FormFD-340 evidence receipt for Arizona DMV driver's license photos and MVD records of Arthur B. Derham13 January 2004page 1 of 3
fbi_formLegibility: high

Part 77, page 120

DB Cooper-33700

Document date 13 January 2004

Open in FBI Vault (Part 77, page 120 of the PDF)

FBI 164-81, Vault Part 77 p. 120 (DB Cooper-33700), Form, dated 13 Jan 2004 — cooper.theunsolved.net/parts/Cooper-Part-77/pages/120

Transcript

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

FD-340 (7-19-00)

1A(5)

Universal Case File Number SE - 164A - 81 - DNA Field Office Acquiring Evidence PX Serial # of Originating Document 11 Date Received 01/13/2003 From ARIZONA DMV (Name of Contributor)

(Address of Contributor)

(City and State)

By ___________________________

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

Title:

Reference: (Communication Enclosing Material)

Description: ☐ Original notes re interview of D/L PHOTOS OF ARTHUR B. DERIAN

DB Cooper-33700