date FAA Inspector, SW GAD0.2 IDALI 4. UNIT IDENTIFICATION t/ • S. TYPE . . UNIT MAKE . MODEL - , SERIAL NO. REPAIR • ALTER- ATION AIRFRAME 44doenneen