FormOfficer Qualification Record (DA Form 66) with record of assignments, CPT Countryman, MPC1968page 2 of 3
fbi_formLegibility: medium

Part 41, page 85

DB Cooper-12015

Document date 1968

Open in FBI Vault (Part 41, page 85 of the PDF)

FBI 164-81, Vault Part 41 p. 85 (DB Cooper-12015), Form, dated 1968 — cooper.theunsolved.net/parts/Cooper-Part-41/pages/85

Transcript

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

AUTHORITY CG: AR 672-5-1(DDForm214) Yes [guess: CJK] 1/1st OLC AR 672-5-1 Yes ASM AR 672-5-1 Yes [guess: CIB] [illegible]01 DANo[illegible]75[illegible]d29Aug68

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25. BIRTHPLACE AND CITIZENSHIP PLACE OF BIRTH CITIZEN OF OFFICER Yakima, Washington US SPOUSE Tulsa, Okla US FATHER Foley, Minn US MOTHER Cambridge, Minn US

26. MARITAL STATUS [guess: MARRIED]

27. DEPENDENTS SPOUSE CHILDREN OTHER 1 4 0

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28. MAIN CIVILIAN OCCUPATION TITLE AND INDUSTRY: Police Detective DOT CODE: 2-65.01 MONTHS EMPLOYED: [guess: 117] DUTIES PERFORMED: Detective - Auto theft detail PRINCIPAL EMPLOYER: Seattle Police Dept

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CAUTION: SPECIAL HANDLING REQUIRED This material copied from records of [guess: National] Personnel Records Center, St. Louis, [guess: MO] to be used for [guess: CAUSE/CASE] only. Do not re-copy [guess: DESIGNATION] in its [illegible] outside the Bureau.

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29. SECOND BEST CIVILIAN OCCUPATION TITLE AND INDUSTRY: DUTIES PERFORMED: PRINCIPAL EMPLOYER:

30. AVOCATIONS (1) (2) (3)

31. SPORTS (Specify) (1) (2) (3)

32. LANGUAGES (Specify) INTER. TRANS. UNDERSTANDS READS WRITES (1) [guess: Japanese] (2) (3)

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33. REMARKS 6814 30th Ave, N.E., Seattle, Wash. BPED: 5Mar53 Battle Indoc: Infil Crse Apr53; Close Combat, Apr53 CHR: [illegible] Code of Conduct: [illegible] Sel Svc No: 45-6-33-607 LB# 6, Seattle, King, Wash. PPN: X2 Crs B Non Jud Pun: 25Jun63 Photo taken: [illegible]

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23. QUALIFICATION IN ARMS WEAPON COURSE QUAL. SCORE DATE [illegible] [guess: STL] [guess: MM] 320 [illegible] [guess: RIFLE] [guess: FM01] [illegible]

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34. SIGNATURE OF OFFICER (Name, grade, branch and date) Darold A. Countryman, Cpt, MPC, 11 Oct 67

35. DATE OF ANNUAL AUDIT [guess: 1968] [illegible]

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U.S. GOVERNMENT PRINTING OFFICE: 1954 O — 321[illegible] DB Cooper-12015