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

Part 77, page 119

DB Cooper-33695

Document date 9 January 2004

Open in FBI Vault (Part 77, page 119 of the PDF)

FBI 164-81, Vault Part 77 p. 119 (DB Cooper-33695), Form, dated 9 Jan 2004, serial SE 164-81-DNA (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-77/pages/119

Transcript

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

Name: ARTHUR B DERHAM Address: License: 327266181 6250 E FOOTHILL Sex: M Height: 509 DOB: 02/07/1933 APACHE JUNCTION, AZ 85219 Eyes: BLU Weight: 150

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Image Date: MISSING_DATE

[signature: Arthur B [guess: Derham]]

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This document is a certified duplicate of the information contained in the computer storage devices of the Department of Transportation, Motor Vehicle Division, in accordance with Arizona Revised Statutes section 28- 444.

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. DB Cooper-33695 b7E