FormFD-5 File-Serial Charge Out, file 164-41 serial 1116, marked Permanent Charge Out1 page
fbi_formLegibility: medium

Part 95, page 64

DB Cooper-42462Serials PD 164-41

Open in FBI Vault (Part 95, page 64 of the PDF)

FBI 164-81, Vault Part 95 p. 64 (DB Cooper-42462), Form — cooper.theunsolved.net/parts/Cooper-Part-95/pages/64

Transcript

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

File—Serial Charge Out FD-5 (Rev. 6-17-70) ☆ GPO : 1972 O - 474-801

File _______________ Class. Case No. Last Serial ☐ Pending ☐ Closed

164- 41

Serial No. Description of Serial Date Charged

1116

[large diagonal handwriting across form:] [guess: Permanent] Charge out

_______________ Employee

RECHARGE Date _______________

To ___________________________ From _______________

Initials of { Clerk {

Date { {

Date Charged _______________ Employee

_______________ Location

DB Cooper-42462