FormMutual of Omaha scheduled airline trip insurance applications, Portland departurespage 1 of 18
formLegibility: medium

Part 18, page 119

DB Cooper-5452Serials SE 164-81-1705

Open in FBI Vault (Part 18, page 119 of the PDF)

FBI 164-81, Vault Part 18 p. 119 (DB Cooper-5452), Form, serial SE 164-81-1705 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-18/pages/119

Transcript

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

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Application to MUTUAL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance

FIRMLY - You [guess: are making] several copies [partially cut off by left margin] [illegible handwritten name] Trip to be made on: [illegible] / [illegible] ☐ One-way Ticket ☑ Round- trip

[illegible] ............. State [illegible] ed is owner less c[guess: hecked] [guess: here] ☐ Beneficiary is owner ed's Signatu[re] V-M

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Application to MUTUAL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance

FIRMLY - You are making several copies

[guess: Portland] Trip to be made on: [guess: William] [illegible] M.D. ☒ One-way Ticket [guess: Round-]

b6 b7C

............. State [guess: Ore] red is owner less checked [illegible] red's Signatur[e] V-M

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Application to MUTUAL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance

FIRMLY - You are making several copies

[guess: Portland, Ore] Trip to be made on: [guess: Dennis] [guess: Cole] ☐ One-way Ticket ☒ Round- trip

.....y/ [guess: Sol] [guess: MOLER] . State [guess: U.] [guess: Krs.] red is owner less checked h[guess: ere] ☐ Beneficiary is owner red's Signatur[e] V-M

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Application to MUTUAL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance

FIRMLY - You are making several copies

[guess: Portland, Ore] Trip to be made on: [guess: Dennis(y)] [guess: Cole] ☐ One-way Ticket [guess: Round-] b6 b7C

.....y/ [guess: L.] [illegible] . State [guess: Iks.] red is owner less checked h[illegible] red's Signatur[e] V-M

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164-81-1705 SEARCHED ......... INDEXED SERIALIZED [guess: MAILED] [illegible] DEC [illegible] 1971 FBI - SEATTLE

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DB Cooper-5452