FormFD-125 Record Request for credit, motor vehicle and driver's license checks on NORJAK suspect24 February 19761 page
fbi_formLegibility: medium

Part 119, page 288

DB Cooper-54836Serials SE 164-81

Document date 24 February 1976

Open in FBI Vault (Part 119, page 288 of the PDF)

FBI 164-81, Vault Part 119 p. 288 (DB Cooper-54836), Form, dated 24 Feb 1976 — cooper.theunsolved.net/parts/Cooper-Part-119/pages/288

Transcript

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

Record Request FD-125 (Rev. 1-30-75)

Date 2/24/76

[checkbox] Birth [X] Credit [X, struck through] Criminal [checkbox] Death [checkbox] INS [X] Motor Vehicle [checkbox] Other ___ [checkbox] Marriage * [X] Driver's License

To CAROLYN F. B626 Buded Return to [redacted box] File number 164-81 [redacted]

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Name and aliases of subject, applicant, or employee, and spouse [redacted box]

Addresses Residence — Business — Former —

* Date and place of marriage (if applicable) —

Race: W Sex: [X] Male [ ] Female Age: [blank] Height: 5'10" Weight: 160 Hair: [blank] Eyes: [blank]

Birth date [redacted] Birthplace [redacted]

Arrest Number [blank] Fingerprint classification [blank] Criminal specialty [blank]

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Specific information desired: [guess: AND PHOTO] [illegible] [guess: ALL CASE] [illegible] [guess: TO PROCESS AS A] [illegible] [guess: SUSPECT]

Social Security Number [blank]

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Results of check SEPD 2/26/76 NR [guess: Ben-King] - NR WACIC - NR KCDPS 2/26/76 NR Can't do credit, couldn't locate an address in State of Wash.

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DB COOPER-54836

(Use reverse side, if necessary)

164-81- [redacted]