AIRCRAFT REGISTRY

    
     
    
  
  
   
  
   
   
 
 
   
    
  
 
   
  
   
   
  
   

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- II.-
uuam no.2 DATE: - 
. . 3s
or musronunou I Farm raved .
FEDERAL AVIATION ADMINISTRATION 7 .4, 044060"
- FOR FAA USE ONLY
MAJOR REPAIR AND ALTERATION - OFFICE IDENTIFICATION
I I A '1
(All-frame, Powerp ant, opeller, or ppllan eI . RNO FSDO
ENSTRUCTIONS: Print or type all entries. Se: FAR 43.9, FAR 45 Appetidix B, and AC 43.9?1 (or subsequent revision thereof)
7_ .- A . (or instructions and dispositiqn of this fprm. 
5' - - . MODEL
1 CESSNA - 152
. . 51% SERIAL NO. NATIONALITY AND REGISTRATION MARK
r, ?7 - 15284547 . N5343M
. I i . .
- NAME (As shown on regishafion ce?i?cafe) . AQDRESS {As shown on regisfru?on certi?cafe)
I 2. OWNER JESSE-.0 AND LAURA SMITH PO BOX 20392
- .- . - - SPARKS NV. 89433
3. FOR FAA IISE ONLY -
f, E. 3'
4. UNIT IDENTIFIGTIOR 5' TYPE
. UNIT MAKE MODE. SERIAL no. ALTER-
i . . - REPAIR mow
7 AIRFRAME WM: described in Hem I XX
POWERPLANT
7 PROPELLER
47APPLIANCE 
- 7 -. 6. IONFOHMIW STATEMENT . 7 . 
.41.- A. NAMEAND ADDRESS 8.. KIND OF AGENCY C. CERTIFICATE .NO.
7 XX MECHANIC 
ERNEST CERFIFICATED MECHANIC 
5645 WEDGEWOQD CIR REPAIR snn?ou AEKP 1745096
:s SPARKS 39435?. . . mnu?acmasa 7
D. I certify that Elie repEii- 'Eth/or'aiteratitill made to the unit(s) identi?ed in Item 4 abDvC and described on the reverseror'" 
attachments hereto have bc'en made in ateordancc with the requirements of Part 45 of the U.S. 5
and 'Ihat the informa?tic?p? furnished herein is {rug :ind corre? to the best of my 
DATE - SIGNAT ED INDIVIDUIQL
I l- 
'10"23"APPROVAL WIREFURH T0 SERVICE 
Puri?an: to pus-amiss speci?ed bclowpth': unit identi?ed in itein 4 was in_s[pecxed in the'r?n'znnc: prescribed by
m? the Federal Ai'imiun Administration and OIHEII 
- 9/ m. ?mums MANUFACTURER Xx INSEECIION AUTHORIZATION . (swim
a i . INSPECTOR . .. 
f1CANADIAN DEPARYMENT
i . FAA OESIGNEE .. . . or. TRANSPORTEIEISPECTOR
OF unmask -
DATE OF 
REJECTION - DESIGNATION No;
IA 1743096 . 
5 Form 33? (7-57) . - 1 9mm? 04mm (8320 

 

 

EM REGISTRY

BAHE RA

  

 

 

 

 

 

  

F0. 2 DATE: l5- ?72

 

  
 

 

 

 



Weight and balance or a?ra?ng IImIfafian changes ska" be entered In fhe appropriate aircraft record.
An aHerafI'on must be compa?'bfe. w?h of! previous afferah'ons to assure continued conformity with the
_-appIicabI?e airworthiness requIremenfs. 7.

- 

 

 

 

I

 

.DESCRIPTIOH OF WORK (If more space is reqwred aWach addi?anal sheets. ldenfify with air;
cr'a? nafiondlify and registration mark and date wark' complefed 


1

THE FOLLOWING HOHK WAS PERFORMED 0N CESSNA 152, H5343M, SERIAL
HUHBEH 15284547. 3

 

 

I TQVYA GROUP R25400 ALTERNATOH CONTROL UNIT IN -
WITH STC 

 

1 ELECTRICAL LOAD .NQ CHANGE. .

EC 

  

   
 

   

MANUAL Ho CHANGE. 3 33172 51932
"3441313431111: .HCE HQ CHANGE. .HNOIFSDO

 

 

  

 

 

 

:27; I 

 

71:; em- 

    

 

 

 

  

  

 
    

 

  

 

 

 

 

 

 

AIRCRAFT REGISTRY
ca?enA 10. 

