Part 120, page 36

Transcript

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

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

Date 5/12

[ ] Birth [X] Credit [X] Criminal [ ] Death [ ] INS [ ] Marriage* [ ] Motor Vehicle [ ] Other ____ [ ] Driver's License

To: CAROLYN F. K530 Return to: [blank box] Buded: [illegible printed label] File number: 164-81 [marginal handwriting, largely illegible: "Look - a L?FE" b6 / b7C]

Name and aliases of subject, applicant, or employee, and spouse: VERN/VERNE GARTH KNOTT [marginal handwriting, illegible: "Single or..." "11-17-7?" with b6/b7C markings]

Addresses Residence: 3200 S 176TH, APT 108, 5G [guess: unit code] Business: Boeing - Machine Supervisor Former: 1/31/74 - 1553 So. 166 [guess], Apt 11, Seattle 11235 S.E. 174th, Renton

* Date and place of marriage (if applicable): [blank]

Race: W Sex: [X] Male [ ] Female Age: [blank] Height: 6' Weight: 200 Hair: [blank] Eyes: BROWN

Birth date: [struck-through illegible text] 4/22 11/8/22 Birthplace: Victoria, Canada

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

Specific information desired: ALL BACKGROUND & PHOTO Social Security Number: 537-09-0626

Results of check: SEPD 5/17/76 NR Sea-King - NR KCDP 5/17/76 Case 74-15062 (VICTIM) Credit Northwest - 5/18/76

(Use reverse side, if necessary)

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DB COOPER-55029 164-81-Sub 819