Part 18, page 128
FBI 164-81, Vault Part 18 p. 128 (DB Cooper-5461), Form, serial SE 164-81-1705 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-18/pages/128
Transcript
The scan is the source; the transcript is machine-generated from it.
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Application to [MUTU]AL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance
FIRMLY - You are making several copies
[guess: PORTLAND] - ONE SAN JOSE - CAL
Trip to be made on: ☐ One-way Ticket ☐ Round-trip ticket
[illegible handwritten entries]
KORTUA[illegible] State ORE. ed is owner unless checked here ☐ Beneficiary is owner ed's Signature V-M [illegible]
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INSERT THIS END FORWARD
Application to [MUTU]AL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance
FIRMLY - You are making several copies
[illegible handwritten name/route] [illegible handwritten address]
Trip to be made on: ☐ One-way Ticket ☒ Round-trip
[illegible handwritten entries]
b6 b7C
[illegible] State [illegible] S.[illegible]
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INSERT THIS END FORWARD
Application to [MUTU]AL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance
FIRMLY - You are making several copies
[illegible handwritten name/route] [illegible handwritten address]
Trip to be made on: ☐ One-way Ticket [illegible] Round-trip Ticket
[illegible handwritten entries]
ed is owner [guess: PORTLAND] State Ore[gon] less checked ed's Signature V-M [illegible]
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INSERT THIS END FORWARD
Application to [MUTU]AL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance
FIRMLY - You are making several copies
[illegible handwritten name/route] [illegible handwritten address]
Trip to be made on: ☐ One-way Ticket Round-trip Ticket
b6 b7C
[illegible handwritten entries]
ed is owner less checked ed's Signature
DB Cooper-5461