FormMutual of Omaha scheduled airline trip insurance applications, Portland departurespage 3 of 18
formLegibility: medium

Part 18, page 121

DB Cooper-5454

Open in FBI Vault (Part 18, page 121 of the PDF)

FBI 164-81, Vault Part 18 p. 121 (DB Cooper-5454), Form, serial SE 164-81-1705 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-18/pages/121

Transcript

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

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

FIRMLY - You are making several copies

[Depa]rture: Portland, Oregon [Dest]ination: Tampa, Florida

Trip to be made on: ☐ One-way Ticket ☒ Round-trip

[Beneficiar]y: [illegible]

...y [guess: Naunberg] .... State Oregon red is owner less checked here: [illegible] red's Signature: [blank]

(T33AV-M - Series 30189)

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

FIRMLY - You are making several copies

[Depa]rture: Portland, Ore. [Dest]ination: Tampa, Fla.

Trip to be made on: ☐ One-way Ticket ☒ Round-trip

...y J. Earl [illegible] .... State [guess: Oregon] red is owner less checked here: ☒ Beneficiary is owner red's Signature: [blank]

(T33AV-M - Series 30183)

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

FIRMLY - You are making several copies

[Depa]rture: Portland, Or. [Dest]ination: Denver, Colo.

Trip to be made on: ☐ One-way ☐ Round-trip

...y [guess: Rose Luzy] .... State Or. red is owner less checked here: [illegible] red's Signature: [blank]

(T33AV-M - Series 30189)

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INSERT THIS END FORWARD

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

FIRMLY - You are making several copies

[Depa]rtures: [guess: Portland, Ore.] [Dest]ination: Denver, Colo.

Trip to be made on: ☐ One-way Ticket ☒ Round-trip Ticket

...y [illegible] .... State [guess: Ok.] red is owner less checked here: ☐ Beneficiary [illegible] red's Signature: [blank]

(T33AV-M - Series 30149)

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DB Cooper-5454