 

-

 

  

DATE:

55 7?9-

   

 

  
 
 

RECEIVED
5:12.25

 

 

 

5 Department

oi 
pm A1 -
1mm

(AIrIrame, Powerplant Propeller, or Appliance)

MAJOR REPAIR Ann FSDO



Fe Approved

OMB. No, 2120-0020

 

For FAA Use Oniy

 

 

Otfice Idi?ntification

N0 FSDO.

 

INSTRUCTIONS: Print ortype altentrie?s. See _43. 9. FAR 43 A
and disposition otthiSfc'Irm. This report' I5 required _by law (49 U. 
- for each such violation (Section 901 Federal Aviation Act of 1958}:

ppendix?. and A045. 9- 1(orsubse'quent revisionthereof) forinstructions
(3.1.421) Failure to report can resutt In a civil penalty not to- exceed ODD

 

. 1. Aircralt

Make

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_Mcd'ei

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7 Serial No.



    

.

1 I 

NAtionality and Registration Mark

?3 .:

 

. 2. Owner

 

Neme (As shown on registration certificate) I I

91:15 EC: ti;
SMITH 

 

 

Addres'e {As shown on registration certificate)

/q 0:95. 

mr?5e?A?29 2717? 

 

3. For FAA Use 0th

 

 

57:. unit 

5. Type

 

Unit

Make

 

Model]

 

Serial No.

Repair

Alteration

 

AIRFRAME

described in "em 7 abbye} Wm

 

POWERPLANT

 

PROPELLER

 

APPLIANCE

Type

 

 

Manuiacturer

 



 

 

 

 

6. Contomitg?i?tement

 

A. Agency' 5 Name and Address

Kind 0(A'gency.

TC. Certificate No.

 

AM-

dd

mg/aculzy 
2440 Tat/emixfn? 5?4!

REMG



S. Certificated Mechanic

 

Foreign Certi?cated Mechanic

 

Certi?cated Repair Station

 

 

 

Manuiacturer

 

Were-08$ 

 

D. madetotheunit
have been made in accordance with the req
Iurnished herein I5 true and correct 16 the best or my knowledge.

uirements of Part 43 of th

(5) Identitied' In item 4 above and described on the reverse or attachments hereto
U. S. Federal Aviation Regulations and that the iniormation

 

Date

2- 73?,

 

Signature of 

 

Appr?ya?i Ier Return To Service

 

Pursuant to the authority given persons specified height/the

nEJAPPnoveo

Identi?ed In item 4 was ins

pected in the manner prescribed by the
El REJECTED

 

 

 

 

 

 

Administrator 01 0e Federal Aviation Administration and is
Manufacturer I Inspection Authorization 
FAA Designee ~Repair Station 

 

Other (Spec?y)

 

 

Date oi Approval or Rejection

2? 0% 9?1

Certificate or
Designation No.

 

Mme 496177-

 

Stgnalure of Autho I'zed Individuat

 

 

FAA Form 337 [12-33)

4m 
.

 

 
 
  
   
  
    
    
    
  
   
  
   
  
  
  
    
  

 

 

FAA AI CRAP REGISTRY

5; can?; a; 

 

 

 

 

 

 

NOTICE 1 .3
ation changes shall be entered' the appropnate air?'r'att recotd. 'An alteration must be
ns_ to assut? cbntir'med contornmy with the Uapplicabjeatrworthinass requir?ments. .. .

 

Weight and balance or op?ratr'ng limit
compatible with all previous altecatr?o'
m3 YJHK - . - 4

B. D?Scription of Work Accomplished 7 . . I 7 . 
(If more space ls requsred attach additional gets/.7 Identity _with mark'ang't date workacomptpated.)

 

 


7 
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gla?CtCET [pranl?WmJ? .
in} wggHI ?mhb? 

 

 

N0 gin/9?5

 

 

 

 

 

 
 

 

 

     
     
 

FAA AIRCRAFT Raciswi
CAMERA Ho. .5. 3?

 

  

 

 

    
    

I

a. .

