Part 104, page 376
Document date 7 January 1969
FBI 164-81, Vault Part 104 p. 376 (DB Cooper-47343), Form, dated 7 Jan 1969 — cooper.theunsolved.net/parts/Cooper-Part-104/pages/376
Transcript
The scan is the source; the transcript is machine-generated from it.
EMPLOYER NO. [partially illegible] NAME - LAST: [illegible handwriting] FIRST: [illegible] MIDDLE: [illegible] HEIGHT: 6'1½ WEIGHT: 150 DATE OF BIRTH: 2/19/28
DATE FINGERPRINTED: 1-7-69
APPLICANT FINGERPRINT CARD
PLACE OF BIRTH: ZOMBA[guess: D], NYASALAND, AFRICA CITIZENSHIP: GR. BRITAIN
SIGNATURE OF PERSON FINGERPRINTED: [guess: Anitra Sambor Cole]
CONTRIBUTOR & ADDRESS: [blank]
SCARS & MARKS: [illegible handwritten notation]
SIGNATURE OF OFFICIAL TAKING FINGERPRINTS: [blank box]
LOCKHEED-CALIFORNIA COMPANY A DIVISION OF LOCKHEED AIRCRAFT CORPORATION BURBANK, CALIFORNIA
SEE REVERSE SIDE FOR FURTHER INSTRUCTIONS
LEAVE THIS SPACE BLANK CLASS: [blank] REF: [blank]
[Right margin stamps:] [guess: 16N-8l-9655] SEARCHED __ INDEXED __ SERIALIZED __ FILED __ APR 1 0 1972 FBI - SE[illegible]
Fingerprint boxes (top row, left to right): 1. RIGHT THUMB 2. RIGHT INDEX 3. RIGHT MIDDLE 4. RIGHT RING 5. RIGHT LITTLE
Fingerprint boxes (bottom row, left to right): 6. LEFT THUMB 7. LEFT INDEX 8. LEFT MIDDLE 9. LEFT RING 10. LEFT LITTLE
Bottom strip: LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY | LEFT THUMB | RIGHT THUMB | RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY
FORM 1207A-2
DB COOPER-47343