Part 88, page 102
Document date 28 June 1987
FBI 164-81, Vault Part 88 p. 102 (DB Cooper-39008), Form, dated 28 Jun 1987 — cooper.theunsolved.net/parts/Cooper-Part-88/pages/102
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 ORI WA0060000 SO VANCOUVER WASH
SIGNATURE OF PERSON FINGERPRINTED [signature present - partially legible]
THIS DATA CAL, STATE AND NATIONAL FILES DATE [illegible] FINGERPRINTS 5-15-[illegible] CHARGE
DATE ARRESTED OR RECEIVED DOA
YOUR NO. OCA FBI NO. FBI SID NO. SID SOCIAL SECURITY NO. SOC
SEX | RACE | HGT. | WGT. | EYES | HAIR | PLACE OF BIRTH POB b6 b7C
FBI LEAVE BLANK
DATE OF BIRTH DOB Month Day Year
LEAVE BLANK CLASS. REF.
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 [illegible] RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY
DB Cooper-39008