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REG: N12345 MODEL: Cessna 172s S/N: 172s-123
DATE: 03/26/2026 TACH: 1200.00 WO#: 1
(1) I.A.W. applicable Maintenance Manuals, performed the following: OIL Changed
I certify that this aircraft has been inspected/repaired in accordance with current Federal Aviation Regulations and is approved for return to service for the work performed.
SIGNED: _______________________ A&P LICENSE: ______________