Part 86, page 61
Document date 6 January 1972
FBI 164-81, Vault Part 86 p. 61 (DB Cooper-3), Form, dated 6 Jan 1972 — cooper.theunsolved.net/parts/Cooper-Part-86/pages/61
Transcript
The scan is the source; the transcript is machine-generated from it.
NO[RTHERN] VIRGINIA DOCTORS HOS[PI]TAL EMPLOYEE EVALUATION AND JOB PERFORMANCE REPORT
Date: 1/6/72
Name: COFFELT, [guess: TUCK] Last First Initial
3 Mos. Probationery Period Annual ✓ Termination___
Department: O.R. Station: O.R. Position: orderly Full Time: ✓ Part Time:___ Shift: 9-5:30 Temporary:___ Permanent: ✓
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Grading from left to right indicates lowest to highest: Unsatisfactory / Marginal / Satisfactory / Excellent / Outstanding
NOTE: If employee is graded unsatisfactory in any category, this report must be shown, discussed, and signed by employee as an acknowledgement of contents.
Remarks
Attendance [Satisfactory ✓] Reports on Duty even when NOT well. Job Performance [Satisfactory ✓] Ability [Excellent ✓] Industry [Excellent ✓] Dependability [Satisfactory ✓] Cooperation [Satisfactory ✓] Appearance [Satisfactory ✓] Personality [Satisfactory ✓] Health [Satisfactory ✓]
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GENERAL REMARKS A new employee - his [guess: CUSTODIAL] of becoming a very good orderly
Takes criticism well. Tries [guess: ALMOST] to [guess: hard] to please - hard working
[guess: SEEKS WORK] to do. Learns quickly.
Employee's Department Head Signature___________ Signature___________
Approved ✗ Remarks___________ Disapproved___
Date___ Administrator b6 b7C
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DB Cooper-3[guess: 790]5