PAGE I
PAGE DATE: 1. June 1997
FAX MESSAGE
To: EXTRA-FLUGZEUGBAU GmbH Fax N°: .............................(49)-2858-913730
From: ............................................................
Address: .......................................................................................................................................
.....................................................................................................................................................
Tel. N°: ...........................................................
Fax N°: ..........................................................
Aircraft Description:
Type: ........................ Serial No: .................
Flight hours: ............. Landings: ..................
O Standard Engine
O other (please specify)...............................
.................................................................
Equipment installed:
O GOMOLZIG endpipe silencer
O MTV-12-B-C/C183-17e 3-blade propeller
O Accelerometer DSA 12
O ELT Pointer 3000
O Fire extinguisher
Service Manual incl. Revisions up to N° .......
and Service Bulletins up to S.B. N° ..............
Maintenance instructions concerning optional
equipment (see CH. 95):
O GOMOLZIG endpipe silencer
O ELT Pointer 3000
O P-1000 digital RPM indicator
O External power supply
O Heating system
Existing Technical Documentation:
Flight Manual incl. Revisions up to N° .........
Language: .....................................................
Description of optional equipment (see
section 9):
O Accelerometer DSA 12
O ELT Pointer 3000
O P-1000 digital RPM indicator
O External power supply
Date: .............................................................
O P-1000 digital RPM indicator
O External power supply
O Heating system
O other (please specify)...............................
.................................................................
Notice: