© DAI 2019 ALL RIGHTS RESERVED, PROPRIETARY DOCUMENT
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Diamond Aircraft Industries
OPTIONAL SERVICE BULLETIN
Model DA 20-C1
DAC1-61-01 Rev. 5
Page 9 of 9
29 November 2019
EXECUTION REPORT TO
SERVICE BULLETIN
DAC1-61-01 REV. 5
AIRPLANE INFORMATION
Airplane Serial Number
____________________
Airplane Registration
____________________
Airplane Operator
____________________
Hours of Operation of Airplane
____________________
No. of Landings
____________________
Hours of Operation of Engine
____________________
Typical Operation of Airplane
____________________
(private, club, training, other)
_______________________________________
Date, Name, Signature
Please e-mail the completed form to [email protected].