Part 86, page 59
Document date 29 March 1972
FBI 164-81, Vault Part 86 p. 59, Form, dated 29 Mar 1972 — cooper.theunsolved.net/parts/Cooper-Part-86/pages/59
Transcript
The scan is the source; the transcript is machine-generated from it.
NORTHERN VIRGINIA DOCTORS HOSPITAL Arlington, Virginia
TERMINATION
Date: 3-29-72
Employee's Name: Jack [First] __________ [Middle] COOPER [Last]
Department __________ Position __________
Reason For Termination: (Check One) Voluntary Resignation: [checked] End Temp. Assignment: __________ Discharge: __________ Other: __________
Remarks: (Briefly indicate nature of action.) Sudden death in family - prolonged legal matters to settle concerning Death.
Employees Rating: Excellent Very Good Good Satisfactory Unsatisfactory Performance [checked] Attendance [checked] Attitude [checked] Appearance [checked] Personality [checked]
Remarks: Employed only short time But eager & willing worker. Tried Almost too hard to please people. Did work thoroughly & with pride in his work, was on leave without pay But Affairs took longer than expected to settle.
Last Day Actually Worked: FRI Apr 24 Mar 3, 1972 Day Date Would you rehire? [Yes checked] Subject To: __________
Supervisor: [REDACTED b6/b7C] R.N. O.R.S.
NOTED AND APP[ROVED]
Adminis[tration] Northern Virginia Doctors Hospital Termination record received: [checked] (Date) REMARKS: Earnings record file: [checked] Leave slip filed: [checked] Time card filed: [checked] Record card filed: [checked] [Hist/information cancelled]: [checked] Form # Switchboard: [checked]