Page 117 ~ b6; b7C;
Page 118 ~ b6; b7C; Page 121 ~ b6; b7C; Page 129 ~ b6; b7C; Page 134 ~ b6; b7C; b7D; Page 135 ~ b6; b7C; b7D;
Page 139 ~ b6; b7C; Page 140 ~ b6; b7C; Page 141 ~ b6; b7C;
Page 142 ~ b6; b7C;
Page 143 ~ b6; b7C; Page 144 ~ b6; b7C;
Page 145 ~ b6; b7C; Page 146 ~ b6; b7C;
Page 147 ~ b6; b7C; Page 148 ~ b6; b7C;
Page 149 ~ b6; b7C;
Page 150 ~ b6; b7C;
Page 151 ~ b6; b7C;
Page 152 ~ b6; b7C;
Page 153 ~ b6; b7C;
xxxxxxxxxxxxxxxxXXXXXXXX X Deleted Page(s) X X No Duplication Fee X X For this Page X
XXXXXXXXXXXXXXXXXXXXXXXX FD-340 REV.
b7C;
xxxxxxxxxxxxxxxxXXXXXXXX X Deleted Page(s) X X No Duplication Fee X X For this Page X
XXXXXXXXXXXXXXXXXXXXXXXX FD-340 REV. (6-24-65)
b6 b7C 588
File No.
164-81-17
Date Received
From
(NAME OF CONTRIBUTOR)
[ADDRESS OF CONTRIBUTOR)
(CITY AND STATE)
[NAME OF SPECIAL AGENT)

To Be Returned	 Yes	Receipt Given	 Yes
 No	 No

Description :
photos taken in Cascade Mountains
De ser. 1358
DB Cooper-37841DB Cooper-37842164-81-1A 5/88
b6 b7C
DB Cooper-37843JAN 77
DB Cooper-37844588 164-81-1A 
b6 b7C
DB Cooper-37845FD-340 REV. (6-24.65) 589
File No.
NONJAK 164-81-1A
Date Received
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
CITY ANS AYER
INANIE OF SPECIAL AGENTT
To Be Returned Yos Receipt Given Yes Ho No
Description :
Two photos of
b6 b7C
b6 b7C
b6 b7C
see ber. 7373
DB Cooper-37846b6 b7C
164-81-1A 1 :
c
164-81-14
DB Cooper-37848 FD-340 REV.
Yos Receipt Given Yes Ho No
Description :
Two photos of
b6 b7C
b6 b7C
b6 b7C
see ber. 7373
DB Cooper-37846b6 b7C
164-81-1A 1 :
c
164-81-14
DB Cooper-37848 FD-340 REV. (6-24-65)
590
File No. 164-81
A
Date Received
1/12/77
From LITTUn Riche Division
[NAME OF CONTRIBUTOR]
L
(NAME OF SPECIAL AGENT)
b6
b7C
b6 b7C
To Be Returned Yes Receipt Given Yes No No
Description :
ONE COLOR PHOTOGRAPH OF
WITH AN
b6
b7C
WUKNOWN WHITE MALE.
DB Cooper-37849164-81-1A 550
# 500
164-81-1A
16.4-81-117 550
¢
164-81-10
DB Cooper-37851
PSS
y 550
164-81-1M
C
DB Cooper-37853FD-340 REV. (6-24-65)
b6 b7C
SE 164-81 LR 164-22
File No.
-1A8
Date Received
12/13/76
From
b6
b7C
(ADDRESS OF CON Hope, Arkansas
SA
(NAME OF SPECIAL AGENT]

To Be Returned Yes	Receipt Given	 Yes
 No	 No
Description :

One color photograph of with unknown white male b6 b7C
1-10-17 via LR airtel to Bu,
DB Cooper-37854FD-340 REV.
selected: No
Description :

