Part 45, page 177
Document date 5 September 1955
FBI 164-81, Vault Part 45 p. 177 (DB Cooper-18353), Form, dated 5 Sep 1955 — cooper.theunsolved.net/parts/Cooper-Part-45/pages/177
Transcript
The scan is the source; the transcript is machine-generated from it.
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BUREAU OF CRIMINAL IDENTIFICATION AND INVESTIGATION P. O. BOX 1859, SACRAMENTO 9, CALIFORNIA
These fingerprints taken { [X] For Personal Identification { [X] Public Employment { In connection with an application for { [ ] Concealed Weapon License { [ ] Other License or Permit
Residence Address_____1716 Arbutus Ave_____City_____Chico, Calif._____ Business Address______Same__________________City______________________ Occupation____________Teacher_________________________________________ In Emergency Notify___Mrs. R. E. Dunning____Relationship___Mother_____ Address_______________1716 Arbutus Ave_____Chico______________________
Even though spaces below apply, it is advisable to fill out all information indicated above, for permanent personal identification record.
9-5-55, ST.FING.BD.SACTO.A3: Garth Hudson DUNNING, APP(FP)lm If application for Public Employment: Teacher, CSC, IIId, Dept. of Education Title of Position_____Teacher______________________________________________ Department or Agency__State Department of Education________________________ Political Subdivision__________________________________________________ State, County or City
If application for Concealed Weapon License: Make______________Type______________Caliber______________Serial Number______
If application for other License or Permit: Application for {License} to______________________________________________ {Permit } Issuing Agency_____________________________________________________________ Political Subdivision______________________________________________________ State, County or City DB Cooper-18353