DD Form 369 Police Record Check (blank)

Part 46page 1441 pageDB Cooper-18935

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Id: Cooper-Part-46:144-144

Subject: Cooper Files: Cooper-Part-46:144-144

Document: DD Form 369 Police Record Check (blank)
Id: Cooper-Part-46:144-144
Page: https://cooper.theunsolved.net/documents/Cooper-Part-46%3A144-144

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FBI 164-81, Vault Part 46 p. 144 (DB Cooper-18935), Form — cooper.theunsolved.net/documents/Cooper-Part-46%3A144-144

ok 5/18/[illegible] 2.20[illegible]

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Form approved. Budget Bureau No. 22-R049.3

Date......................................

Dear Sir:

........ .... .... .... who claims to have resided at .......................................

.......................... ..... .from.......... ................ to .............................. and whose fingerprints and personal

description are recorded hereon is an applicant for enlistment in the United States....................................... It is requested that the following information be furnished from your files. A return envelope is inclosed for your convenience.

Very truly yours,

1 Inclosure Return Envelope

........................................................................ (Recruiting Officer)

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POLICE RECORD CHECK | CITY AND STATE: [blank] | DATE: [blank]

HAS APPLICANT A POLICE OR JUVENILE RECORD? (other than minor traffic violation) ☐ YES ☐ NO IF "YES," WHAT WAS THE OFFENSE?

[blank area]

[illegible] - [illegible] [illegible]

IS APPLICANT NOW UNDERGOING COURT ACTION OF ANY KIND? ☐ YES ☐ NO IF "YES," GIVE DETAILS

[blank]

DOES CIVIL CUSTODY EXIST? ☐ YES ☐ NO IF "YES," SPECIFY IS APPLICANT ☐ MARRIED ☐ SEPARATED ☐ DIVORCED ☐ WIDOWED ☐ SINGLE ☐ MARITAL STATUS UNKNOWN

REMARKS:

TITLE | SIGNATURE

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AN IDENTIFYING NUMBER WHICH IS INDEXED IN OUR FILES ACCOMPANIED YOUR REQUEST. FBI CANNOT GUARANTEE IN ANY MANNER THAT THIS MATERIAL CONCERNS THE INDIVIDUAL IN WHOM YOU ARE INTERESTED.

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DD FORM 369 AUG 50

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DB Cooper-18935

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b6 b7C

Serials: 22-R049.3