FBI 164-81, Vault Part 86 p. 19 (DB Cooper-37863), Form, serial SE 164-81-1A (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-86/pages/19
The scan is the source; the transcript is machine-generated from it.
FD-340 REV. (6-24-65)
---
Sub 853
---
File No. 164-81-1A (594)
---
Date Received ___________
From ___________
(NAME OF CONTRIBUTOR)
___________
(ADDRESS OF CONTRIBUTOR)
___________
(CITY AND STATE)
___________
(NAME OF SPECIAL AGENT)
---
To Be Returned ☐ Yes Receipt Given ☐ Yes
☐ No ☐ No
---
Description :
Copies of
medical [guess: &] treatment
records of the [guess: Northern]
Virginia Doctors Hosp.
re: Coffelt.