Part 30, page 220

Transcript

The scan is the source; the transcript is machine-generated from it.

Identification Record Request FD-9 (Rev. 4-25-65)

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INSTRUCTIONS

1. This form may be submitted in legible hand printing. 2. Use separate form for each individual on whom record is requested. 3. Make effort to furnish FBI identification number, law enforcement identification number, or military service number. 4. Furnish descriptive data and fingerprint classification only when FBI number not available. 5. Indicate office for reply in lower right corner only. Also list in lower right corner all offices which should receive copies of available records. Include carbon of FD-9 for each office receiving copies and forward with original to Bureau. 6. Do not fill in block in lower [right corner]

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To: DIRECTOR, FBI Attention: Identification Division Date: 3/7/73 Re: NORJAK Su: (ONLY) Field File No. 164-497

Furnish The Known Identification Record of the Following: Name: [REDACTED - b6/b7C] FBI No. [blank] Other No. [blank]

Aliases: [REDACTED - b6/b7C]

Sex: M Race: [blank] Birth Date: [blank] Birthplace: [blank] Residence (LAST KNOWN): 14641 LANCASTER, CAL.

Height: 5'10"-6' Weight: 165-190 Build: M/D Hair: BROWN Eyes: HAZEL Complexion: MED Age: [blank]

Fingerprint Classification: [blank] Scars, marks and tattoos: [blank]

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Also Furnish: [X] Photo TO SEATTLE ONLY [ ] Fingerprints [ ] Handwriting Specimens

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Identification Division's Reply

[ ] On basis of information furnished, unable to identify: [ ] Criminal Files [ ] Civil Files [ ] All Files [ ] Record Attached [ ] Photo Attached [ ] Photo Not Available [ ] Fingerprints Attached [ ] Handwriting Specimen Attached

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Return/Reply to: (SAC) LOS ANGELES CALIF.

Send Copies To: SEATTLE (164-81)

4508 1-1-71 - 5 [strikethrough/illegible]

SEARCHED _____ INDEXED ___[checkmark]___ SERIALIZED __[checkmark]__ FILED ___[checkmark]___ MAR 1 2 1973

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DB Cooper-10869 GPO 884-534