Pennsylvania certificate of birth, No. 717872

Title revised to match the document’s own text.

Original title: Pennsylvania certificate of birth, Schuyler William Miles Jr.

Document date 23 July 1942

Part 114page 381 pageDB Cooper-10660

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Id: Cooper-Part-114:038-038

Subject: Cooper Files: Cooper-Part-114:038-038

Document: Pennsylvania certificate of birth, No. 717872
Id: Cooper-Part-114:038-038
Page: https://cooper.theunsolved.net/documents/Cooper-Part-114%3A038-038

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FBI 164-81, Vault Part 114 p. 38 (DB Cooper-10660), Form, dated 23 Jul 1942 — cooper.theunsolved.net/documents/Cooper-Part-114%3A038-038

No 717872

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July 23, 1942

Ira P. Williams Director, Bureau of Vital [guess: Statistics]

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COMMONWEALTH OF PENNSYLVANIA [UNITED VITAL STATISTICS] CERTIFICATE OF BIRTH

PLACE OF BIRTH [illegible borough/township], [guess: Montgomery] [guess: County] [illegible] Registration Date No. [illegible] File No. 177419 [guess: October] [illegible], [illegible]

FULL NAME OF CHILD: [guess: Sebastian] [illegible]

[Sex] [illegible] Male [illegible]

FULL [NAME OF FATHER]: [guess: Douglas] [illegible] [illegible] Sh[illegible] RESIDENCE: 625 [illegible] [illegible] COLOR: [guess: W] AGE AT LAST BIRTHDAY: 2[guess: 5] BIRTHPLACE: [illegible] OCCUPATION: [illegible]

FULL MAIDEN NAME [OF MOTHER]: [illegible] [illegible] [illegible] RESIDENCE: 65 [illegible] [illegible] COLOR: [guess: W] AGE AT LAST BIRTHDAY: 2[guess: 3] BIRTHPLACE: [illegible] OCCUPATION: [guess: House] [illegible]

Number of children [illegible] [illegible]

CERTIFICATE OF ATTENDING PHYSICIAN OR MIDWIFE [illegible signature] [illegible date]

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CAUTION: SPECIAL HANDLING REQUIRED This material copied from records of National Personnel Records Center, St. Louis, Missouri to be used for reference only. Do not recopy or disseminate in its original form outside the Bureau.

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DB Cooper-10660

Serials: 177419, 717872