FD-340 evidence receipt with Arizona driver's license record of Arthur B. Derham (164A-81-1A(786))

Document date 27 September 1985

Part 88pages 77–793 pagesDB Cooper-38967–38969

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Id: Cooper-Part-88:077-079

Subject: Cooper Files: Cooper-Part-88:077-079

Document: FD-340 evidence receipt with Arizona driver's license record of Arthur B. Derham (164A-81-1A(786))
Id: Cooper-Part-88:077-079
Page: https://cooper.theunsolved.net/documents/Cooper-Part-88%3A077-079

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FBI 164-81, Vault Part 88 pp. 77–79 (DB Cooper-38967–38969), Form, dated 27 Sep 1985 — cooper.theunsolved.net/documents/Cooper-Part-88%3A077-079

FD-340 (Rev. 4-3-84)

Se 164A-81-1A(786) Field File No. 164A-571 OO and File No. ________ Date Received 9/27/85 From [guess: Drivers] License Records (Name of Contributor) M V D (Address of Contributor) [guess: Px. A[illegible]]

By 1A [Name of Special Agent] [b6 b7C redaction]

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

Grand Jury Material - Disseminate Only Pursuant to Rule 6(e), Federal Rules of Criminal Procedure ☐ Yes ☐ No

Title:

Reference: (Communication Enclosing Material)

Description: ☐ Original notes re interview of

1 [guess: Amj] drivers license photo of Arthur B. Derham sent to Seattle via airtel, 10/31/85

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DB Cooper-38967

SEE REVERSE SIDE FOR CORRECTIONS

ARIZONA CLASS: 4 SOCIAL SECURITY NUMBER: 327-26-[illegible]

[Handwritten annotation upper right]: M. [illegible] 0 [illegible]

FIRST NAME: ARTHUR MIDDLE NAME: B LAST NAME: DERHAM

EXPIR[ES] ON Y[EAR] BIRT[HDAY] [illegible]

STREET ADDRESS: 3405 S. TOMAHA [guess: LN]

CITY OR POST OFFICE: APACHE JUNCTION ZIP: 85220

SEX: M WEIGHT: 150 HEIGHT: 5'9" EYES: Bl HAIR: BR RESTRICTION: [blank] ORGAN DONOR: [illegible]

DATE OF BIRTH: MO: 02 DAY: 07 YEAR: 33 DATE OF ISSUE: 1-9-85 MED CODE: [blank]

× Arthur B. Derham (SIGNATURE OF APPLICANT) ASSISTANT DIRECTOR ADOT MOTOR VEHICLE DIVISION

[Bottom partially visible]: [illegible] FORMER NAME IF PREVIOUSLY [illegible]

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DB Cooper-38968

PX: 164A-571

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DB Cooper-38969 164A-81-LA(786)

Serials: PX 164-571