TERATION ,- (Airframii, PowforploSt,,pfcpollfr, or Appliance) . i • . leFICS,,ITTIFICATEI:ls„.....--• INSTRUCTIONS::Print or type all entries. 'Sei FAR 43.9. FAR 43 Appendix B. and AC 43.9-I (or subSequentsevision thereof) for instructions and •disposition-of this form. • .• • . ' ••• ' MAKE hImalf/e

ederal Aviation Administration - • Form Approved OMB No. 2120.0020 For FAA Use Only entificaalopz07 INSTRUCTIONS: Print or type all entries. Sei FAR 43.9, FAR 43 Appendix .B, and AC 43.9-1 (or subsequent revision thereof) for instructions and dispotition of this form. This report is required by law (4