FormSeattle Police Department Identification Report, Larry Mathew Jackson (booked as Shuaulie), May 8, 19708 May 19701 page
fbi_formLegibility: medium

Part 113, page 309

DB Cooper-51881Serials 530-12-6009

Document date 8 May 1970

Open in FBI Vault (Part 113, page 309 of the PDF)

FBI 164-81, Vault Part 113 p. 309 (DB Cooper-51881), Form, dated 8 May 1970, serial 530-12-6009 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-113/pages/309

Transcript

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

SEATTLE POLICE DEPARTMENT IDENTIFICATION REPORT

DATE AND TIME: 70 MAY 8 AM 11:53

NAME: [guess: N IRE (COPRI)] SHUAULIE, DAVID HOME ADDRESS: 77 W 115[guess: th] 150 TRUE NAME (Please Print): [guess: Uni] Jackson, Larry Mathew NAT-RACE-SEX-AGE: US/[guess: P]M-[guess: 42] WATCH: 2 LOCATION OF ARREST: [guess: 200] Blk [guess: Yesler] OCCUPATION: [guess: Labor] 143 061 PROP. BOX: [redacted] SER. NO.: 712 UNIT: [b6/b7C] CENSUS: 1-150

PROPERTY TAKEN FROM PRISONER: $ NONE Cash NONE Watch 80.

☐ GLASSES ☐ LIGHTER ☐ PEN ☐ PENCIL ☑ WALLET (YES) ☑ WALLET (NO) ☐ RING OTHER:

O. LIC.: 1800 19[guess: 41]-23 DRUNK: ☒ SUSPICION OF: [blank] ACCIDENT: YES ☐ NO ☐ CHEM. TEST: YES ☐ REF. ☐ WARRANT NO.: [blank]

THE ABOVE IS A LIST OF MY PROPERTY. X [signature: L.D.]

COURT: [blank] BAIL: $[blank] P.A.: $[blank] TOTAL: $[blank] BOOKED BY: [blank] CELL NO.: [guess: 65]

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IDENTIFICATION REPORT

TRUE NAME (Please Print): ANDERSON, KENNETH (-) ALIAS OR MONICKER: @ Sackett, David Lawrence HEIGHT: 6'0" WEIGHT: 185 BUILD: MED 2 COMPLEXION: [guess: Rud/Red] HAIR: BLACK 2 EYES: Brown TEETH: [guess: Multi] TYPE OF NOSE: STRAIGHT TYPE OF CHIN: NORMAL SCARS - MARKS: NONE @ Anderson, Kenneth[guess: ia]

TATTOOS - DEFORMITIES: T.T. - SS N°. On @ LEFT HAND, # 530-12-6009

PECULIARITIES (Speech, Gait, Etc.): NONE

CITIZEN: [blank] BIRTHDATE: 12-28-27 BIRTHPLACE (Please Print): Las Vegas, Nevada PREV. ARR.: Yes ☐ No ☐ IDENTIFICATION SIGNATURE: Kenneth Anderson X-RAY NO.: [guess: Yes] REMARKS: M-[guess: 352]

DATE: 5-8-70 TIME: 2:15 [guess: AM] SER. NO.: [b6/b7C] CHECKED BY: [b6/b7C]

DIS: DATE: 5-9-70 CODE: [guess: 10-105] FORFEITED: [blank] NOT GUILTY: [blank] DISMISSED: [blank] STRICKEN: [blank] FINED: $[blank] FINE SUSPENDED: $[blank] DAYS COMMITTED: 5 DAYS SUSPENDED: [blank] SENT. DEFERRED: [blank] PROBATION: [blank] OTHER: [blank]

REMARKS: [blank]

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PLAIN IMPRESSION - RIGHT HAND [Fingerprint impression visible]

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DB.COOPER-51881