FD-356 Request for Agency Check to SAC St. Louis re NORJAK suspect

Document date 29 May 1973

Part 116page 2251 pageDB Cooper-53247

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Id: Cooper-Part-116:225-225

Subject: Cooper Files: Cooper-Part-116:225-225

Document: FD-356 Request for Agency Check to SAC St. Louis re NORJAK suspect
Id: Cooper-Part-116:225-225
Page: https://cooper.theunsolved.net/documents/Cooper-Part-116%3A225-225

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FBI 164-81, Vault Part 116 p. 225 (DB Cooper-53247), Form, dated 29 May 1973 — cooper.theunsolved.net/documents/Cooper-Part-116%3A225-225

Request for Agency Check FD-356 (Rev. 12-28-71)

INSTRUCTIONS 1. Submit form in duplicate 2. This form may be submitted in legible HAND PRINTING. 3. Use separate form for each person on whom record is requested. 4. Date & place of birth imperative for passport check. 5. Indicate office for reply in lower left corner. Also list in same coupon all offices which should receive copies of reply. Include coupon for each office receiving copies. 6. With regard to military records this form does not apply to desertors. 7. Reverse side of form may be used for recording results, if needed.

TO: SAC, [ ] Alexandria [ ] San Antonio RE: [ ] CIA [ ] Other Date [ ] Baltimore [XX] St. Louis [ ] INS 5/29/73 [ ] Denver [ ] WFO [ ] MILITARY [ ] Indianapolis [ ] [ ] PASSPORT

Name: [REDACTED] Aliases:

[REDACTED] Race Number Social Security Number: [REDACTED]

Passport Number: Service Number: Date of Birth: [REDACTED] Place of Birth: [REDACTED]

Address: Race: Sex: Complexion: White Male Fair Cleveland, Ohio Height: Weight: Hair: Eyes: 5'9" 160 Brown

Other pertinent information: Information wanted in relation to hijacking of Northwest Airlines 727 Jet, 11/24/71.

FOR REPLY ONLY [ ] On basis of information furnished, unable to identify: [ ] Military [ ] Passport [ ] INS [ ] CIA [ ] No pertinent identifiable information [ ] Available information attached [ ] Photo: [ ] Attached [ ] Unavailable [ ] Handwriting specimen attached

Inquiry made by: Date:

Specific information desired: 1. Period of active duty 2. Medical history 3. What was his job? Did he have access to, and knowledge or job training involving aircraft? 4. Type of and reason for discharge

Also furnish: [X] Photo [ ] Handwriting specimens

Return reply to: SAC Cleveland ( 164-88 )

Attention SA [REDACTED]

Send copies to: 2 - St. Louis 1 - Cleveland ECD:sjf (3)

Block Stamp and Notations 164-81-[illegible] SEARCHED......... INDEXED........ SERIALIZED......... FILED......... JUL 5 1973 r.s. - SEATTLE [illegible] all P. [illegible] SEARCHED......... INDEXED......... SERIALIZED......... FILED......... JUN [illegible] 197[3] -- CLEVELAND

DB COOPER-53247

Serials: CV 164-88, SE 164-81

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