Part 107, page 12
Document date 17 December 1979
FBI 164-81, Vault Part 107 p. 12 (DB Cooper-48478), Form, dated 17 Dec 1979 — cooper.theunsolved.net/parts/Cooper-Part-107/pages/12
Transcript
The scan is the source; the transcript is machine-generated from it.
[Two large black filled circles visible at top of page, likely hole punches or redactions. Upper half of page is otherwise blank.]
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EMPLOYER STATEMENT /ENTER FULL DETAILS OF SEPARATION, REASON FOR FAILURE TO RETURN TO WORK AT THE END OF A LABOR DISPUTE, OR OTHER ELIGIBILITY INFORMATION. Enter last day of work here _______________ . 6. 3079
RICHARD GUTHRIE WAS LET GO BECAUSE HIS AIR WORK DID NOT FIT THE DIRECTION OF THE RADIO STATION.
IT IS OUR UNDERSTANDING THAT KOPA/FIRST MEDIA CORP. IS NOT THE CLAIMANTS LAST EMPLOYER. NOT VALID UNLESS SIGNED
IF YOU WERE THE CLAIMANT'S LAST EMPLOYER as indicated on the front of this form, please furnish the following information.
If you paid or will pay vacation, holiday or sick pay on or after termination, complete the following: Gross amount paid ___433.33___. Date of Pay- ment ___6-30-7[illegible]___Worker's rate of payment 10400.00 per yr. ___941-1007___ 12-17-79 TELEPHONE NO. DATE
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KOPA/FIRST MEDIA CORP. EMPLOYER/COMPANY NAME 941-1007 TELEPHONE NO. 12-17-79 DATE
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b6 b7C
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DB COOPER-48478