EQUIVALENT ITEM AUTHORIZATION           NO.______________

PROGRAM OR PROJECT                  DRAWING/SPECIFICATION NO.

CHANGE     PART     NO:         ______________         PART     NAME:
__________________________


TO    PART    NO:                 ______________        PART    NAME:
__________________________



       AFFECTIVE FOR SERIALIZED ASSEMBLY NUMBER _____________________
ONLY.

        AFFECTIVE  FROM SERIALIZED ASSEMBLY NUMBER __________________
THROUGH _______________.

PURPOSE OF SUBSTITUTION

__________________________                              _____________
____________________________                   ______________
REQUESTED               BY                                       DATE
APPROVED-QUALITY ASSURANCE           DATE


__________________________                              _____________
____________________________                    ______________
APPROVED-ENGINEERING          DATE                          APPROVED-
MANUFACTURING                 DATE