FormMutual of Omaha scheduled airline trip insurance applications, Portland departurespage 9 of 18
formLegibility: medium

Part 18, page 127

DB Cooper-5460

Open in FBI Vault (Part 18, page 127 of the PDF)

FBI 164-81, Vault Part 18 p. 127 (DB Cooper-5460), Form, serial SE 164-81-1705 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-18/pages/127

Transcript

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

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

FIRMLY - You are making several copies

1 of 1 rture: Portland, Oregon Trip to be made on: ination: Chicago, Illinois ☐ One-way Ticket ☒ Round-

urcha red's e ficiar e

..... K.O.R.tland ........ State ORE...... red is owner less checked h[ere] red's Signatur[e] Y-M -

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

FIRMLY - You are making several copies

1 of 1 rture: Portland, Oregon Trip to be [guess: made] on: ination: Chicago, [illegible] ☐ One-way Ticket ☒ Round-

urcha red's e ficiar e

..... Portland ........ State U/M.[illegible] red is owner less checked he[re] red's Signature Y-M -

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INSERT THIS END FORWARD

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

FIRMLY - You are making several copies

rture: Portland, Ole Trip to be made on: nation: Wichita, Kansas ☐ One-way Ticket ☒ Round-

arch ed's

ficia

..... ASHFORD .. State Washington ed is owner less checked here ☐ Beneficiary is owner. ed's Signa[ture] Y-M -

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INSERT THIS END FORWARD

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

FIRMLY - You are making several copies

rture: [guess: Portland], Ole Trip to be made on: nation: W[illegible] G[illegible] K[illegible] ☐ One-way Ticket ☒ Round-

arch ed's

ficia

ed is ....[illegible].... State [illegible] less [illegible] owner less checked here ☒ Beneficiary is owner ed's Signature Y-M -

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DB Cooper-5460

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