Form It proved
Budget Iurcau Notype. Do not write in shaded areas; these
0? .. . . are for FAAI use onl . Submit original only to an authorized FAA .
FEDERAL AVIATION . lfa ditIonalSpace is?rquILired. use an attachment.
I . APPLICATION FOR AIRWORTHINESS I. I Egg?faeifi: fight complete bectIons AIRCRAFT NAME STAIQCIIAET MODEL DESIGNATION 4. TR. NEG: (MOODTNG . 
2 N5343M Cessna. 152 1930 2&5 75/5555 
I . EE- 5. AIRCRAFT SERIAL NO. 6. ENGINE NAME (mute) z. ENGINE MODEL DESIGNATION15284547 Lycoming 0-235-ch . .5 ?55 . 
I {Ig- . a 3 B. NUMBER OF ENGINES 9. PROPELLER NAME To. PROPELLER AIOIDEL DESIGNATION u, ?nun I5One McCauley . I Import 
I as APPLICATION Is HEREBY MADE FOR: (Click-applicable - .. - . . -: . . ..
if: A :11: STANDARD AIRWORTHINESS Indicate category} I XI UTILITY I IACROBATIC I ITRANSFORTI IGIIDER I ISALLOON 
SPECIAL AIRWORTHINESS CERTIFICATE (C/xrk apprqariare item) - 
. . 2} UNITED . 
PROVISIONAL (Main-an day) 2. cuss II 
I . I AGRICULTURE PEST CONTROL . . AERIAL SURVEYING :g??g?sms .
5535,1534?? II: '4 FOREST {Wild hf: 5 PATROILING WEATHER CONTROL
2 f- 0. OTHER (Speri?) .
5 ., 1? RESEARCH AND DEVELOPMENT -2. AMATEUR BUILT 73 7 EXHIBITION 
- EXPERIMENTAL (Indirrm apemianm .
. 4- ,a B.- media-ml) BI RACING 5? (MW TRAINING 6; MIT. SURVEY
3: 0' TO SHOW COMPLIANCE WITH FAR . II - I
u. . FERRY FLIGHT FOR REPAIRS, ALTERATIONS, MAINTENANCE DR STORAGE
5 SPECIAL FLIGHT (Indian: .. I
a opefqn'on Ia be mun/mud {1.3m mm?rft ?2 EVACUATE FROM MA OF ENDING 
5:13: ??th 4" 3 OPERATION IN excess OF MAX. CEIITIFICATED WEIGHT
1 4 DEIIVERING DR EXPORT FLIGHT TESTING . 
I6 I AIRWORTHINESS CERTIFICATE (Check apgraprr'zr: Restricted Operation and Standard or Limiled a: applicable about)
A. REGISTERED OWNER (Ar sbawn an Certi?cate afA irrmf! IF DEALER, CHECK HERE I X.
NAME sane. Aircraft ComDan ADDRESS 5800 East Pawnee Road
. -Wichita Kansas 67201
2 B. AIRCRAFT CERTIFICATION SASIS (Cbcce upph?mbk blade: and nimplm item as indicated) -
AIRCRAFT SPECIFICATION OR TVFE CERTIFICATION DATA SHEET (Gin No. AIRWORTHINESSDMECTIVES ifull Lip/21m?: implied HIT-I gm
N. -
5 3A19- Rev 30 . 80?13 I
AIRCRAFT LISTING {Gin New. ,1 SUFFLEMENTAL Tyre CERTIICATE (UII number STC in?mrpamrcd)
a - .

C. AIRCRAFT OPERATION AND MAINTENANCE RECORDS . q? -
5 CHECK IF PECORDS TOTAL . EIPEJIIMENTAL Time 1.13: Terri/Emu I'Imrn'
COMPLIANCE WITH -3 a, mm": 1 - 
FAR 9I.I73 
hereby certify that I am the owner (or his a t) of the aircraft described above: that the aircraft is regiSLered with the
Federal Aviation Administration in accordance with SeaionI 501 the Federal Avration Act of i958. and applicable Federal Aviation Regula-
tions: and that the aircraft has beeanIspeCIed and is airworthy and eligible for the airworthiness certi?cate requested.
DATE OF APPLICATION NAME AND TITLE I . SIGNATURE
7-526 1,52) illiam A . Boettger, Pawnee Dix . 221W d; . - -
A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND av; (Comp/tic rbir Irrir'an an!) if FAR 21.193 qap/im 
FAR I2l OR 127 CERTIFICATE HOLDER (Gin . MECHANIC (Gite CEITTIFICATED STATION (Gin: 
2 Certi?cate Na.) 3 Crm'?rurr Nai) 56 Na.) 
. - 1 
a?i?i AIRCRAFT MANUFACTURER (Gite Nine of Firm)
333 5 
-
DATE TITLE 1 SIGNATIJIRE
:2 (Chuck ALL block!) I "Incl That the aircraft in Section l:Dr VII moon The requirements For: The 
i. . :0 requened, Dr Em modificaIlnn of ulrworthinus e'ertificuie. ImpoeTIDn for r: special E-tht perm? under I
5% Section VII was by? FAA II It holderundu FAR 65, FAR 121 Dr 327, or I: FAR I45.
DATE DISTRICT OFFICE at - FAA INSPECTORS SIGNATURE
ICT 3? mom? Alma? con?nes DivI>=u 3?0-43 
1,9,5 pI 
5mm 5'55: . - -

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FAA AIRCRAFT REGISTRY
CAIIDIIA no. DATE: 8'5

