FormOfficer Efficiency Report (DA Form 67-5), CPT Harold A. Countryman, 142d MP Company, period ending 23 May 19678 June 1967page 2 of 2
fbi_formLegibility: medium

Part 41, page 78

DB Cooper-12008

Document date 8 June 1967

Open in FBI Vault (Part 41, page 78 of the PDF)

FBI 164-81, Vault Part 41 p. 78 (DB Cooper-12008), Form, dated 8 Jun 1967 — cooper.theunsolved.net/parts/Cooper-Part-41/pages/78

Transcript

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

RATED OFFICERS NAME AND SERVICE NUMBER: COUNTRYMAN, HAROLD A. 05 70[redacted]22

PART IV - PERSONAL QUALITIES (Read paragraph 21d, AR 623-105)

LEGEND: DEGREE / INADEQUATE .0 / MARGINAL .1 / BELOW AVERAGE .2 / AVERAGE .3 / ABOVE AVERAGE .4 / EXEMPLARY .5

RATER INDORSER a. ADAPTABILITY .3 .3 b. AMBITION .2 .2 c. APPEARANCE .5 .4 d. COOPERATION .2 .3 e. DEPENDABILITY .2 .2 f. ENTHUSIASM .2 .2 g. EXPRESSION .2 .2 h. FORCE .2 .2 i. INGENUITY .2 .2 j. INITIATIVE .2 .2 k. INTELLIGENCE .2 .3 l. JUDGEMENT .2 .2 m. LOYALTY .3 .3 n. MORAL COURAGE .2 .2 o. SELF-DISCIPLINE .1 .2 p. SELF-IMPROVEMENT .2 .2 q. [ABILITY] .4 .3 r. [illegible] .3 .3 s. [illegible] .3 .2 t. [partially legible - references] Records of National Records Center. St. [Louis] 5.0 5.0

---

PART V - APPRAISAL OF QUALIFICATIONS (Read paragraph 21b, AR 623-105)

DUTIES RATER INDORSER a. COMMAND A TACTICAL UNIT 2 b. COMD NON-TACTICAL UNIT 4 c. STAFF PERSONNEL ( ) 3 (U) d. UNIT (U) 1 (U) ( e. INTCL. ( ) ( f. GENERAL (G) OPERATIONS ( ) ( g. OR LOGISTICS 1 h. JOINT (J) R & D ( ) . ( i. COMPT ( ) 1 SPECIAL STAFF RATER (Specify) INDORSER (Specify): Asst PM- 2[illegible] SPECIALIST b. RATER (Specify) INDORSER (Specify)

f. WITH OTHER US FORCES OR AGENCIES 4 g. WITH FOREIGN FORCES OR GOVERNMENTS 3 h. INSTRUCTOR 1 i. WITH RESERVE COMPONENTS 2

---

PART VI - OVERALL DEMONSTRATED PERFORMANCE AND ESTIMATED POTENTIAL (Read paragraphs 21f and 21b, AR 623-105)

OVERALL DEMONSTRATED ESTIMATED POTENTIAL PERFORMANCE (1) (2) RATING ordisse-- RATER VALUE INDORSER RATER VALUE INDORSER a. OUTSTANDING * 96-100 * 10 b. EXCEPTIONAL * 90-95 * 9 c. SUPERIOR [histogram] 80-89 8 d. EXCELLENT [histogram] 70-79 7 [histogram] 60-69 6 e. EFFECTIVE [histogram] 50-59 5 [histogram] 40 40-49 40 4 4 4 f. MARGINAL [histogram] 30-39 3 g. INADEQUATE 20-29 * 2 10-19 * 1 SCORE 40 40 4 4

---

PART VII - NUMERICAL VALUE (Read paragraph 21h, AR 623-105) (Scores to be entered by rater and indorser, and verified by a personnel officer)

SCORES RATER INDORSER PART IV 5.0 5.0 PART VI (1) 40 40 PART VI (2) 4 4 TOTAL 49.0 49.0

COMPOSITE SCORE 98.0

---

PART VIII - AUTHENTICATION (Read paragraph 21i, AR 623-105)

17. SIGNATURE OF RATER: [signature] DATE: 5 June 1967

TYPED NAME, GRADE, BRANCH, SERVICE NUMBER, ORGANIZATION, AND DUTY ASSIGNMENT: TROY L. [guess: SKIOH], LTC, MPC, 0l 796 U75, Eq [guess: Det], USA PBC APO San Francisco 96259, Provost Marshal

18. SIGNATURE OF INDORSER: [signature] DATE: [guess: June 67]

TYPED NAME, GRADE, BRANCH, SERVICE NUMBER, ORGANIZATION, AND DUTY ASSIGNMENT: VANCE J. RIDER, LTC, TC, 060518, Headquarters, USA PBC APO San Francisco 96259, Deputy Commander

19. REVIEWER (Read Section VI, AR 623-105) MY REVIEW [X] INDICATES NO FURTHER ACTION [ ] RESULTS IN ACTION STATED ON CONTINUATION SHEET SIGNATURE OF REVIEWER: [signature]

TYPED NAME, GRADE, BRANCH, SERVICE NUMBER, ORGANIZATION, AND DATE: PAUL J. HALIK, COL, TC, 055597, [guess: Hq] USA PBC, APO 96259, Commanding DATE: [guess: June 67]

20. THIS REPORT HAS [checked] INCLOSURE [checked] "0" if appropriate

21. DATE ENTERED ON DA FORM 65: 8 Jun 67

---

DB Cooper-12008