FormFD-340 evidence receipt with executed Consent to Monitor form, 164-497-1a6616 December 1974page 2 of 2
fbi_formLegibility: high

Part 63, page 268

DB Cooper-26263Serials LA 164-497-1A66

Document date 16 December 1974

Open in FBI Vault (Part 63, page 268 of the PDF)

FBI 164-81, Vault Part 63 p. 268 (DB Cooper-26263), Form, dated 16 Dec 1974, serial LA 164-497-1A66 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-63/pages/268

Transcript

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

164-497-1a66

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Place LOS ANGELES Date 12-16-74 Time 0925

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I, [REDACTED], am involved in an investigation being conducted by the Federal Bureau of Investigation. In order to assist in the investigation, the Federal Bureau of Investigation is hereby authorized to monitor, record, and disclose the contents of any telephone call I may receive or make. No promises or threats have been made to me, and no pressure or coercion of any kind has been used to obtain this authority. This authorization is void when the investigation is completed.

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[REDACTED signature]

Witness [REDACTED] SA, FBI, [guess: Los Angeles], 12/16/74

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b6 b7C

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DB Cooper-26263