Textron Cessna 172R - Page 190

I
.
Approving
Nation
Avaition
Authority
/Country
FAA/United
States
AUTHORIZED
RELEASE
CERTIFICATE
FAA
Form
8130-3
AIRWORTHINESS
APPROVAL
TAG
3.
Form
Tracking
Number
FN-370519
4.
Ogranization
Name
and
Address
Sky-Tec
350
Howard
Clemmons
Rd.
Granbury,
Texas
76048
(PQ0852SW)
5.
Work
Order/Contract/
Invoice
Number
FN-370519
6.
Item
7.
Description
8.
Part
Number
9.
Eligibility41
10.
Quanity
11.
Serial/Batch
Number
12.
Status/Work
STARTER
149-NL
Lyc.
235,290,320,340,360,540,
541
&
720
series
FN-370519
NEW
13.
Remarks
This
PMA
part
is
not
a
critical
component.
14.
Certifies
the
items
above
were
manufactured
in
conformity
to:
0
Approved
design
data
and
are
in
a
condition
for safe
operation
□
Non-approved
design
and
specified
in
Block
13.
16.
Approval/Authorization
No.
-
BMfR-750
1
20S
W
Eugene
Chiappc
18.
Date
(m/d/y)
September
23,
2005
User/Installer
Responsibilities
It
is
important
to
understand
that
the
existence
of
this
document
alone
does
not
automatically
constitute
authority
to
install
the
part/assembly.
Where
the
user/installer
work
in
accordance
with the
national
regulations
of
an
Airworthiness
Authority
different
than
the
Airworthiness
Authority
of
the
country
specified
in
Block
1
it
is
essential
tha*
:iser/installer
ensures
that
his/her
Airworthiness
Authority
ac''*'r'rs
part/components/assemblies
from
the
Airworthiness
authority
r'f
the
country
specified
in
Block
1.
j
Statements
in
Block
14
and
19
do
not
constitute installation
certification.
In
all
cases,
aircraft
maintenance
records
must
contain
an
installation
certification
issued
in
accordance
••
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