Part 86, page 64
Document date 8 December 1971
FBI 164-81, Vault Part 86 p. 64 (DB Cooper-37908), Form, dated 8 Dec 1971 — cooper.theunsolved.net/parts/Cooper-Part-86/pages/64
Transcript
The scan is the source; the transcript is machine-generated from it.
NORTHERN VIRGINIA DOCTORS HOSPITAL CORP. 601 S. CARYLN SPRINGS ROAD ARLINGTON, VIRGINIA 22204
To: [Hutchinson, Kansas] December 8, 1971 b6 b7C Regarding: Jack Coffelt
We would greatly appreciate your opinion of the above named applicant for the position of:
O.R. Orderly in this hospital
Employed by you from: [guess: I can't] [guess: to/identify] [guess: this] [guess: boy] Student in your hospital from: [guess: for sure] to [guess: if he is] [guess: the] Graduated: Yes ____ No ____ Position held: [guess: Bone] [guess: Olin + Kindsing] [guess: of] [illegible] [guess: he was] Reason for leaving your employment: [guess: excellent in all his] [guess: work]
Would you re-employ? Yes ____ No ____ if no, would you comment under Remarks?
*GOOD *SATISFACTORY *NEEDS IMPROVEMENT Attendance: Job Performance: Ability: Industry: Dependability: Cooperation: Appearance: Personality: Health:
REMARKS:
Sign[redacted] b6 b7C By: [redacted] R.N./E Title: Operating Room Supervisor
*(Please Check (X) or comment if indicated.) N.V.D.H. Form 57
DB Cooper-37908