Part 101, page 154
Document date 26 July 1962
FBI 164-81, Vault Part 101 p. 154 (DB Cooper-45616), Form, dated 26 Jul 1962 — cooper.theunsolved.net/parts/Cooper-Part-101/pages/154
Transcript
The scan is the source; the transcript is machine-generated from it.
REFERENCES
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PROFESSIONAL REFERENCES previous supervisors preferred
NAME | COMPANY OR FIRM NAME | HOME ADDRESS [REDACTED] | Columbia Basin | [REDACTED] b6 | News | b7C | The Spokesman- | | Review |
Credentials and Confidential references are on file at placement [guess: office] at [guess: the] [REDACTED] burley, montana state university, CHARACTER REFERENCES do not list relatives or former employers missoula, mont.
NAME | OCCUPATION | HOME ADDRESS b6 [REDACTED] | [REDACTED] | [REDACTED] b7C _____|____________|________________ | |
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MAY WE CONTACT YOUR PRESENT EMPLOYER PRIOR TO COMPLETION OF EMPLOYMENT NEGOTIATIONS? YES [✓] NO [ ]
IF NO, EXPLAIN I am unemployed
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[SIGNATURE IMAGE] IMPORTANT before signing below, please check this application carefully for completeness. b6 7/19/62 b7C I BY AUTHORIZE MY PRESENT OR ANY FORMER EMPLOYER OR ANY OTHER PARTY TO [REDACTED]SE ANY AND ALL RECORDS OF MY SERVICE AND OTHER INFORMATION CONCERN- ING ME, EXCEPT THAT WHICH WOULD INDICATE AGE, RACE, CREED, COLOR, OR NATIONAL ORIGIN, TO THE BOEING COMPANY. FURTHER, I HEREBY RELEASE THE SAID PARTY FROM ALL LIABILITY FOR ANY DAMAGE WHICH MIGHT RESULT FROM FURNISHING SAID IN- FORMATION. I PLEDGE MY LOYALTY TO THE UNITED STATES GOVERNMENT, TO THE PRINCIPLES UPON WHICH OUR GOVERNMENT IS FOUNDED, AND THE ESTABLISHED FORM OF GOVERNMENT. FALSE STATEMENTS OR CONSEQUENTIAL OMISSIONS OF ANY KIND ARE SUFFICIENT GROUNDS FOR DISMISSAL.
PLEASE SIGN HERE ※ [guess: Th] [SIGNATURE] b6 SIGNATURE b7C
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DO NOT WRITE BELOW THIS LINE
EVALUATION AND REMARKS: 3/26/62 [REDACTED] [guess: 8-2] 4/19/[guess: 62] [illegible]
DB COOPER-45616