Part 116, page 225
DB Cooper-53247Serials CV 164-88, SE 164-81
Document date 29 May 1973
FBI 164-81, Vault Part 116 p. 225 (DB Cooper-53247), Form, dated 29 May 1973 — cooper.theunsolved.net/parts/Cooper-Part-116/pages/225
Transcript
The scan is the source; the transcript is machine-generated from it.
Request for Agency Check FD-356 (Rev. 12-28-71)
INSTRUCTIONS 1. Submit form in duplicate 2. This form may be submitted in legible HAND PRINTING. 3. Use separate form for each person on whom record is requested. 4. Date & place of birth imperative for passport check. 5. Indicate office for reply in lower left corner. Also list in same coupon all offices which should receive copies of reply. Include coupon for each office receiving copies. 6. With regard to military records this form does not apply to desertors. 7. Reverse side of form may be used for recording results, if needed.
TO: SAC, [ ] Alexandria [ ] San Antonio RE: [ ] CIA [ ] Other Date [ ] Baltimore [XX] St. Louis [ ] INS 5/29/73 [ ] Denver [ ] WFO [ ] MILITARY [ ] Indianapolis [ ] [ ] PASSPORT
Name: [REDACTED] Aliases:
[REDACTED] Race Number Social Security Number: [REDACTED]
Passport Number: Service Number: Date of Birth: [REDACTED] Place of Birth: [REDACTED]
Address: Race: Sex: Complexion: White Male Fair Cleveland, Ohio Height: Weight: Hair: Eyes: 5'9" 160 Brown
Other pertinent information: Information wanted in relation to hijacking of Northwest Airlines 727 Jet, 11/24/71.
FOR REPLY ONLY [ ] On basis of information furnished, unable to identify: [ ] Military [ ] Passport [ ] INS [ ] CIA [ ] No pertinent identifiable information [ ] Available information attached [ ] Photo: [ ] Attached [ ] Unavailable [ ] Handwriting specimen attached
Inquiry made by: Date:
Specific information desired: 1. Period of active duty 2. Medical history 3. What was his job? Did he have access to, and knowledge or job training involving aircraft? 4. Type of and reason for discharge
Also furnish: [X] Photo [ ] Handwriting specimens
Return reply to: SAC Cleveland ( 164-88 )
Attention SA [REDACTED]
Send copies to: 2 - St. Louis 1 - Cleveland ECD:sjf (3)
Block Stamp and Notations 164-81-[illegible] SEARCHED......... INDEXED........ SERIALIZED......... FILED......... JUL 5 1973 r.s. - SEATTLE [illegible] all P. [illegible] SEARCHED......... INDEXED......... SERIALIZED......... FILED......... JUN [illegible] 197[3] -- CLEVELAND
DB COOPER-53247