Part 61, page 275
DB Cooper-25484Serials LA 164-497
Document date 15 November 1976
FBI 164-81, Vault Part 61 p. 275 (DB Cooper-25484), Form, dated 15 Nov 1976 — cooper.theunsolved.net/parts/Cooper-Part-61/pages/275
Transcript
The scan is the source; the transcript is machine-generated from it.
FD-221a (Rev. 3-11-76)
CITY Los Angeles, California DATE November 15, 1976
Request of Special Agent in Charge, FBI, Los Angeles, California,
Two Hundred and Fifty dollars, and no cents,
($ 250.00 ), which money is to be paid by me on November 16, 1976,
to [REDACTED] Beverly Hills, California,
for information concerning the case entitled "NORJAK", OO: SE, (LA 164-497).
Services: $ 250.00
Expenses $
[REDACTED] Sign [REDACTED] Special Agent Have payments been made by other Offices? ☐ No ☐ Yes (List Offices below.) Authority (date) SAC Bi airtel 8/14/72 Period Covered by Payment 11/3/76 Authorization Checked o.k. Check Number 1/5/8 Receipts Received 11/10/76 Voucher Prepared NOV 2 [guess: 8] 1976 [guess: Assn] -2 Item 21 )U 4-497-88/ Date of Actual Payment 11/10/76 By whom [REDACTED] Informant's File No. 164-497 Approved [guess: Mao] SAC
FBI/DOJ DB Cooper-25484