Part 93, page 170

Transcript

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

Identification Record Request FD-9 (Rev. 4-28-65)

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INSTRUCTIONS 1. This form may be submitted in legible hand printing. 2. Use separate form for each individual on whom record is requested. 3. Make effort to furnish FBI identification number, law enforcement identification number, or military service number. 4. Furnish descriptive data and fingerprint classification only when FBI number not available. 5. Indicate office for reply in lower right corner only. Also list in lower right corner all offices which should receive copies of available records. Include carbon of FD-9 for each office receiving copies and forward with original to Bureau. 6. Do not fill in block in lower left corner.

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To: DIRECTOR, FBI Attention: Identification Division Date: JAN. 17, 1972 Re: NORJAK Field File No. 164-41

Furnish The Known Identification Record of the Following:

Name: [blank] FBI No. [blank] b6 Other No. [blank] b7C Aliases: [redacted/obscured]

Sex: [blank] Race: [blank] Birth Date: [blank] Birthplace: [blank] Residence: [blank] Height: [blank] Weight: [blank] Build: [blank] Hair: [blank] Eyes: [blank] Complexion: [blank] Age: [blank]

Fingerprint Classification: [blank] Scars, marks and tattoos: [blank]

Also Furnish: [X] Photo [ ] Fingerprints [ ] Handwriting Specimens [handwritten note:] However, one may be obtained from SO Baker, Oreg.

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Identification Division's Reply 1-26-[7]0[illegible]

[ ] On basis of information furnished, unable to identify:

[ ] Criminal Files [ ] Civil Files [ ] All Files

[X] Record Attached [ ] Photo Attached [X] Photo Not Available [ ] Fingerprints Attached [ ] Handwriting Specimen Attached

Return/Reply to: SAC, PORTLAND

Send Copies To: 164-41-801

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SEARCHED___INDEXED___ SERIALIZED___FILED___ JAN 3 11971 FBI — PORTLAND

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DB Cooper-41550