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US Department
MAJOR REPAIR AND ALTERATION For FAA Use Only
of Transportation (Airframe, Powerplant, Propeller, or Appliance)
Federal Aviation
Administration
INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each
such violation. (49 U.S.C. §46301(a))
Nationality and Registration Mark Serial No.
N1234 123456B
1. Aircraft Make Model Series
AIRBUS A320 123456B
Name (As shown on registration certificate) Address (As shown on registration certificate)
Address 27 AV. 590,CDAD DE GUATEMALA
2. Owner TACA INTERNATIONAL AIRLINES
City CIUDAD DE GUATEMALA State GUATEMALA
POWERPLANT
PROPELLER
Type
APPLIANCE
Manufacturer
6. Conformity Statement
A. Agency's Name and Address B. Kind of Agency
Name AEROMAN S.A DE C.V U. S. Certificated Mechanic Manufacturer
Address AEROPUERTO INTERNACIONAL EL SALVADOR "OSCAR ARTURO ROMERO
Foreign Certificated Mechanic C. Certificate No.
Certificated Repair Station
SAN LUIS TAIIPA
City LA PAZ State X
Zip 0813 Country EL SALVADOR
Certificated Maintenance Organization 6539 A&P
D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge.
Extended range fuel Signature/Date of Authorized Individual
per 14 CFR Part 43
App. B
1. REMOVED FROM THE AIRCRAFT OLD RUDDER DUE TO DAMAGE AND INSTALLED A
NEW RUDDER UN ACCORDING TO THIS P/N D27000000067
2.REPAIRED THE DAMAGE AND INSTALLED ALL COMPONENTES UN ACCORDANCE
WHITCH AMM A320 REF. FIG 401 AND 405 TASK 27-21-41-000-001
3.REPLACED THE RUDDER AS REQUIRED AND INSTALLED SUCH AN ON DRAWINGS AND
ATEOS IN THE MANUFACTURES MAINTENCE MANUAL