One color photograph of with unknown white male b6 b7C
1-10-17 via LR airtel to Bu,
DB Cooper-37854FD-340 REV. (6:24-65)
b6 b7C
File No.
164-81-1A 
591
Date Received
3/17/77
From
CHICAGO
DIVISION
{NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR}
{CITY AND STATE)
b6
b7C
(VAMA- OF SPECIAL AGERT)
To Be Returned No Yes Receipt Given Yes P No
Description :
OF
b6
b7C
Der ser 7416
DB Cooper-37855164-81-1A 591 b6 b7C
DB Cooper-37857FD-340 REV. (6-24-65) Noyack aircraft-Hyacking b6 00: Seattle b7C
File No.
Seattle 164-81-/A 592
Date Received
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
(CITY AND-STATE)
(NAME OF SPECIAL AGENT)
To Be Returned Yes Receipt Given Yes
- No No
Description:
One photo of
b6 b7C
Del ser 7427
DB Cooper-37858b6 b7C
164-81-1A $52
DB Cooper-37860FD-340 REY M(6-24.65)
Re: Ich. anitel to AX,
3/15/17.
NORJAK 
593
164-81-1A
File No.
PG 164-93
Date Received
2/19/17
From
nimi
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
b6
b7C
NORJAK 
593
164-81-1A
File No.
PG 164-93
Date Received
2/19/17
From
nimi
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
b6
b7C

To Be Returned		Yes	Receipt Given	 Yes
	No	 No

Description :
Photo 0
b6 b7C
Del Der 7428
DB Cooper-37861b6 b7C
164-81-1A 593
DB Cooper-37862FD-340 REV. (6-24-65)
Auk 853 594
File No.
164-81-1A
Date Received
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
(CITY AND STATE)
(NAME OF SPECIAL AGENT)

To Be Returned Yes	Receipt Given	 Yes
 No	 No

Description :
Daques og medical treatment reads of the warthen Virginia Mortero dass. re: Caffelt.
De Der 74526 DB Cooper-37863
594)
SE 164-81-1A KEEP ATTACHED TO EXHIBIT

Emp.
De Der 74526 DB Cooper-37863
594)
SE 164-81-1A KEEP ATTACHED TO EXHIBIT

Emp. Name	J CCFFELT
Emp. No.	014052	0009 DOpt.
Poy Ending	02/13/72
Regular Hours	80	5 Overtime Hours
Annuo!	Sick
Leava	Leave
Differential	S
On Call	$
Other	$

DATE	IN	OUT	TOTAL HOURS
Mon.	01/31/72	D
Tues.	02/01/72	7.00	5308
Wed.	02/02/72	900	530	8.
Thur,	02/03/72	9.00	600	8+12
Fri.
Other	$

DATE	IN	OUT	TOTAL HOURS
Mon.	01/31/72	D
Tues.	02/01/72	7.00	5308
Wed.	02/02/72	900	530	8.
Thur,	02/03/72	9.00	600	8+12
Fri.	02/04/72	900	5308
Sat.
02/05/72	730	+30	8 40+1-2
Sun.	02/06/72	1)
Mon.	02/07/72	8.30	600	8+$
Tuel.	02/08/72	900	680
Wed.	02/09/72	9.00	700	8+12
Thur,	02/10/72	900	536	5
Fri.	02/11/72	73º	1	8 4002.
Sol.	02/12/72	D)
Sun	02/13/72	D)
Sol.	02/12/72	D)
Sun	02/13/72	D)

FORM 90
Authorized Signature
80H+SHOT
Emp. Nome
J. COFFELT
Emp. No.
014052
Dept.
0009
Pay Ending
01/30/72

Regulor	50	Overtime	1 1/2
Hours	Hours
Ansuot	Sich
leave	Leave
Differential	$

On Coll	S
Other	$

DATE	IN	OUT	TOTAL HOURS
Mon.	01/17/72	8	6	8H/2
Tues.	01/18/72	9	530	8
Wed.
Coll	S
Other	$

