FormFD-340 evidence receipt, Phoenix, with Arizona MVD record and license photo of Arthur B. Derham9 January 2004page 1 of 2
fbi_formLegibility: medium

Part 77, page 118

DB Cooper-33694Serials SE 164-81-DNA

Document date 9 January 2004

Open in FBI Vault (Part 77, page 118 of the PDF)

FBI 164-81, Vault Part 77 p. 118 (DB Cooper-33694), Form, dated 9 Jan 2004, serial SE 164-81-DNA (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-77/pages/118

Transcript

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

FD-340 (7-19-00)

1A(4)

Universal Case File Number: SE 164A-81-DNA Field Office Acquiring Evidence: PX Serial # of Originating Document: 12 Date Received: 1/9/04 From: [blank] (Name of Contributor) (Address of Contributor) (City and State) By: [redacted]

To Be Returned: [ ] Yes [X] No Receipt Given: [ ] [X] No Grand Jury Material - Disseminate Only Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure [ ] Yes [X] No Federal Taxpayer Information (FTI) [ ] Yes [X] No

Title:

Reference: (Communication Enclosing Material)

Description: [X] Original notes re interview of [redacted] 01/09/2004

DB Cooper-33694

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