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Form ApprtMld
I
E!edronic Tracking Number
0MB No. 2120-0020
MAJOR REPAIR AND ALTERATION
11/30/2007
us Department
For FAA US8 Only
of Tmnsj)Ol'lation
(Airframe, Powerplant, Propeller, or Appliance)
FGderal Aviation
lulmlnls1ration
INSTRUCTIONS: Print or type all entries. See
Trtle
14 CFR §43.9, Part 43 AppencflX B, and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this fonn. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each
such violation. (49 U.S.C. §46301(a))
Nationality and Registration Marie
Serial No.
1. Aircraft
Make
Model
PIPER
PA-46-310P
I
Series
PA-46-310P
Name
(As
shown on registration certificate)
2.0wner
4.Type
Repair
Alteration
Unit
D
Ill
AIRFRAME
D
D
POWERPLANl
D
D
PROPELLER
D
D
APPLIANCE
A. Agency's Name and Address
Name
PhiliQ M Connor
-. 12�52 l::IWl! �1 Sautb
Clly
Preston
Zip
31824
CountJy
USA
Type
Manufacturer
State GA
Address
(As shown on registration certificate)
Address
City
B
State
Zip
Cowmy USA
3. For FAA Use Onlv
5. Unit Identification
Make
Model
Serial No.
(As described in Item 1 above)
6. Conformity Statement
B. Kind of Agency
I./
U. S. Certlficated Mechanic
I
Manufacture!'
Foreign Certificated Mechanic
C. Certificate No.
Certificated Repair Station
Certificated Maintenance Organization
594203699
D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge.
Extended range fuel
·-��
/v��4'1
per 14 CFR Part 43
D
App.B
.r
7. Aonroval for Return to Service
Pursuant to the authority given persons specified below, the unit Identified in item 5 was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and Is
[JI
Approved
D
Rejected
FAA Flt. Standards
Manufacturer
Maintenance Organization
I Persons Approved by canadian
Inspector
Department of Transport
BY
Other
(Specify)
FAA Designee
Repair Station
X
Inspection Authorization
Certificate or
Signature/Date of Authorized lndMdual
Designation No.
���
/0�?
1623727
FAA Form 337 (10.00)
Содержание Malibu PA-46-310P
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