SINGLE-ENGINE MAINTENANCE STATUS REPORTA/C MAKE: PIPER ENGINE MAKE: LYCOMING PROP MAKE: HARTZELL

A/C MODEL: MATRIX ENGINE MODEL: TIO-540-AE2A PROP MODEL: HC-I3YR-1EA/C SERIAL NUMBER: 4692023 ENGINE S/N: L-12972-61A PROP S/N: HK1383B

A/C TYPE CERT: A25SO ENGINE TYPE CERT: E14EA PROP TYPE CERT: P33EAHOUR METER: 803.3 ENG TT: 803.3 PROP TT: 803.3

N249C ACTT: 803.3 ENG SMOH 803.3 PROP SMOH: 803.3TOTAL CYCLES: ENG TBO PROP TBO:PA-46R-350T ACTT CORRECTION: 0.0

DATE: 12/02/15 HOUR METER: 803.3 CYCLES:TRACKED HOUR CYCLE CALENDAR ACTION HOURS CYCLES DATE HOURS CYCLES DAYS ITEM

ITEM INTERVAL INTERVAL INTERVAL REQUIRED C/W C/W C/W REMAINING REMAINING REMAINING REMARKSCHAPTER 4 LIMITATIONS

WING & ASSOCIATED STRUCTURE 15,580.0 CH 4 LIFE LIMIT 0.0 0 04/11/08 14,776.7HORIZONTAL STABILIZER 15,580.0 CH 4 LIFE LIMIT 0.0 0 04/11/08 14,776.7VERTICAL STABILIZER 15,580.0 CH 4 LIFE LIMIT 0.0 0 04/11/08 14,776.7CHAPTER 5 SCHEDULED MX CHECKS50 HOUR INSPECTION SEE INSP. CHK LIST FOR ITEMSANNUAL / 100 HOUR INSPECTION 12 MO INSPECTION 642.4 09/24/13 -434 SEE INSP. CHK LIST FOR ITEMS

CHAPTER 5 SPECIAL MX CHECKSSECURITY OF INJECTOR NOZZELS 50.0 INSPECTION 787.8 11/22/14PIPER SB 1195A 200.0 INSPECTION 787.8 11/22/14 COMM 1&2 ANTENNA/SKIN INSP.TURBO TIT PROBE / AD 99-15-04 250.0 REPLACE 787.8 11/22/14 77-20-00TURBO CHARGERS & TAIL PIPE 250.0 12 MO INSPECTION 787.8 11/22/14 LYCOMING SB 521 & 531AIRBORNE PRESSURE MANIFOLD 400.0 CHECK 30-10-00GILL 250S BATTERY 400.0 11 MO CAP CHECK 787.8 11/22/14 800 HR / 11 MONTH INITIAL CHECKVACUUM SYSTEM AIR FILTER 500.0 12 MO REPLACE OR WITH PUMP REPLACEMENTENGINE AIR FILTER 500.0 REPLACEWING FUEL TAINKS 500.0 DRAIN DRAIN COMPLETELYFUEL TANK SEALING MATERIAL 500.0 CHECKFUEL TRANSMITTER 500.0 CHECKFUEL FLOATS & STRAINERS 500.0 24 MO CHECKPROPELLER 500.0 REMOVE & CLEAN CLEAN SLUDGE FROM CRANKSHAFTOIL HEAT EXCHANGER 500.0 REMOVE & FLUSH 0.0 0 04/11/08 -303.3MAGNETO'S 500.0 CLEAN & CHECK 0.0 0 04/11/08 -303.3 PER SLICKF1100 MANUALPROP BLADES ERROSION SHIELD 500.0 CHECK 0.0 0 04/11/08 -303.3 COIN TAP TEST, MANUAL NO.135VACUUM PUMP 600.0 REPLACE 0.0 0 04/11/08 -203.3 AERO ACCESSORIES AA441CC/CWENGINE COMPARTMENT HOSES 1,000.0 8 YR REPLACE 0.0 0 04/11/08 196.7 TYPE-D HOSES ARE ON-CONDITIONNOSE GEAR HYD HOSES 1,000.0 8 YR REPLACE 0.0 0 04/11/08 196.7 ACTUATOR, DOOR & SEQUENCERPROP BLADE 1,000.0 CHECK 0.0 0 04/11/08 196.7 COIN TAP TEST, MANUAL NO.135FLAP ROLLER & AILERON BOLTS 1,000.0 CHECK 0.0 0 04/11/08 196.7 CHECK / REPLACE AS REQUIREDFLAP TRACKS 1,000.0 CHECK 0.0 0 04/11/08 196.7ENGINE OVERHAUL 2,000.0 OVHL/REPLACE 0.0 0 04/11/08 1,196.7 2,000 HOUR TBOPROPELLER OVERHAUL 2,000.0 5 YR OVHL/REPLACE 0.0 0 04/11/08 1,196.7 -966ALTERNATOR'S 2,000.0 OVHL/REPLACE 0.0 0 04/11/14 1,196.7 OR AT ENGINE OVHLPROPELER GOVERNOR OVERHAUL 2,400.0 OVHL/REPLACE 0.0 0 04/11/08 1,596.7 OR AT ENGINE OVHLPROPELLER OVERHAUL 2,400.0 6 YR OVHL/REPLACE 0.0 0 04/11/08 1,596.7 -601STARTER MOTOR 2,700.0 OVHL/REPLACE 0.0 0 04/11/08 1,896.7 SKY TECH MO:149-NL, OR AT ENG OVHLENGINE MOUNT BOLTS 7,500.0 REPLACE 0.0 0 04/11/08 6,696.7STBY ATT IND EPU 30 DAY CHECK SEE FLIGHT LOGBOOK FOR COMPLIANCEBATTERY 30 DAY CHECK SEE FLIGHT LOGBOOK FOR COMPLIANCEPORTBLE FIREX BOTTLE 30 DAY CHECK SEE BOTTLE COMPLIANCE TAGELT SELF TEST 30 DAY CHECK SEE FLIGHT LOGBOOK FOR COMPLIANCEFUEL FILTER 90 DAY CHECK 0.0 0 04/11/08 -2,701OIL & OIL FILTER 50.0 4 MO CHANGE 0.0 0 04/11/08 -753.3 -2,671PROPELLER 6 MO LUBE 0.0 0 04/11/08 -2,608 IF ANNUAL USAGE