 

  
  
   
  
    
 
       
   
 
  
     
   
  

 

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I-
A. MANUFACTURER -
NAME 
. .
21! 
5 B. PRODUCTION BASIS (Cluck applicable item) . - 
E: PRODUCTION CERTFICATE (Git! certi?cate . .
5 TYPE CERTIFICATE 7 7 - I
2 APPROVED PRODUCTION INSPECTION SYSTEM 
5" C. GIVE QUANTITY OF CERTIFICATES REQUIRED FOR OPERATING NEEDS:
DATE or APPLICATION NAME AND TITLE ar rm) 7 - 
. 
A. DESCRIPTION or AIRCRAFT i ,7 . -
REGISTERED OWNER .7 _7 I .. I: i muss I . . -.
BUILDER .. . mismTION 
3. DESCRIPTION OF 
3 noDEPARTURE DATE DURATION CREW REQUIRED TO OPERATE THE AIRCRAFT AND ITS EQUIPMENT I .,
I PILOT 1 I I 1 OTHER i
8 D. THE AIRCRAFT DOES NOT MEET THE APPLICAGLE AIRWORTHINESS REQUIREMENTS AS FOLLOWSTHE FOLLOWING RESTRICTIONS ARE CONSIDERED NECESSARY FOR SAFE OPERATION (Uu Glut/1mm If n?fssanIiereby certify ThaT I am The registered owner (or his agent) of The aircraft described above: that the aircraft Is It isrered
with the Federal Administration In accordance with 501 of the FedenI Avutiun Act of1958 arid applicabic Federal vmion
Rtguiltions; and that The nir?nft has been inspected And I: airworrhy for ?ight described.
DATE NAME AND TITLE at up) 3 SIGNATURE
as it A. OperuIing LimIIDIiom and II-I Co'rnplinnce with FAR 5- SIDIOMOM DI Conformity, FAA Form-3I7 {Altar/J 
Ezs 9  as Applicable . . H. Foreign AirworII'IinuI CIrIifichIion for ImpDrI ubrn
E5 5 B. CurrenI OperaIing lImiIDIiDm I
g5 C- 009:1. Drawing? m. (Altar/J I. Pruvious Issued in Accordance . 
53: I D. Currenl WelghI and Balance in Aircraft FAR CAR (Origind/ 
E. Repair and FAA 337 rrq?md') 7 J. CurrerII Aimonh?l3u(a Issued in cordancu wiIh
5 F. This. lmpuriun Record?! in Aircrufl Record: . FAR 21 - (Cap 

 

     
     
   
     
       

   

 

    

FAA AIRCRAFT 
DATE: 8 575?s

 

 

 

UNITED STATES OF AMERICA
DEPARTMENT OF AVIATION ADMINISTRATION

BARB 

. MANUFACTURER a I.- CATEGORY
1/ -, 5?9, VIE NUMBER - - I


 

 

 

. NATIONALITY AND
REGISTRATION 

        

 

 

I: '5 IE-Eszusu Utility

5 Aumcmn AND BASIS FOR {id's-K

"This purlIIuJ'II?l'ci ?olct and ccrII?u IhuI. In of 
?ute of Inwnu, Ihe aircrp Ib?vhich Issued/15h: I?d?f? decI and I6Imd? II: conform fo 17p. 
Iherefor. Io bu In candiIIonZ-I I?r ?If: ope Io tequinmenh of Ihe npplicobln
mmprehensive and _aIFworlhIngsil by Annex Ia??e Convenlian on ImmuIImI 
axmpl as nnlad r?in. I
ExapIIuns:

 

 

 

    

      
     
   
     
    

  

     
     
     
     
     
       
     
 

6. TERMS AND CONDITIONS 
Unleu sooner surrendemd,

IhIs uIrworthneu car??ccle. A I m.
performer! In nccordunu MI I: 91 .1 In viuyibn on minus. a: appropriah. an
uirtrafl I1 In WIQIQBHCOI PilInaa [It
DATE or ISSUANCE FAA - DESIGNATION NUMBER
7 595.3 0 
I n? J.-
Any aliarulion, reproduction, or misusa of :t?smuI??I? EF'be punishabla by a noI Ixteeding SI or Im-
Prisonment no! exceeding 3 years. or THIS CERTIFICATE MUST DISFLAYED IN THE AIRCRAFT IN ACCORD-
ANCE WITH FEDERAL AVIATION REGULATIONS.

. FM 3100-2 (If-67! FORMERLY FAA FORM I362

maInIenunce, and allernIIcnI are

 

    
 

 

 

 

 

 

 

   

 

 

   

 

   

 

   

   

   

 

 

 

 

 

 

   

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