NTSB Identification: MKC66D0183
14 CFR Part 91 General Aviation
Aircraft: PIPER PA-12, registration: N4061M

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 FILE    DATE          LOCATION          AIRCRAFT DATA       INJURIES       FLIGHT                        PILOT DATA
                                                               F  S M/N     PURPOSE
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3-2821   65/8/6  NR.PIPESTONE MINN     PIPER PA-12         CR-  0  0  1  NONCOMMERCIAL             COMMERCIAL, AGE 38, 1500
        TIME - 0700                    N4061M              PX-  0  0  1  PLEASURE/PERSONAL TRANSP  TOTAL HOURS, 15 IN TYPE,
                                       DAMAGE-SUBSTANTIAL  OT-  0  0  0                            NOT INSTRUMENT RATED.
        NAME OF AIRPORT - LAZY MEADOWS
        TYPE OF ACCIDENT                                         PHASE OF OPERATION
           ENGINE FAILURE OR MALFUNCTION                            TAKEOFF: INITIAL CLIMB
           GEAR COLLAPSED                                           LANDING: LEVEL OFF/TOUCHDOWN
        PROBABLE CAUSE(S)
           MISCELLANEOUS ACTS,CONDITIONS - ICE-CARBURETOR
          MISC-CARBURETOR HEAT CONTROL BRACKET FAILED
        COMPLETE POWER LOSS - COMPLETE ENGINE FAILURE/FLAMEOUT-1 ENGINE
        EMERGENCY CIRCUMSTANCES - FORCED LANDING OFF AIRPORT ON LAND

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