Part 122, page 112

Transcript

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

[date-received stamp, partially illegible] FEB 2[3?] 1966 2:40[?]

NEVADA REVISED STATUTE 201/52 (Restricted Information) 35378 SR 31373[?] Date - February 18, 1966 [partially illegible] FBI # ___ CII # ___ [REDACTED - b6/b7C] (Last Name) (First Name) [REDACTED - b6/b7C] (Middle Name) Alias (to include maiden name, nickname, etc.) None Age ___ Date of Birth ___ (year) Place of Birth ___ (City and State) [REDACTED - b6/b7C] Sex - Male Race - White Height 5'6" Weight 125 Hair D. Brn. Eyes Brn. Tattoos (Description & location on body) None Amputations & Physical Deformities None [REDACTED - b6/b7C] Present Residence [REDACTED] Served in Armed Forces Yes Branch Army Length of time at Present Address ___ yrs [illegible] Expected time at Present Residence Indef. Expected length of time in County & State Indef. Previous Residence Reno, Nevada [guess] Present Occupation [REDACTED] Previous Occupations &/or Trades [REDACTED] (City & State) Present Employer [REDACTED] Nearest Relative [REDACTED] Address [REDACTED] Relationship [REDACTED] Committed as/or Convicted of ___ Under the Name of ___ Booked at ___ (Date) Paid a fine of $ None and/or was confined for None years ___ months ___ days In the ___ (Type & location of jail, prison, institution or hospital) I was or was not placed on Probation or parole until ___ Date of termination ___ Additional Arrests or Convictions: None Residence Changes: ___ Date ___ ___ Date ___ ___ Date ___ FPC: [REDACTED - b6/b7C] Interviewing Officer [REDACTED] B of I, Reno Use back of page for M.O. or Type

[handwritten/stamped] SEX REG - RPD X

[stamp] SEARCHED ___ INDEXED ___ SERIALIZED ___ FILED JAN 31 1977 FBI - SEATTLE

DB COOPER-56213