Part 101, page 148

Transcript

The scan is the source; the transcript is machine-generated from it.

FOREIGN COUNTRIES VISITED OR RESIDED IN

[illegible form number/header] | DATE LEFT U.S. | DATE RETURNED U.S. | PURPOSE

(S[illegible]) Guaymas, Mexico 6-52 6-52 Tourist [several additional entries below, largely illegible due to scan quality] [illegible entries with partial dates and locations visible]

---

27. RELATIVES a. LIST PARENTS, SPOUSE, (including maiden name) CHILDREN, BROTHERS, AND SISTERS (16 years and older). LIST EVEN THOUGH DECEASED

RELATION | NAME | ADDRESS (Enter "deceased" if no longer living) | PLACE & DATE OF BIRTH | PRESENT CITIZENSHIP

Mother Edith (EMM) Crane 1542 Bookside Drive, Lincoln, Calif. U.S.A. Santa Rosa, California 6-yr. unknown

Step- Fredrick L. Crane Same as above Unknown U.S.A. father

Father Chauncey W. Peterson Deceased Windsor, Calif. Date unknown

---

a. LIST OTHER LIVING RELATIVES AND RELATIVES OF SPOUSE KNOWN TO BE RESIDING OUTSIDE THE UNITED STATES

NONE

[mostly blank area with some illegible markings]

DB COOPER-45610

---

28. EMPLOYMENT (Show every employment you have had since 1 Jan 1937 and account for all periods of unemployment)

POSITION HELD | EMPLOYER AND IMMEDIATE SUPERVISOR | ADDRESS | FROM (Date) | TO (Date)

Audio-Visual Boeing Airplane Company Seattle, Wash. 5-62 PRESENT Editor SUPERVISOR Unemployed 2-62 5-62

Reporter & Columbia Basin News Pasco, Washington 8-61 2-62 Feature Writer Unemployed 6-61 8-61

Teacher Medical Lake High School Medical Lake, Washington 9-60 6-61

Reporter & The Spokesman-Review Spokane, Washington 6-60 9-60 Copy Desk Man

Teacher Lopez High School Lopez, Washington 9-58 6-60 Unemployed 6-58 9-58

Teacher Moses Lake High School Moses Lake, Washington 9-57 6-58

Timber Region I - U.S. Forest Serv. Missoula, Montana 8-57 9-57 Cruiser

---

b6 b7C