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Fill and Sign the State Agency Monthly Donation Report of Surplus Personal Form

Fill and Sign the State Agency Monthly Donation Report of Surplus Personal Form

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United States Of America Department of Transportation - Federal Aviation Administration Supplemental Type Certificate Number SA00555DE This Certificate issued to Aircraft Restoration Corporation 3410 West 1010 South Provo, Utah 84601 certifies that the change in the type design for the following product with the limitations and conditions therefore as specified hereon meets the airworthiness requirements of Part 23 of the Federal Aviation Regulations. Original Product Type Certificate Number : A20SO; A8EA Make : Piper Model : PA-31; PA-31P, PA-31T, PA-31T1, PA-31T2 Description of Type Design Change: Replacement of the inboard main landing gear door with an aerodynamic fairing in accordance with Aircraft Restoration Corporation Master Drawing List No. MDL85280-01, Revision A, dated June 04, 2004, FAA approved June 21, 2004, or later FAA approved revision. Limitations and Conditions: 1. Instructions for Continued Airworthiness, Aircraft Restoration Corporation Report No. ICA-85280-01 dated February 13, 2004, or later FAA accepted revision is required for this installation. 2. This approval should not be extended to aircraft of this model on which other previously approved modifications are incorporated unless it is determined that the interrelationship between this change and any of those other previously approved modifications, including changes in type design, will introduce no adverse effect upon the airworthiness of that aircraft. 3. If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission. This certificate and the supporting data which is the basis for approval shall remain in effect until surrendered, suspended, revoked or a termination date is otherwise established by the Administrator of the Federal Aviation Administration. Date of application : September 05, 2003 Date reissued : June 7, 2007, February 21, 2008 Date of issuance : June 21, 2004 Date amended : By direction of the Administrator _______________________________________________________ (Signature) Manager, Airframe Branch Los Angeles Aircraft Certification Office _______________________________________________________ (Title) _____________________________________________________________________________________________________________________________________ Any alteration of this certificate is punishable by a fine of not exceeding $1,000, or imprisonment not exceeding 3 years, or both. _____________________________________________________________________________________________________________________________________ FAA Form 8110-2(10-68) Page 1 of 2 This certificate may be transferred in accordance with FAR 21.47. United States Of America Department of Transportation - Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number (STC No.) _____________________________________________________________________________________________________________________________________ Any alteration of this certificate is punishable by a fine of not exceeding $1,000, or imprisonment not exceeding 3 years, or both. _____________________________________________________________________________________________________________________________________ FAA Form 8110-2(10-68) Page 2 of 2 This certificate may be transferred in accordance with FAR 21.47.
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