Part 117, page 243

Transcript

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

Identification Record Request FD-9 (Rev. 4-29-65)

INSTRUCTIONS 1. This form may be submitted in legible hand printing. 2. Use separate form for each individual on whom record is requested. 3. Make effort to furnish FBI identification number, law enforcement identification number, or military service number. 4. Furnish descriptive data and fingerprint classification only when FBI number not available. 5. Indicate office for reply in lower right corner only. Also list in lower right corner all offices which should receive copies of available records. Include carbon of FD-9 for each office receiving copies and forward with original to Bureau. 6. Do not fill in block in lower left corner.

To: DIRECTOR, FBI Attention: Identification Division Date 6/21/74 Re: NORJAK Field File No. 164-196 [guess: 164-196]

Furnish The Known Identification Record of the Following: Name: [redacted b6, b7C] FBI No.: --- Aliases: --- Sex: Male Race: White Birth Date: --- [Address field]: Cherry Hill, New Jersey Height: --- Weight: --- Build: --- Hair: --- Eyes: --- Complexion: --- Age: --- Fingerprint Classification: --- Scars, marks and tattoos: ---

Also Furnish: [ ] Photo [ ] Fingerprints [ ] Handwriting Specimens

Identification Division's Reply [ ] On basis of information furnished, unable to identify: [ ] Criminal Files [ ] Civil Files [ ] All Files [X] Record Attached [ ] Photo Attached [ ] Photo Not Available [ ] Fingerprints Attached [ ] Handwriting Specimen Attached

Return Reply to: SAC, NEWARK Send Copies To: SAC, SEATTLE (-164-81)

[Stamp:] 164-81-[illegible/crossed out, possibly 6993] SEARCHED____ INDEXED____ SERIALIZED____ FILED____ JUL 8 1974 FBI - SEATTLE

T.E.T.

DB COOPER-53726 GPO: 1972 O - 461-119