FormFD-340 receipt and attached waiver of rights form, Anchorage27 December 1971page 1 of 2
fbi_formLegibility: high

Part 86, page 227

DB Cooper-38304Serials AN 164-59-1A3

Document date 27 December 1971

Open in FBI Vault (Part 86, page 227 of the PDF)

FBI 164-81, Vault Part 86 p. 227 (DB Cooper-38304), Form, dated 27 Dec 1971, serial AN 164-59-1A3 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-86/pages/227

Transcript

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

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

164-81-1A (675)

File No. 164- 59 - 1A3 Date Received 12/27/71

From [REDACTED]

(ADDRESS OF CONTRIBUTOR) b6 b7C

By [REDACTED]

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

Description: Waiver and Warning Form.

DB Cooper-38304