DATE	IN	OUT	TOTAL HOURS
Mon.	01/17/72	8	6	8H/2
Tues.	01/18/72	9	530	8
Wed.	01/19/72	9	6ª	8+2
Thur.	01/20/72	9	100	없는
Fri.	01/21/72	9	4430	7
Sot.
01/22/72	D	40-12
Sun.	01/23/72	D
Mon.	01/24/72	230	TE	8+2.
Tues.	01/25/72	Bygg
Wed.	01/26/72	SV.
Thur.	01/27/72	SL
Fri.	01/28/72	SL
Sol.	01/29/72	0
Sun.
01/28/72	SL
Sol.	01/29/72	0
Sun.	01/30/72	?

FORM 90
Authorized Signature
b6
b7C
DB Cooper-37864

Emp. Name	J COFTFLT
.Emp No.	314052	Depl. 0009
Pay Ending	03/12/72
Regulor Hours	28	Overtime Hours
Annual Leave	Sick Laave
Differential	S
On Coll	S
Other Ś

DATE	IN	OUT	TOTAL HOURS
Aon.	02/28/72	0,00	0,30
Tues,	02/29/72	gr=	53%	8
Wed.	03/01/72	900	650	8+1
Thur,
Coll	S
Other Ś

DATE	IN	OUT	TOTAL HOURS
Aon.	02/28/72	0,00	0,30
Tues,	02/29/72	gr=	53%	8
Wed.	03/01/72	900	650	8+1
Thur,	03/02/72	900	530	8.
Fri.	03/03/72	900	1200	3 %
Sor.
03/04/72	D
Sun.	03/5/72	0
Mon.	03/06/72	Zwar
Tues	03/07/72	Í	40 Fever
Wed.	03/08/12
Thur.	03/09/72	-
Fri.	03/10/72	
Sot.	03/11/72	D
Syt	03/12/72	1)
03/10/72	
Sot.	03/11/72	D
Syt	03/12/72	1)

FORM 90
Authorized Sighotule 28H+521wop
Emp. Nomc
J CCFFELT
Emp. No.
014052
Dept.
0009
Pay Ending
02/27/72
Regular
83
/
Hours
Overtime
Hours
Annua!
Sick
Leave
Leove
Differential 5
On Call
5
Other, $

DATE	IN	OUT	TOTAL HOURS
Mon.	02/14/72	730	4.
00	8
Tues.	02/15/72	9.00	130	8+1
Wed.	02/16/72	000	530	8
Thur.	02/17/72	9.00	5.30	8
Fri.	02/18/72	056	5 39	8 4 -!
Sol.	02/19/72	D)
Sun.	02/20/72	D
Mon.	02/21/72	H
Tues.
Sick
Leave
Leove
Differential 5
On Call
5
Other, $

DATE	IN	OUT	TOTAL HOURS
Mon.	02/14/72	730	4.00	8
Tues.	02/15/72	9.00	130	8+1
Wed.	02/16/72	000	530	8
Thur.	02/17/72	9.00	5.30	8
Fri.	02/18/72	056	5 39	8 4 -!
Sol.
02/19/72	D)
Sun.	02/20/72	D
Mon.	02/21/72	H
Tues.	02/22/72	900	900	8
Węd.	02/23/72	900	630	8+1
Thur.	02/24/72	900	630	8+1
Fri.	02/25/72	9:00	630	8+1.
Sat.	02/26/72	at	Silvi
Sun.
02/25/72	9:00	630	8+1.
Sat.	02/26/72	at	Silvi
Sun.	02/27/72	BONNE

FORM 90
72 Ned Authorized Signature 4 Nowe ET
b6 b7c
DB Cooper-37865

Emp. Name	COFFELT,	.TACK
Emp. No.	14052	0009 Dept.
Poy Ending	05/07/72
Regular Hours	80	Overtime Hours	11 1/2
Annual Leave,	Sick Łcove

