Part 18, page 105
FBI 164-81, Vault Part 18 p. 105 (DB Cooper-5438), Form — cooper.theunsolved.net/parts/Cooper-Part-18/pages/105
Transcript
The scan is the source; the transcript is machine-generated from it.
Policy Number A 059966 PERSONAL ACCIDENT WITH DOUBLE PROTECTION ON SCHEDULED AIRLINES Amount of Insurance: $ 40,000 Capital Sum (Scheduled Air) $ 20,000 Principal Sum (Other Acc.) PREMIUM $ 9.50
BAGGAGE AND PERSONAL EFFECTS $ none Amount of Insurance PREMIUM $ none
COMBINED PREMIUM $____ Term of Coverage: 10 Days
Countersigned by [blank] Li[cense]
Name of Ins[ured]: [redacted] Address of Insured: [redacted] City Vancouver State Wn. Code [blank] Name of Beneficiary: [redacted] Address of Benefici[ary]: [redacted] City [blank] State [blank] ZIP Code [blank] SAME Effective at: Hour 8:30 ☐ a.m. ☒ p.m. Date 11/23/71 Month Day Year Place PDX Personal Signature of Insured: [redacted] AGENT CO[PY]
---
Policy Number A 059967 PERSONAL ACCIDENT WITH DOUBLE PROTECTION ON SCHEDULED AIRLINES Amount of Insurance: $ 100,000 Capital Sum (Scheduled Air) $ 50,000 Principal Sum (Other Acc.) PREMIUM $ [guess: 11.25]
BAGGAGE AND PERSONAL EFFECTS $ none Amount of Insurance PREMIUM $ none
COMBINED PREMIUM $____ Term of Coverage: 4 Days
Countersigned by [blank] Li[cense]
Name of [Insured]: [redacted] Address of Insur[ed]: [redacted] City Pendleton State Ore Code [blank] Name of Beneficiary: [redacted] Address of Beneficiary: SAME City [blank] State [blank] ZIP Code [blank] Effective at: Hour 9:50 ☐ a.m. ☒ p.m. Date 11/23/71 Month Day Year Place PDX Personal Signature of Insured: [redacted] AGENT CO[PY]
---
DB Cooper-5438
---
b6 b7C