NVDH Form 57 employment reference request re Jack Coffelt, O.R. orderly

Document date 8 December 1971

Part 86page 641 pageDB Cooper-37908

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Id: Cooper-Part-86:064-064

Subject: Cooper Files: Cooper-Part-86:064-064

Document: NVDH Form 57 employment reference request re Jack Coffelt, O.R. orderly
Id: Cooper-Part-86:064-064
Page: https://cooper.theunsolved.net/documents/Cooper-Part-86%3A064-064

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FBI 164-81, Vault Part 86 p. 64 (DB Cooper-37908), Form, dated 8 Dec 1971 — cooper.theunsolved.net/documents/Cooper-Part-86%3A064-064

NORTHERN VIRGINIA DOCTORS HOSPITAL CORP. 601 S. CARYLN SPRINGS ROAD ARLINGTON, VIRGINIA 22204

To: [Hutchinson, Kansas] December 8, 1971 b6 b7C Regarding: Jack Coffelt

We would greatly appreciate your opinion of the above named applicant for the position of:

O.R. Orderly in this hospital

Employed by you from: [guess: I can't] [guess: to/identify] [guess: this] [guess: boy] Student in your hospital from: [guess: for sure] to [guess: if he is] [guess: the] Graduated: Yes ____ No ____ Position held: [guess: Bone] [guess: Olin + Kindsing] [guess: of] [illegible] [guess: he was] Reason for leaving your employment: [guess: excellent in all his] [guess: work]

Would you re-employ? Yes ____ No ____ if no, would you comment under Remarks?

*GOOD *SATISFACTORY *NEEDS IMPROVEMENT Attendance: Job Performance: Ability: Industry: Dependability: Cooperation: Appearance: Personality: Health:

REMARKS:

Sign[redacted] b6 b7C By: [redacted] R.N./E Title: Operating Room Supervisor

*(Please Check (X) or comment if indicated.) N.V.D.H. Form 57

DB Cooper-37908