FormFD-356 Request for Agency Check, SAC Cleveland to SAC St. Louis, re NORJAK subject29 May 19731 page
fbi_formLegibility: high

Part 32, page 47

DB Cooper-11644Serials CV 164-88, SE 164-81-4830

Document date 29 May 1973

Open in FBI Vault (Part 32, page 47 of the PDF)

FBI 164-81, Vault Part 32 p. 47 (DB Cooper-11644), Form, dated 29 May 1973, serial SE 164-81-4830 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-32/pages/47

Transcript

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

Request for Agency Check FD-356 (Rev. 12-28-71)

INSTRUCTIONS 1. Submit form in duplicate 2. This form may be submitted in legible HAND PRINTING. 3. Use separate form for each person on whom record is requested. 4. Date & place of birth imperative for passport check. 5. Indicate office for reply in lower left corner. Also list in same corner all offices which should receive copies of reply. Include carbon for each office receiving copies. 6. With regard to military records this form does not apply to deserters. 7. Reverse side of form may be used for recording results, if needed.

TO: SAC, [ ] Alexandria [ ] Baltimore [ ] Denver [ ] Indianapolis [ ] San Antonio RE: [ ] CIA [XX] St. Louis [ ] INS [ ] WFO [ ] MILITARY [ ] [ ] PASSPORT [ ] Other

Date: 5/29/73

Name: [REDACTED - b6, b7C]

Aliases: [REDACTED - b6, b7C]

Alien Reg. Number: [blank] Social Security Number: [blank]

Passport Number: [blank] Service Number: [blank]

Date of Birth: [REDACTED - b6, b7C] Place of Birth: [REDACTED - b6, b7C]

Address: Cleveland, Ohio

Race: White Sex: Male Complexion: Fair Height: 5'9" Weight: 160 Hair: Brown Eyes: [blank]

Other pertinent information: Information wanted in relation to hijacking of Northwest Airlines 727 Jet, 11/24/71.

FOR REPLY ONLY [ ] On basis of information furnished, unable to identify: [ ] Military [ ] Passport [ ] INS [ ] CIA [ ] No pertinent identifiable information [ ] Available information attached [ ] Photo: [ ] Attached [ ] Unavailable [ ] Handwriting specimen attached

Inquiry made by: [blank] Date: [blank]

Specific information desired: 1. Period of active duty 2. Medical history 3. What was his job? Did he have access to, and knowledge or job training involving aircraft? 4. Type of and reason for discharge

Also furnish: [X] Photo [ ] Handwriting specimens

Return reply to: SAC Cleveland ( 164-88 ) Attention SA [blank]

Send copies to: 2 - St. Louis 1 - Cleveland ECD:sjf (3)

Block Stamp and Notations: /64-81- 4830 SEARCHED___INDEXED___ SERIALIZED___FILED___ JUL 5 1973

SEARCHED...........INDEXED............... SERIALIZED...........FILED.................. JUN 1 1 1973 [guess: ....--CLEVELAND]

DB Cooper-11644