Piper Malibu PA-46-310P Pilot Operating Handbook page 202

·o
Fonn Approvea
0MB No. 2120-0020
us
Department
. of Tramportatlon
MAJOR REPAIR AND AL TERA TION
(Airframe, Powarplant, Propeller, or Appliance)
For FAA Use Only
Federal AvfaUon
Admlnlltrallon
Office
Identification
: INSTRUCTIONS: Print or
type
an entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions ·
and disposition of this fonn. This report is required
b>f.
law (49 U.S.C. 1421). Failure
to
report can result in civil penalty not
to
exceed $1,000
. for each such
violation
(Section
901
Federal Aviation Ad of
1958). · · · · · · · · ·'
.
.. ..
.
Make Model
Piper PA46-310P
.1. Aircraft
Serial No.
on registration certificate}
Make
USA N /
Address (As shown on
l8fflSltation
certificate}
3. For FAA Use Only
4. Unit Identification 5.Type
Model
Serial
No. Repair
~IRFRAME
(As described in Item 1 above} - - - - - - -
POWER PLANT
_ _ _ _ _ J?ROPELLER . ___ ---~ ___ -~ _ _
Type
.
APPLIANCE
Manufacturer
.
A. Agency's Name and Address
Mead Aircraft Services, Inc.
648
Arrowhead Rd
Irunan, KS
67546
6. Confonnity Statement
B. Kind of Agency C. Certificate No.
"><
U.S. Certificated Mechanic
A&P 443641987
Foreian Certificated Mechanic
Certiflca1ed Renair Station
Manufacturer
D. I certify that the repair and/or atteration made
to
the unit(s) identified in item 4 above and desaibed 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 infonnation
furnished herein is true and correct to the best of my knowledge.
,/J
Alteration
X
Date Signature of Authorized lndMdual / / ,
a-21-04
ft - -- - : . -
1(-"'
k-eu' "'
l'U
t'«
tJ
7. Approval for Return To Service
Pursuant
to
the authority given persons specified below, the unit Identified in item 4
was
Inspected in the manner presafbed by the
Administrator
of the Federal
Aviation Administration and is [x
APPROVED O
REJECTED
FAA
Al
Standards Manufacturer X Inspection Authorization Other
(Specify}
Inspector
FAA Oesignee
Date of Approval or Rejection
B-27-04
FAA Fonn 337
(12-88) ·
Repair Station
Certificate or
Designation No.
IA 443641987
Person Approved by Transport
Csnada Airworthiness Group