FD-340 receipt for copies of Northern Virginia Doctors Hospital records re Coffelt, file 164-81-1A (594)

Title revised to match the document’s own text.

Original title: FD-340 receipt for copies of Northern Virginia Doctors Hospital records re Jack Coffelt, file 164-81-1A sub 594

Part 86page 191 pageDB Cooper-37863

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Id: Cooper-Part-86:019-019

Subject: Cooper Files: Cooper-Part-86:019-019

Document: FD-340 receipt for copies of Northern Virginia Doctors Hospital records re Coffelt, file 164-81-1A (594)
Id: Cooper-Part-86:019-019
Page: https://cooper.theunsolved.net/documents/Cooper-Part-86%3A019-019

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FBI 164-81, Vault Part 86 p. 19 (DB Cooper-37863), Form, serial SE 164-81-1A (as read from the transcript) — cooper.theunsolved.net/documents/Cooper-Part-86%3A019-019

FD-340 REV. (6-24-65)

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Sub 853

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File No. 164-81-1A (594)

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Date Received ___________ From ___________ (NAME OF CONTRIBUTOR) ___________ (ADDRESS OF CONTRIBUTOR) ___________ (CITY AND STATE) ___________ (NAME OF SPECIAL AGENT)

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To Be Returned ☐ Yes Receipt Given ☐ Yes ☐ No ☐ No

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Description : Copies of medical [guess: &] treatment records of the [guess: Northern] Virginia Doctors Hosp. re: Coffelt.

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see ser 7462[illegible]

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DB Cooper-37863

Serials: SE 164-81-1A