FormFD-340 receipt for executed Advice of Rights from S.O. Kime, with FD-395 waiver2 May 1972page 1 of 2
fbi_formLegibility: medium

Part 80, page 140

Serials MM 164-552-1A4

Document date 2 May 1972

Open in FBI Vault (Part 80, page 140 of the PDF)

FBI 164-81, Vault Part 80 p. 140, Form, dated 2 May 1972, serial MM 164-552-1A4 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-80/pages/140

Transcript

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

FD-340 (REV. 6-24-65)

File No. 164-552-1A4 Date Received 5/2/72 From S.O. Kime (NAME OF CONTRIBUTOR) Lot C3 3301 State Rd 7 (ADDRESS OF CONTRIBUTOR) Hollywood, Fla.

B [REDACTED] b6 b7C

To Be Returned ☐ Yes Receipt given ☐ Yes ☑ No ☑ No

Description:

EXECUTED ADVICE OF RIGHTS [guess: STATEMENT]. Stewart & Kime 5-V-72 Sub 41b