FormFD-340 evidence receipt with FD-597 receipts for hair sample and upper denture plate, Apache Junction AZ14 January 2004page 1 of 3
fbi_formLegibility: medium

Part 77, page 123

DB Cooper-33704Serials SE 164-81-DNA

Document date 14 January 2004

Open in FBI Vault (Part 77, page 123 of the PDF)

FBI 164-81, Vault Part 77 p. 123 (DB Cooper-33704), Form, dated 14 Jan 2004, serial SE 164-81-DNA (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-77/pages/123

Transcript

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

FD-340 (Rev. 3-8-01)

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Universal Case File Number SE 164A-81-DNA Field Office Acquiring Evidence PX Serial # of Originating Document 14 Date Received 1/14/2004

From [REDACTED - b6, b7C] (Name of Contributor) (Address of Contributor) APACHE JUNCTION, AZ (City and State)

By [REDACTED]

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1A(6)

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To Be Returned ☐ Yes ☑ No Receipt Given ☑ Yes ☐ 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:

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Reference: [illegible] (Communication Enclosing Material)

Description: ☐ Original notes re interview of 1 - FD-597 dated 1/14/[guess: 2004] (original) 1 - [guess: CURSON] copy

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DB Cooper-33704