Part 113, page 310
Document date 4 June 1970
FBI 164-81, Vault Part 113 p. 310 (DB Cooper-51882), Form, dated 4 Jun 1970 — cooper.theunsolved.net/parts/Cooper-Part-113/pages/310
Transcript
The scan is the source; the transcript is machine-generated from it.
SEATTLE POLICE DEPARTMENT IDENTIFICATION REPORT
DATE AND TIME: 70 JUN 4 AM 11:2[illegible] NAME: [guess: CORNETT], DAVID [illegible] B/A NUMBER: 70 - 11086
HOME ADDRESS: TRANSIENT TRUE NAME (PLEASE PRINT): JACKSON, LARRY MATTHEW NAT: [illegible] RACE: [illegible] SEX: M AGE: 45 LOCATION OF ARREST: 100 Ell. S. Wash CENSUS: 150 WATCH: 2 OCCUPATION: Labor 041 EMPLOYER: Unemp 091 TRANSPORTED/APPREHENDED BY: (INCLUDE SER. NO. AND UNIT) ARRESTED BY: [blank] SER NO: [blank]
TRAFFIC INFO: 1800 1901-23 Accident: YES [checked] NO [checked] Chemical Test: TAKEN [blank] NOT OFF [blank] REFUSED [blank] UNABLE [blank] D/LIC. NO: [blank] AND STATE: [blank]
Additional Holds: [blank]
CHARGE SECTION: DRUNK SUSPICION OF: XX CHARGED: [blank] CELL NUMBERS: 659
COURT: [blank] WARRANT NO: [blank] BAIL: $ [blank] P.A.: $ [blank] TOTAL: $ [blank] CITY HOSP: [blank]
BOOKED BY: [illegible] SER: 1582
--- IDENTIFICATION REPORT ---
TRUE NAME (PLEASE PRINT): [illegible] ALIAS OR MONICKER: Shu A w/ie [guess: David] Anderson, Kenne[guess: dy] HEIGHT: [illegible] WEIGHT: [illegible] BUILD: [illegible] COMPLEXION: [blank] HAIR: [blank] EYES: [blank] TEETH: [blank] TYPE OF NOSE: [blank] TYPE OF CHIN: [blank] SCARS - MARKS: @ [guess: Skulfort], David [guess: Lawrence] TATTOOS - DEFORMITIES - PECULIARITIES (SPEECH, GAIT, ETC.): [illegible mark]
CITIZEN: U.S. BIRTHDATE: 12-28-27 BIRTHPLACE (PLEASE PRINT): E Mo. Montana PREV ARR: Yes [checked] OCCUPATIONS: TEAMSTER LAST EMPLOYER (NAME & ADDRESS): Vale Coast Co. Pasco Wash. NEXT OF KIN (NAME, ADDRESS & RELATIONSHIP): [redacted b6, b7C] PERSON TO BE NOTIFIED - ILLNESS, INJURY, DEATH (NAME, ADDRESS, PHONE): Above
IDENTIFICATION SIGNATURE: [signature present] PLAIN IMPRESSION - RIGHT HAND: [fingerprint impressions present]
X-RAY NO: [blank] REMARKS: [guess: PC337.1] DATE: 6-4-70 TIME: 18:35 PROCESSED: [illegible]
DISPOSITION: DATE: 6-5-70 CODE: 10-110 FORFEITED: [blank] NOT GUILTY: [blank] DISMISSED: [blank] STRICKEN: [blank] FINED: $ [blank] FINE SUSPENDED: $ [blank] DAYS COMMITTED: 10 DAYS SUSPENDED: [blank] SENT. DEFERRED: [blank] PROBATION: [blank] OTHER: [blank]
REMARKS: [blank]
DB COOPER-51882