Cessna 172R Operating Handbook page 197

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for
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1
1.
Serial No.
17281021
shown
Name (As
MANAGEMENT, LLC
2. Owner
FLIGHT
Unit
I
AIRFRAME
I
POWERPLANT
I
PROPELLER
Typo
I
APPLIANCE
Address,
Name and
A. Agency's
AVIONICS, INC
EXPRESS
AIRPORT SERVICE
.
11431 W.
OHIO 43558
SWANTON,
certify m.'
D.
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| Date
2001
19,
DECEMBER
rsuar it tD tne
aumoiuy
Fedora
of the
Tjlnla jntor
Standards
Fit.
FAA
Inspector
Designee
FAA
-
2001.
DECEMBER 19,
XVT /19JVH
FAA Form
MODEL 172R
ALTERATION
AMD
MAJOR REPAIR
Poworplartt, Propaiter,
__
1958ÿ
Avlatton Act of
Federal
901
_
to)
certifies
on registration
_ _ _ _ _
3.
4. Unit
T
Mako
_
(A, /inscribed In
( V.
--
RD.
-
-
-
i—
7. Approval for Return
g
and
Administration
Avl, jttan
1
Manufacturer
Repair Station
XX
No.
Designation
XXER854K
WEIGHT & BALANCE
r
or Appliance)
---
-
Model
172R
and Registration
Nationality
USA N24730
(As shown
Address
BRIDGETON
891
PERRYSBURG
U— Only
FAA
For
Identification
Model
-
above)
Item 1
_
CartWoted Mechanic!
U S
l*och«ajc_
CwtWoatod
Foretan
Stattorÿ
XX Repair
Ccrtfflcated
-
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1
„,vi
Federal Avledoo
U S.
►
CORWIN
THOMAS A.
__
Seivtcc
To
U
8 APPROVED KCJ
%
Authorization
Inspection
Transport
person Approved
by
Group
Alrworthlnoss
Canada
Authorized Individ
of
Signature
CORWIN.
THOMAS A.
Approved
Form
2120-0020
OMB No
FAA U»» Only
For
Identification
Office
-
-
- -
-
_
Mark
certificate)
on registration
LANE
OH 43551
—
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Typ°
Repair
Scrtal No.
—
---- -
XXER854K
RADIO CLASS 1,11,111
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or atuclrmate
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me,
,he
end
RosjdaUone
&
Other (Spoctry)
SECTION 6
/ EQUIPMENT LIST
1
Alteration
XX
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