Piper Malibu PA-46-310P Pilot Operating Handbook page 215

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· Fo: m Approved
M.-\JOR REPAIP
AND
Al. ·eRATION
CJMB No. 2120-C' 20
US Department
(Alrfrane, Powerplar , Propeller, or Apr'iance)
For FAA Use Only
or Tronspono11on
Of
1,
.::e Identification
Federal
Aviation
Administration
..
..
INSTRUCTIONS: P. it or typer !I entries. See FAR 4~ ·. FAR 43 Appendix 8, ar
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AC 43.9-1 (or subsequent revision thereof) for instructions
and disposition of tt:,s form. Thir report is required by :aw (49 U.S.C. 1421 ). Fai· .ire to report can resu~t in a civil penalty not to exceed $1,000
for each such violation (Section 901 Federal Aviation Act of 1958).
Make
P:iper
Model
PA46-310P
1. Aircraft
--------- ·---·-------- ------------···---· --·--· --
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-·--
·-
--··
....
·--
--·-·---------·-· ··----· --·------ -·-
Serial No.
Nationality and Registration Mark
Name (As shown on registration certifi ·1te) Address ( As shown on registration certificate)
2. Owner
·-
3. For FAA Use Only ----··---------
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4. Unit Identification 5. Type
Unit Mak~
I
Model Serial No.
Repair Alteration
X
AIRFRAME
····--·
~··
~
H"'"'"'
(As fiescribed in Item 1 above)
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POWER PLANT
I
--
-f---
-
-
~
P~LER-=:-
------~--
·-
·-
·~·
-
~----:::.----
-,-..
--
~~
....
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T• e
APPLIANCE
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M nufacturer
I
6. Conformity Statement
A. Agency's Name and Address B. Kind of Agency C. Certificate No.
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·-
Skytech, Inc.
U.S. Certificated Mechar.'.;
P.O.
Box 4942
Foreign Certificated Mechanic
--
Baltimore, 21220
X
Certificated Repair Station
LF1R294K
MD
Manufacturer
D. I certify that the repair and/or alteration made to the unit(s) identified in item 4 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.
Date
07 April 1997
Signal e of Authori}~'d Individual
Charles Massanopoli
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7. Approval for ReturryTo.,Service
Pursuant to the authority given persons specified below, the unit idenWi6d in item 4 was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is
«I
APPROVED O REJECTED
FAA Flt. Standards
Manufacturer Inspection Authorization
I
Other {Specify)
Inspector
BY
--
Person Approved_ by Transpott
1
FAA Oesignee
X
Repair Station
Canada Airworthiness Gro¢
Date of Approval or Rejection Certificate or
Signature of Authoriz~'lndividual
Charles Massanopol1
07 April 1997
Des~nation No.
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LF R294K
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--....-.-.
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FAA Form 337
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