FormBureau of Prisons Classification Study (continuation pages) for redacted inmate2 May 1962page 1 of 3
fbi_formLegibility: high

Part 111, page 114

DB Cooper-4818

Document date 2 May 1962

Open in FBI Vault (Part 111, page 114 of the PDF)

FBI 164-81, Vault Part 111 p. 114 (DB Cooper-4818), Form, dated 2 May 1962 — cooper.theunsolved.net/parts/Cooper-Part-111/pages/114

Transcript

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Classification Form 1b Rev. January 1955

UNITED STATES DEPARTMENT OF JUSTICE BUREAU OF PRISONS CLASSIFICATION STUDY (Continued)

Committed Name [REDACTED] Register Number [REDACTED] Page ____ b6 per BOP b7C per BOP

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RECOMMENDATIONS : On the basis of this examination no formal psychiatric therapy is indicated. It is recommended that he participate in the overall institutional rehabilitative program.

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PHYSICAL FINDINGS : 30 year old white male of medium physique. Weight 182 lbs., height 72 3/4". BP 120/80, pulse 78. Vision: 20/40, J-1, bilateral'y, corrected to 20/20, J-1, bilaterally. Hearing: WV 15/15, SV 15/15, bil- aterally. Nasal septum deviated to the right, no obstruction. Tatto removal scars, arm, bilateral. Lymph nodes palpable in both axillary regions. No other significant abnormalities noted.

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DENTAL CONDITION : Poor, needs 6 fillings

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SUPPLEMENTAL EXAMINATION: Urinalysis : Negative Serology : VDRL and Kolmer non-reactive Audiogram : Decibel loss: right 13%, left 7%, combined loss 10% Chest X-ray : Apical lordotic film throws the bony structures away from the previously described infiltrate in the left subapical area. There appears to be no cavity within it; however there are small flecks of cal- cium. IMPRESSION: This lesion probably represents a healed granuloma. Negative chest. R[guess: e]commend a repeat film in six months.

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DIAGNOSIS : Allergic rhinitis Defective vision corrected with glasses No other significant abnormalities

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TREATMNE : Repear chest X-ray in six months. Routine dental and out-patient care

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DUTY : Regular

PHYSICAL EXAMINATION: 4-3-62

JLB/erw

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DB Cooper-4818