Part 45, page 26
Document date 1 February 1951
FBI 164-81, Vault Part 45 p. 26 (DB Cooper-4649), Form, dated 1 Feb 1951 — cooper.theunsolved.net/parts/Cooper-Part-45/pages/26
Transcript
The scan is the source; the transcript is machine-generated from it.
b6 per NPRC b7C
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1. DESIGNATOR'S LAST NAME—FIRST NAME—MIDDLE: List, John Emil 2. PRESENT SERVICE: 0-978253 3. FORMER S[ERVICE] NOS. (If any): 17177034 4. [GRADE]: 1st Lt 5. DATE OF BIRTH: [redacted] 6. [X] CHANGE / [ ] INITIAL DESTINATION 7. DESIGNATOR'S PERMANENT HOME ADDRESS (Number, street, city, county and State): [redacted] 8. FIRST NAME—MIDDLE NAME—LAST NAME OF PERSON TO BE NOTIFIED IN CASE OF EMERGENCY (If person with permanent address is [illegible]) RELATIONSHIP (If friend, so state): Wife
Helen Patricia List ADDRESS (Number, street, city, county, and State): [redacted]
THE PERSONS NAMED IN ITEMS 9, 11, AND 12, BELOW, MAY ALSO BE NOTIFIED OF THE EMERGENCY. IF SUCH NOTIFICATION IS NOT DESIRABLE DUE TO HEALTH OR FOR OTHER PERTINENT REASONS, SO STATE:
9. SPOUSE (First name, middle name, last name) (If none, or if deceased or divorced, so state): Helen Patricia List ADDRESS (Number, street, city, county, and State): [redacted]
10. CHILDREN (First name—Middle name—Last name): Brenda Joyce Taylor (Step-daughter) ADDRESS (Number, street, city, and State): [redacted] MARRIED OR SINGLE: Single SEX: Fem AGE: 8
11. NAME OF FATHER (Or male guardian) (First name—Middle name—Last name): Deceased ADDRESS (Number, street, city, and State): [redacted] b6 per NPRC b7C
12. NAME OF MOTHER (Or female guardian) (First name—Middle name—Last name): Alma Marie List ADDRESS (Number, street, city, and State): [redacted]
Information included on this form does not designate or change beneficiaries of life insurance; direct communication to the Veterans Administration or insurance company is necessary for that purpose.
DA AGO FORM 41, 1 FEB 51. Replaces DD Form 93, 1 Jul 50, which is obsolete, except for National Guard not on active duty. RECORD OF EMERGENCY DATA FOR THE UNITED STATES ARMY
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CAUTION: SPECIAL HANDLING REQUIRED This material copied from records of National Personnel Records Center, St. Louis, Missouri. Personnel Records Center, St. Louis. Do not recopy to be used for reference only. Do not [disseminate] in its original form outside or disseminate in its original form outside the Bureau.
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DB Cooper-4649