FormFD-340 receipt from New Orleans for suspect's wallet cards (Blue Cross, Social Security, CSAA) (sub 578)24 December 1976page 4 of 6
fbi_formLegibility: medium

Part 85, page 315

DB Cooper-37722

Document date 24 December 1976

Open in FBI Vault (Part 85, page 315 of the PDF)

FBI 164-81, Vault Part 85 p. 315 (DB Cooper-37722), Form, dated 24 Dec 1976, serial SE 164-81-1A (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-85/pages/315

Transcript

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

Form OA-702.1 Rev. (10-58)

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KEEP this card. SIGN it immediately. SHOW it to your employer. Mention the number in all letters about your account. If you lose this card apply for a duplicate, not a new number.

Once a year you can get a statement of wages credited to your account. Get a form for this purpose from any Social Security Administration District Office.

If you change your name notify the nearest Social Security Administration District Office immediately.

TELL YOUR FAMILY TO NOTIFY THE NEAREST SOCIAL SECURITY OFFICE IN THE EVENT OF YOUR DEATH. IT IS ADVISABLE TO GET IN TOUCH WITH A SOCIAL SECURITY OFFICE WHEN YOU REACH RETIREMENT AGE (65 FOR MEN, 62 FOR WOMEN) OR IF YOU BECOME SEVERELY DISABLED.

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DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE SOCIAL SECURITY ADMINISTRATION

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DB Cooper-37722