FormFD-340 receipt for clothing from Army facility at La Center (1A-264), with DA Form 3122 issue/turn-in requests26 March 1972page 2 of 4
fbi_formLegibility: medium

Part 82, page 230

DB Cooper-36120

Document date 26 March 1972

Open in FBI Vault (Part 82, page 230 of the PDF)

FBI 164-81, Vault Part 82 p. 230 (DB Cooper-36120), Form, dated 26 Mar 1972, serial SE 164-81-1A (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-82/pages/230

Transcript

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

REQUEST FOR ISSUE OR TURN-IN (AR 735-28)

[X] ISSUE SHEET NO: [blank] NO. OF SHEETS: [blank] [ ] TURN-IN

5. REQUEST NUMBER: [handwritten] Temp 140

1. FROM: [redacted]

6. DATE MATERIEL REQUIRED: [blank] 7. PRIORITY: [blank]

8. VOUCHER NUMBER: [blank] 9. POSTED: DATE [blank] BY [blank] DATE [blank] BY [blank]

3. ACCOUNTING AND FUNDING DATA: a. COST ACCOUNT CODE: [blank] b. WORK ORDER NUMBER: [blank] b6 b7C

4. END ITEM IDENTIFICATION: a. NAME AND MANUFACTURER: [blank] b. MODEL: [blank] c. SERIAL NUMBER: [blank] d. PUBLICATION: [blank]

ITEM | STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES | *CODE | UNIT OF ISSUE | QUANTITY | SUPPLY ACTION | UNIT PRICE | TOTAL COST

[handwritten entries:] 6605-846-2618, COMPASS, MAG, LEN EA 20 20 JACKET W/W LARGER [guess: ON] 25 25 PANTS W/W LARGER PR 25 25 LAST ITEM

[ ] FUNDED [ ] UNFUNDED [ ] CONSUMABLE b6 [ ] NON-CONSUMABLE [ ] CREDITABLE [ ] NON-CREDITABLE SHEET TOTAL b7C

* ISSUE—I-Initial; R-Replacement TURN-IN—U-Unserviceable; S-Serviceable

10. ISSUE OR TURN-IN OF QUANTITIES IN "QUANTITY" COLUMN IS REQUESTED | DATE: [blank] | BY: [blank] 11. RECEIVED QUANTITIES IN "SUPPLY ACTION" COLUMN | DATE: [handwritten] 2080

DA FORM 3122 REPLACES DD FORM 1150 (for Army use) SUPPLIES OF WHICH WILL BE USED UNT[IL] 1 APR 66 DB Cooper-36120