Part 24, page 585
DB Cooper-1954Serials SE 164-81-179
FBI 164-81, Vault Part 24 p. 585 (DB Cooper-1954), Form, serial SE 164-81-179 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-24/pages/585
Transcript
The scan is the source; the transcript is machine-generated from it.
"LOST DOCUMENTS" PRINT ALL ENTRIES DATE______
Name in full: Your permanent home address: James Dwight Booth Box 1116 Cut Bank FIRST MIDDLE LAST Montana
Date of Birth: Place of Birth: Your rating on last vessel on which you were employed: 1 DEC. 1927 Duluth, Minn OILER
Full name of last ship on which employed Date and Port signed on that vessel: SS NORTH PLATTE VICTORY DATE: 19 Jan 57 PORT: SEATTLE
Merchant Mariner's document or Number of other lost certificates: Certificate of Identification. (A, B, C, D & E certificates) Number Z- C39 126 Number
At what port were the lost documents On what date were lost documents issued? issued? Various Various.
Ratings shown on lost CERTIFICATES OR MERCHANT MARINER'S DOCUMENT: WIPER FW/T OILER [guess: JR] ENGR
Are the documents for which duplicates are requested, or any endorsement thereon, currently revoked, suspended, or voluntarily surrendered? Yes No (Check one)
"LOST DISCHARGES" NO NOT fill in spaces below if you are NOT filing for lost discharges.
SEE REVERSE SIDE
NAME OF SHIP IN FULL DATE SIGNED DATE SIGNED RATING ON PORT OF DISCHARGE ON VESSEL OFF VESSEL VESSEL
It is requested That I be furnished a complete record of my sea service from and including 1953 to and including 1958 (Approximately) 20 discharges
SEARCHED INDEXED SERIALIZED FILED NOV 2 0 1971
(OVER) 164-81-179 DB Cooper-1954