Part 88, page 101
Document date 28 June 1987
FBI 164-81, Vault Part 88 p. 101 (DB Cooper-39006), Form, dated 28 Jun 1987 — cooper.theunsolved.net/parts/Cooper-Part-88/pages/101
Transcript
The scan is the source; the transcript is machine-generated from it.
LEAVE BLANK TYPE OR PRINT ALL INFORMATION IN BLACK LAST NAME NAM FIRST NAME MIDDLE NAME
STATE USAGE ALIASES CONTRIBUTOR O R WA0060000 I SO VANCOUVER WASH
SIGNATURE OF PERSON FINGERPRINTED [signature present, partially illegible: [guess: Jay] [illegible]]
THIS DATA MAY BE COMPUTERIZED IN LOCAL, STATE AND NATIONAL FILES
DATE PRINTS 5/58 CHARGE
DATE ARRESTED OR RECEIVED DOA SEX RACE HGT. WGT. EYES HAIR PLACE OF BIRTH POB
YOUR NO. OCA LEAVE BLANK b6 b7C FBI NO. FBI CLASS.
SID NO. SID REF.
SOCIAL SECURITY NO. SOC
FINAL DISPOSITION NCIC CLASS - FPC
CAUTION [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ]
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1. R. THUMB 2. R. INDEX 3. R. MIDDLE 4. R. RING 5. R. LITTLE 6. L. THUMB 7. L. INDEX 8. L. MIDDLE 9. L. RING 10. L. LITTLE
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LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY L. THUMB R. THUMB RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY
DB Cooper-39006