Part 114, page 16
FBI 164-81, Vault Part 114 p. 16 (DB Cooper-10638), Form — cooper.theunsolved.net/parts/Cooper-Part-114/pages/16
Transcript
The scan is the source; the transcript is machine-generated from it.
FLYING STATUS AUTHORITY | DATE | RESTRICTIONS | RATING, SPECIALTY, OR DESIGNATION | EFFECTIVE | AUTHORITY Parachutist | 22A[illegible] | Inf Sch, Ft Benning, Ga Certif dtd 22Apr47
[remaining rows blank]
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AIRPLANE QUALIFICATIONS (Military) NO. OF ENGINES | TYPE OF PLANE | HOURS | FLYING HOURS - MONTH AND YEAR CONVENTIONAL 1 | | 250 | 2 | | 500 | OVER 2 | | 750 | | | 1000 | 2 | | 1500 | OVER 2 | | 2000 | | | 3000 | OTHER | | 5000 |
[All fields appear blank/unfilled]
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47. CIVILIAN FLYING EXPERIENCE (Nature, type equipment, no. hrs., last date flown, licenses)
[Fields appear blank or illegible]
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COMBAT DATA (AAF only)
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INTERNSHIP HOSPITAL (Location) | TYPE | TOTAL MONTHS | YEAR COMPLETED [blank]
PRIVATE PRACTICE LOCATION AND TYPE | % OF TIME | FROM | TO [blank]
RESIDENCIES AND FELLOWSHIPS HOSPITAL (Location) | SERVICE | TOTAL MONTHS | YEAR COMPLETED [blank]
POST GRADUATE INSTRUCTION INSTITUTION | COURSE | TOTAL MONTHS | YEAR COMPLETED [blank]
53. CERTIFIED BY AMERICAN BOARD OF | YEAR SUB SPECIALTY | YEAR LICENSE (Type) | STATE OR TERRITORY AND YEAR [blank]
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HOSPITAL AND TEACHING APPOINTMENTS INSTITUTION | TYPE | HOURS WEEKLY | DATES (From - to) [blank]
55. BOOKS AND TECHNICAL PAPERS PUBLISHED | YEAR [blank]
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6. PROFESSIONAL AND EDUCATIONAL SOCIETIES (with degree of membership)
[blank or illegible]
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57. COLOR HAIR 58. COLOR EYES 59. PHOTO 60. COMPLEXION 61. BLOOD TYPE 62. SPECTACLES DATA
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[illegible] SIGNATURE [illegible] RACE AND A[illegible] SERVICE OF OFFICER AND DATE KENNETH W. HILES, JR, Capt, [guess: 4th] Infantry, 27 Oct 47
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DB Cooper-10638