FormMutual of Omaha scheduled airline trip insurance applications, Portland departurespage 14 of 18
fbi_formLegibility: medium

Part 18, page 132

DB Cooper-5465

Open in FBI Vault (Part 18, page 132 of the PDF)

FBI 164-81, Vault Part 18 p. 132 (DB Cooper-5465), Form, serial SE 164-81-1705 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-18/pages/132

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, ORE [Destination]: LAS VEGAS

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

[Insured name]: [illegible]...Con[illegible]... State Ore [Beneficiary line]: ☐ Beneficiary is owner [Signature]: [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]: Reno

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

[Insured name]: [illegible] Kan[illegible]u.r.t.[illegible]... State Wash. [Beneficiary line]: ☐ Beneficiary is owner [Signature]: [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 Oregon [Destination]: Hong Kong

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

[Insured name]: [illegible]...La.rs.[illegible]... State [illegible] [Beneficiary line]: ☐ Beneficiary is owner [Signature]: [illegible]

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

FIRMLY - You are making several copies

[Departure]: [guess: PORTLAND], [illegible] [Destination]: SALT LAKE CITY, UTAH

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

[Insured name]: [illegible]...A.U.D.[illegible]... State [illegible] [Beneficiary line]: [illegible] [Signature]: [illegible]

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b6 b7C

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DB Cooper-5465