Chapter 9: Airworthiness Directives 9 9-3 Figure 9-1.  Sample Airworthiness Directives Compliance Record.  This sample AD Compliance Record is  intended to show you an acceptable format for recording the required information to evidence your aircraft’s  compliance with applicable ADs. The FAA does not prescribe a specific format; however, the information  discussed in this chapter must be maintained with the aircraft’s maintenance records. AirWortHiness direCtive ComPliAnCe reCord Aircraft: PA-22-135  N2631A S/N 22-903 Engine: Lycoming 0-290-D2  S/N 4563-21 Propeller: Sensenich M 76AM2 S/N 6662 Ad &  Amend  nUm. rev.  nUm. &  dAte sUBjeCt dAte/ HoUrs  At ComP. metHod  oF ComP. one  time reCUr- rinG ComP. dUe  dAte/Hrs AUtHorized  siGnAtUre &  nUmBer 76-07-12 39-3024 R-1 8-30-77 Bendix  ignition  switch 11-11-94 1850TT Operational  check and  inspection  X Phil Lomax A&P 000000000 93-18-03 39-8688 Original 10-29-93 One- piece  venturi 3-17-95 1850OTT Installed  one-piece  venturi  Carb S/N  BR-549 X 1900TT Phil Lomax A&P 000000000