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Aircraft Model No.
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Aircraft Serial #
Engine Model #
[with prefix and suffix]

[cont.]

Propeller Hub Model #

[cont.]

Mag Mfg.

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Month of Annual Insp.
Conversion
Turbo Retrofit
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AEROTECH PUBLICATIONS, INC,
PO Box 1359 / Southold, NY 11971-0965
1-800-235-6444 / In NY 1-631-765-9375 / FAX: 1-631-765-9359

adlogTM and adNoteTM are trademarks of Aerotech Publications, Inc.