Form · FD-340 receipt for photo, 1A item 215 · 14 February 1972 · page 1 of 5AIType, title and date: machine-written — generated by an AI model from the transcripts, and it can be wrong. The scan is the source; the transcript is machine-generated from it.
Document date 14 February 1972AIDates: machine-written — generated by an AI model from the transcripts, and it can be wrong. The scan is the source; the transcript is machine-generated from it.
The scan is the source; the transcript is machine-generated from it.
FD-340 (REV. 6-24-65)
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(215)
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File No. 164-81-1A
Date Received 2/14/72
From __________ [REDACTED]
(NAME OF CONTRIBUTOR)
DRIVERS LIC / DMV
(ADDRESS OF CONTRIBUTOR)
OLYMPIA, WA.
(CITY AND STATE)
By R. Id. Wick
(NAME OF SPECIAL AGENT)
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To Be Returned ☑ Yes Receipt given ☐ Yes
☐ No ☒ No