FAX MESSAGE
To: EXTRA-FLUGZEUGBAU GmbH Fax N°: .............................(49)-2858-913730
From: ............................................................
Address: .......................................................................................................................................
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Tel. N°: ...........................................................
Fax N°: ..........................................................
Aircraft Description:
Type: ........................ Serial No: .................
Flight hours: ............. Landings: ..................
O Standard Engine
O other (please specify)...............................
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Equipment installed:
O GOMOLZIG endpipe silencer
O Electrical actuated rudder pedal adjust.
O Accelerometer DSA 12
O ELT Pointer 3000
O Fire extinguisher
O Air tow release
O Long range tank
Date: .............................................................
Detailed Description of Damage or Problem
PAGE H
PAGE DATE: 1. July 1996
O Smoke System
O P-1000 digital RPM indicator
O External power supply
O Heating system
O other (please specify)...............................
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