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CERTIFICATE RELATING TO MAINTENANCE

CA 43-C-03 21 DECEMBER 2016 Page 1 of 1 CERTIFICATE RELATING TO MAINTENANCE AMO Number CERTIFICATE number Nationality and registration marks ZS-CAA Aircraft Type Cessna 150 Aircraft Serial Number 55555 Engine Type Engine Serial Number Propeller Type Propeller Serial Number Component Type Component Serial Number MAINTENANCE description ( for detailed MAINTENANCE make reference to a document #) _____ _____ _____ _____ _____ _____ _____ _____ I hereby certify that in carrying out the foregoing specified MAINTENANCE , all the requirements prescribed in the Civil Aviation Regulations, 2011, or appropriate authority which are applicable hereto, have been complied with . SIGNATURE OF AIRCRAFT MAINTENANCE ENGINEER/ ORGANISATION LICENCE or OTHER APPROVAL NUMBER DATE OF ISSUE

CA 43-C-03 21 DECEMBER 2016 Page 1of CERTIFICATE RELATING TO MAINTENANCE AMO Number Certificate number Nationality and registration marks e.g. ZS-CAA Aircraft Type e.g. Cessna 150 Aircraft Serial Number e.g. 55555 Engine Type

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Transcription of CERTIFICATE RELATING TO MAINTENANCE

1 CA 43-C-03 21 DECEMBER 2016 Page 1 of 1 CERTIFICATE RELATING TO MAINTENANCE AMO Number CERTIFICATE number Nationality and registration marks ZS-CAA Aircraft Type Cessna 150 Aircraft Serial Number 55555 Engine Type Engine Serial Number Propeller Type Propeller Serial Number Component Type Component Serial Number MAINTENANCE description ( for detailed MAINTENANCE make reference to a document #) _____ _____ _____ _____ _____ _____ _____ _____ I hereby certify that in carrying out the foregoing specified MAINTENANCE , all the requirements prescribed in the Civil Aviation Regulations, 2011, or appropriate authority which are applicable hereto, have been complied with . SIGNATURE OF AIRCRAFT MAINTENANCE ENGINEER/ ORGANISATION LICENCE or OTHER APPROVAL NUMBER DATE OF ISSUE


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