4 ClASS•WWWItCAOOCOWW111.10 A/C Actual Compliance Last • Reason AC Amy It I nmoil‘wat IV,' g/C ICelogOry. Aol EC 1014 (WM Cal410r/ WWI' OMM Rev 0 tit. 1981-01102 Caen AD *Woe WRONAWO Pin 2 PIC 'OWLS II Categeqy AD Slaw CANCEL Awe 2 (IC 1091-200Z <Spew AO Slaw °Weft Rev. VC 1191-07TO Category- AD Stan ,kA Hey. 7 CORMS, OwernestIO 13-1Ttl0e0t 21000001 MOM 42210 251(CO 10:001 MO:OW 10/ 10I 2510174000 204 moot000 74.204002 A172240 37000003W 1n'.'001 At WM V2601 NC Mows 'ea toot tr. Tiort•cooe • • To 1„16/ NC COW' MO A Ot 0012,7001 SOwntAa (IC Deetelpeloo• Woty0011701.1 Mott Ow LM Cmoglionat Inionsigion *bit Morn Afar 12000 itelegettom lOOD Ws *IS 71 0 trOWX00 ▪ t Ono Of WWI *WM WITIOOKO OLAM • tom NO' Canal CO WART W oar Superseded Oy Wel-roe/ G.M. IWO COCO CAMIOCOMMtmrri I loplegoled 10.100347•Ig Pe(u. AMM SI Certified tnal the above modifications have been embodied by the aircraft constructor' 'at the time of certification of the aircraft, additional to the basic design. Signed.. .._ . Date._ Mara. NO SOW WO 1701? 14010008 Rev * ArC IWO Woo MO 20. AC TWO Cram 611 COW OtIR•e3 IA COO ICI TWO let' 'MO% AI.. MO int ,11010.1,1% V Cilia fl• A. I N SAW A. nen, lAffinal 01•0 ante OHMS? Mt 2 NC IOM lion 000 NC US CyWn 0 MIS TASK IS CON2002200 INrcuO110yy CHECK El Way CPECK !MX CAPS —NO 39 OS), Any* MO W ottell Awe. MO NOM? f (for Constructor) MANDATORY MODIFICATION RECORD Aircraft Registration 4 6%ti< Owners Name 9mi Alciffr Mod Description of Ref. No. Mod 2 3 TRF hoof rmg- e ✓%/AL stRvps - mAtypnitcy SE, Apadv44. UnYAy 1111 4CIIIN S LIFE rima _ _____ • crin 6:74.4 -pfra...,„.7 tic-riib--hri A hs Y lc it; i; 4.4 Sr Mante, MINYA° \leapCAL fin; LV“,1 • 1,37- S34 tat! Mod Approval Reference 4 Reference to other Modifications Affected 5 Person Certifying, Authority. Signature end Date 6 Wag. 84 r1/43- % ctsg.CP.. _ __ 7 6;3 113- 3ifeliti vivrXn.