Part 36, page 67
Document date 14 January 1941
FBI 164-81, Vault Part 36 p. 67 (DB Cooper-10526), Form, dated 14 Jan 1941 — cooper.theunsolved.net/parts/Cooper-Part-36/pages/67
Transcript
The scan is the source; the transcript is machine-generated from it.
To be prepared in QUADRUPLICATE NATIONAL GUARD OF THE UNITED STATES REPORT OF PHYSICAL EXAMINATION OF ENLISTED MAN ON INDUCTION
Under the call* order* of the President, dated January 14, 1941
Hartley, Alvin Curtis 20,713,004 Race White (Last name) (First name) (Middle name) (Army serial No.)
Private, Hqrs Btry, 125th F.A., Duluth, Minnesota Occupation ___ (Grade) (Unit) (Home station of unit)
Permanent address: Duluth, St. Louis, Minnesota Urban ☒ Rural ☐ (Town) (County) (State)
Birthplace: Brule, Wisconsin Birth date: July 27, 1920 (City, town, or county) (State or country) (Month) (Day) (Year)
EXAMINATION
1. Eye abnormalities: none 2. Ear, nose, throat abnormalities: none 3. Mouth and gum abnormalities: none 4. Teeth: Right 8 7 6 5 4 3 2 1 Left 1 2 3 4 5 6 7 8 16 15 14 13 12 11 10 9 9 10 11 12 13 14 15 16 (Strike out those that are missing; circle those that may be restored) 5. Skin: normal 6. Varicose veins: none 7. Hernia: none 8. Hemorrhoids: none 9. Genitalia: normal 10. Feet: normal 11. Musculo-skeletal defects: none 12. Abdominal viscera: normal 13. Cardiovascular system: normal 14. Lungs, including X-ray, if made: normal 15. Nervous system: reflexes, pupillary good, patellar good 16. Endocrine disturbances: ___ 17. Results of laboratory examinations, when made: none made
Vision: Right eye 20/20 Left eye 20/40 Hearing: Right ear 20/20 Left ear 20/20 Height: 71[guess: ½] in. Weight: 147 lb. Girth (at nipples): Inspiration: 37 in. Expiration: 34[guess: ½] in. Girth (at umbilicus): 31 in. Posture: round shoulders Frame: medium Color of hair: lt. brown Color of eyes: blue Complexion: fair Pulse: Sitting: 78 After exercise: [illegible] 2 min. after exercise: [illegible] Blood pressure: Systolic: not taken Diastolic: [illegible] Urinalysis: Albumin: [illegible] Microscopic: [illegible]
18. Remarks on defects not sufficiently described above: none
19. Summary of defects in order of importance, impression of physical fitness: good
CAUTION - SPECIAL HANDLING REQUIRED 1014 This material copied from records of National Personnel Records Center, St. Louis, Missouri; to be used for reference only. Do not [guess: recopy] or disseminate in its original [guess: form] to/or outside the Bureau.
637903
W. D., A. G. O. Form No. 155 October 1, 1940
DB Cooper 10526