Part 18, page 135
FBI 164-81, Vault Part 18 p. 135 (DB Cooper-5468), Form, serial SE 164-81-1705 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-18/pages/135
Transcript
The scan is the source; the transcript is machine-generated from it.
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Application to AL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance
FIRMLY - You are making several copies
[Depa]rture: PORTLAND, ORE. Desti[natio]n: Eureka, CALIF. [Pu]rcha[sed's]
Trip to be made on: [ ] One-way Ticket [X] Round-trip
[Insur]ed is owner [Un]less [c]hecked
...PORTLAND...... State O.R.C.....
[Insur]ed's Signatur[e] V.M.-[illegible]
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Application to AL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance
FIRMLY - You are making several copies
[Depa]rture: PORTLAND, ORE. Desti[natio]n: Eureka, Calif. [Pu]rcha[sed's]
Trip to be made on: [ ] One-way Ticket [X] Round-trip
[Insur]ed is owner [Un]less [c]hecked
...PORTLAND...... State ORC.....
[Insur]ed's Signatur[e] V.M.[illegible]
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Application to AL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance
FIRMLY - You are making several copies
[Depa]rture: PORTLAND, OR. Desti[natio]n: SPRINGFIELD, MO. [Pu]rcha[sed's]
Trip to be made on: [X] One-way Ticket [ ] Round-trip
[illegible handwritten text]...State M[o]... [Insur]ed is owner [Un]less [c]hecked [illegible] beneficiary is owner
[Insur]ed's Signature V.M.[illegible]
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Application to AL OF OMAHA INSURANCE COMPANY for scheduled airline trip insurance
FIRMLY - You are making several copies
[Depa]rture: PORTLAND [guess: ORE.] Desti[natio]n: [illegible handwritten destination] [Pu]rcha[sed's]
Trip to be made on: [X] One-way Ticket [ ] Round-trip
[Insur]ed is owner [Un]less [c]hecked [illegible]
[illegible]...State Canada
[Insur]ed's Signature V.M.[illegible]
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DB Cooper-5468
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b6 b7C