Part 114, page 18
FBI 164-81, Vault Part 114 p. 18 (DB Cooper-10640), Form — cooper.theunsolved.net/parts/Cooper-Part-114/pages/18
Transcript
The scan is the source; the transcript is machine-generated from it.
NOTE: DO NOT ATTEMPT TO FILL OUT THIS CARD WITHOUT FIRST BECOMING FAMILIAR WITH TM 12-425.
(19) - MARITAL STATUS AND DEPENDENTS: SINGLE ___ MARRIED ✓ DIVORCED ___ WIDOWER ___ NUMBER OF DEPENDENTS (OTHER THAN WIFE) ___
(20) LEGAL RESIDENCE: No & STREET: 14[guess: 20] Colvin [guess: St] CITY: [guess: Long Beach] STATE: Calif.
(21) EMERGENCY ADDRESSEE: NAME: Mrs. Ann [guess: Cosgriff] RELATIONSHIP: Wife STREET ADDRESS: TH-328-B Ft Bragg CITY: [blank] STATE: N.C.
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(22) - EDUCATION
SCHOOL | NO. OF YEARS | NAME OF INSTITUTION | SUBJECT MAJORED IN | GRADUATED | DEGREE | YEAR LEFT SCHOOL HIGH SCHOOL | 4 | Lewisburg, West Virginia | Academic | YES ✓ | | 1940 COLLEGE OR | 1 | Greenbrier Military School | — | ✓ | | 1942 UNIVERSITY | POST GRADUATE | [blank] | [blank] | [blank] | | |
(23) TESTS [blank - no entries]
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(24) - PARTICIPATING SPORTS 1. BOXING [C] [XL] 2. SOFT BALL [✓C] [XL] 3. BASE BALL [✓C] [XL] 4. BASKET BALL [C] [XL] 5. SKIING & SNOWSHOEING [C] [XL] 6. MOUNTAIN CLIMBING [C] [XL] 7. EQUITATION [C] [XL] 8. OTHER: Football [C] [XL] SCHOOL OR TEAM: [guess: High Sch & Col's Football] [C] [XL]
(25) - ACTIVE HOBBIES 1. RADIO [ ] 2. PHOTOGRAPHY [ ] 3. RIFLE OR PISTOL SHOOTING [ ] 4. AVIATION [ ] 5. OTHER ___
(26) - MAIN CIVILIAN OCCUPATION TITLE OF YOUR POSITION OR JOB: Student EXPLAIN WHAT YOU DID: Preparing for degree in Civil Engineering
(27) - SECONDARY CIVILIAN OCCUPATION [blank]
NAME AND ADDRESS OF EMPLOYER: [blank] DATES EMPLOYED AND REMUNERATION: FROM ___ TO ___ MONTHLY SALARY OR INCOME $ ___ SPECIFICATION SERIAL NO. TM 12-405 OCCUPATIONAL DICTIONARY CODE: 00.999
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(28) - QUALIFICATION IN MILITARY SPECIALITIES
DESIGNATION | SPEC. SERIAL NO. | DATE Motor Transport Officer | 0600 | 24 Apr 44 Ammunition Supply Officer | 4574 | 13 May 45 Military Police Officer | 9110 | 15 Oct 45 SU Co Comdr | 2910 | 1 Sep 46 [guess: Front] Inf Unit Comdr | 1510 | 22 Apr 47
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(30) INITIAL INTERVIEW BY: RE DATE: 12 Oct 46 (PRINT PLAINLY) E.C. Snyder Capt T/E NAME, GRADE AND ARM OR SERVICE OF INTERVIEWING OFFICER [Signature of interviewing officer - illegible cursive] SIGNATURE OF INTERVIEWING OFFICER [Signature of officer - illegible cursive] SIGNATURE OF OFFICER
(31) REMARKS: [guess: A] desire to remain in [illegible] in [illegible] [illegible] expiration of [guess: service] [illegible] Asheville, N. [guess: Mil] [illegible], 24 Oct 46
(32) QUALIFICATIONS IN ARMS WEAPON | COURSE | QUALIFIED | SCORE | DATE [blank - no entries]
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DB Cooper-10640
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IMPORTANT - UNDER NO CIRCUMSTANCES WILL THIS CARD BE FOLDED, ROLLED OR CREASED WD AGO FORM 66-1, 1 JANUARY 1945. THIS FORM SU- *PERSEDES WD AGO FORM 66-1, 24 JULY 1944, WHICH [illegible] [illegible] USED UNTIL EXISTING STOCK [illegible]