FormMutual of Omaha scheduled airline trip insurance applications, Portland departurespage 13 of 18
formLegibility: medium

Part 18, page 131

DB Cooper-5464

Open in FBI Vault (Part 18, page 131 of the PDF)

FBI 164-81, Vault Part 18 p. 131 (DB Cooper-5464), Form, serial SE 164-81-1705 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-18/pages/131

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

Departure: Portland Int[illegible] Destination: K.A. [illegible] Trip to be made on: [X] One-way Ticket

red is owner less checked here red's Signature V.M.

State: Calif[illegible]

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

FIRMLY - You are making several copies

Departure: PORTLAND Destination: DENVER

Trip to be made on: ☐ One-way Ticket

red is owner: [illegible] less checked here red's Signature V.M.

State: ORE.

b6 b7C

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

FIRMLY - You are making several copies

Departure: Portland Int[illegible] Destination: L.A. [guess: FIN]

Trip to be made on: [X] One-way Ticket ☐ Round-

red is owner: OLymPIA less checked red's Signature

State: [illegible]

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

FIRMLY - You are making several copies

Departure: Portland Ore Destination: New York

Trip to be made on: [X] One-way Ticket ☐ Round-

red is owner: [illegible] less checked here: ☐ Beneficiary is owner red's Signature V.A.

State: N.Y.

b6 b7C

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DB Cooper-5464