FormDoctor's order sheet for Jack Coffelt (Form No. 24)19 July 19731 page
fbi_formLegibility: low

Part 86, page 48

DB Cooper-37892

Document date 19 July 1973

Open in FBI Vault (Part 86, page 48 of the PDF)

FBI 164-81, Vault Part 86 p. 48 (DB Cooper-37892), Form, dated 19 Jul 1973 — cooper.theunsolved.net/parts/Cooper-Part-86/pages/48

Transcript

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

MA'D'H [illegible] 54 COFFELT, JACK [illegible] 37[illegible] 70395

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7/19/73 3:20 1) Regular diet 2) Liquor [guess: ipact] lock legs [illegible] 3) [guess: electrolytes] [illegible] also 200 mg new [guess: draperton] [illegible] then [illegible] t.i.d. 4) [guess: dicronal] gr 1/2 us [illegible] [guess: expat] f [illegible] 14 5) [guess: Levorol] 50 mg po 93° pan [guess: prim] 6) Valium 10 mg po [guess: stat] + [guess: 5/4] t.i.d. [guess: prn] - [illegible] 7) [guess: cite] this [guess: afternoon] t.i.d. 8) [guess: Patchest] [illegible] 9) CBC - urine this [guess: afternoon] [illegible] 10) [guess: select] [illegible]

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7/24/73 5:00 am APTT IV am

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7/26/73 Amoxicillin 500 [guess: mg] 4 x daily [illegible] f [illegible] 3 d[illegible] increase [guess: dose] [guess: Decheral]; to 100 [guess: mg]

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Valium 10 [guess: mg]

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7/21/73 Home today

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b6 b7C

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DB Cooper-37892