FormNVDH Form F-201 request for blood test and urinalysis, new employee Jack Coffelt13 December 19711 page
fbi_formLegibility: medium
Part 86, page 63
Document date 13 December 1971
Open in FBI Vault (Part 86, page 63 of the PDF)
FBI 164-81, Vault Part 86 p. 63 (DB Cooper-37907), Form, dated 13 Dec 1971 — cooper.theunsolved.net/parts/Cooper-Part-86/pages/63
Transcript
The scan is the source; the transcript is machine-generated from it.
RE[QUEST] FOR BLOOD TEST AND URI[NA]LYSIS
#9
Employee's Name COFFLET, JACK Date of Request 12-13-71
New Employee ________X________
Annual Follow-up _______________
Semi-Annual Follow-up ___________
Please send copy of report to the Personnel Office to be filed in employee's personnel folder.
[box]
NVDH Form #F-201 Personnel Office
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b6 b7C
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DB Cooper-37907