CERTIFICATE on Ill INSTRUCTIONS - Print or type. Do not wille in shaded meat Mese re for FAA it use only. Submit original only to an authorized FM Representative. If acklronal 0/ -1 space is required. use rtectuneM For special tight permits complete Sections 3 -i II. 1/1 and VII as applicable. 22 ilr. Q

rlation Administration INSTRUCTIONS - Print or type. Do not write in shaded areas: these are for FM useonly. Submit original only to an authorized FM Representative. II additional spacers required. use an attachment For special fight penes compete Sectaans II and VI or VII as applicable I. AIRCRAFT DESCRIPTION