Merchant mariner "lost documents" application of James Dwight Booth
Title revised to match the document’s own text.
Original title: US Coast Guard lost documents application of James Dwight Booth
Document date 19 January 1957
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Id: Cooper-Part-99:058-058
Subject: Cooper Files: Cooper-Part-99:058-058 Document: Merchant mariner "lost documents" application of James Dwight Booth Id: Cooper-Part-99:058-058 Page: https://cooper.theunsolved.net/documents/Cooper-Part-99%3A058-058 What is wrong (title, date, type, which pages belong together, copies)? What does the scan show?
A person reads every report. Corrections are made by hand, to the data — titles, dates, names, which pages belong together — never to the scans, and they can take a while to appear.
FBI 164-81, Vault Part 99 p. 58 (DB Cooper-44485), Form, dated 19 Jan 1957 — cooper.theunsolved.net/documents/Cooper-Part-99%3A058-058
PRINT ALL ENTRIES "LOST DOCUMENTS" DATE:
Name in full: | Your permanent home address: James Dwight Booth | Box 1116 Cut Bank FIRST MIDDLE LAST | Montana
Date of Birth: | Place of Birth: | Your rating on last vessel on which | | you were employed: 1 DEC. 1927 Duluth, Minn. | OILER
Full name of last ship on which employed | Date and Port signed on that vessel: SS NORTH PLATTE VICTORY | DATE: 19 Jan. 57 PORT: SEATTLE
Merchant Mariner's document or | Number of other lost certificates: Certificate of Identification. | (A, B, C, D & E certificates) Number Z- 639 126 | Number
At what port were the lost documents | On what date were lost documents issued? | issued? Various | Various
Ratings shown on lost CERTIFICATES OR MERCHANT MARINER'S DOCUMENT: WIPER FW/T OILER TR ENGR
Are the documents for which duplicates are requested, or any endorsement thereon, currently revoked, suspended, or voluntarily surrendered? Yes No [ ] [ ]
"LOST DISCHARGES" (Check one) NO NOT fill in spaces below if you are NOT filing for lost discharges.
SEE REVERSE SIDE
NAME OF SHIP IN FULL ON VESSEL | DATE SIGNED ON VESSEL | DATE SIGNED OFF VESSEL | RATING ON VESSEL | PORT OF DISCHARGE
It is requested That I be furnished A complete record of my sea service from and including [guess: last] to and DB COOPER-44485 including 1953 (Approximately) 20 [guess: discharges]
SEARCHED INDEXED (VERIFIED FILE) NOV 2 9 [illegible]
(OVER) 16 H. 81- [illegible] 29
Serials: SE 164-81