FormFD-340 receipt for Advice of Rights form executed by Douglas Cooper3 December 1971page 1 of 2
fbi_formLegibility: high

Part 92, page 281

DB Cooper-41162Serials PD 164-41-1A

Document date 3 December 1971

Open in FBI Vault (Part 92, page 281 of the PDF)

FBI 164-81, Vault Part 92 p. 281 (DB Cooper-41162), Form, dated 3 Dec 1971, serial PD 164-41-1A (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-92/pages/281

Transcript

The scan is the source; the transcript is machine-generated from it.

FD-340 (REV. 6-24-65)

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File No. 164-41-1A (5) Date Received 12/3/71 From Douglans Cooper (NAME OF CONTRIBUTOR) 360 [guess: Breezmont] Dr. Apt. 5E (ADDRESS OF CONTRIBUTOR) Newport News, VA. (CITY AND STATE) By ___________________________ (NAME OF SPECIAL AGENT)

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To Be Returned ☐ Yes Receipt given ☐ Yes ☒ No ☒ No Description:

Advice of Rights Form Executed By Cooper.

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b6 b7C

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DB Cooper-41162