Differential S
On Coll	S
Other	S

DAIE	IN	OUT	TOTAL HOURS
Mon.
S
Other	S

DAIE	IN	OUT	TOTAL HOURS
Mon.	04/24/72	9	6	8+-2
Tues	04/25/72	930	8 30	8+3
Wed.	04/26/72	€30	7	8-12
Thyr,	04/27/72.	930	S 30	8
Fri.
04/28/72	900	600	8+2
Sat.	04/29/72	1)
Sun.	04/30/72	D
Mon.	05/01/72	0
Tues,	05/02/72	9º	50%	8+2
Wed.	05/03/72	qui	600)	8+1
Thut.	05/04/72	gas	600	8+1
FIL	05/05/72	90	8ºº	8-35
Sat.	05/06/72	13g	7.
05/04/72	gas	600	8+1
FIL	05/05/72	90	8ºº	8-35
Sat.	05/06/72	13g	7.30	8,450
5un	05/07/72	0	¿

FORM 90 Authonted Signature 80 Nw + 11'2 01
J. COFFELT
Emp. Name

Emp, No	C14052 Dept.	CEC9
Pay Ending	.
03/26/72

Regular Hours
Overtim Hours
Annual Leave
Sick icove
Differential
On Call S
Other 5

DATE	IN	OUT	TOTAL HOURS
Mon	03/13/72	Luis
Joe's.	03/14/72
Wed.	03/15/72
Thur.	02/16/72
Fri.	03/17/72	
Sat.	03/18/72	0)
Sun.
Regular Hours
Overtim Hours
Annual Leave
Sick icove
Differential
On Call S
Other 5

DATE	IN	OUT	TOTAL HOURS
Mon	03/13/72	Luis
Joe's.	03/14/72
Wed.	03/15/72
Thur.	02/16/72
Fri.	03/17/72	
Sat.	03/18/72	0)
Sun.
03/19/ 72	1)
Mon.	03/20/72	Luis
Tues.	03/21/72
Wed	03/22/72
Thor	03/23/72
Fai.	03/24/72	
Sus.	03/25/72	
Sun	03/26/72
03/25/72	
Sun	03/26/72	

FORM 90
b6 b7C
Authorized Signature 80H/WOP
DB Cooper-37866Emp Noise J COFFELT
Emp. No
914052
Dep !.
0009
06/04/72
Pov Ending
Rupulor
70
Overtime
Hours
Hours
Annual
Sick
Leave Leave

Differential	S
On Call .	$

Other	$

DATE	IN	OUT	TOTAL HOURS
Mon.
05/22/72	: 2	1:	8点
Tues	05/23/72	930	730	+10. 8+2
Wed.	05/24/72	SL
Thur	05/25/72	7:30	3:00	5-z
Fri.	05/26/72	930	530	8 32
Sat.	05/27/72	D	25'
Sun.
$

Other	$

DATE	IN	OUT	TOTAL HOURS
Mon.	05/22/72	: 2	1:	8点
Tues	05/23/72	930	730	+10. 8+2
Wed.	05/24/72	SL
Thur	05/25/72	7:30	3:00	5-z
Fri.	05/26/72	930	530	8 32
Sat.
05/27/72	D	25'
Sun.	05/23/72	D
Man.	05/29/72	H
Tues.	05/30/72	D
Wed	05/31/72	930	600	8+2
Thục	06/01/72	9.30	700	8+ 1/2
Fr1.	06/02/72	430	5	7%)
50%	06/03/72	7.
06/02/72	430	5	7%)
50%	06/03/72	7.30	12
Sun	06/04/72	58 .-

FORM 20
Authorzed Signature 62N. 8N.T 851. 10LWOP
៛
COFFELT, JACK

Emp Ve	14052	Dept.	0009
:
Pa. End.os	05/21/72
RogJ.c. HOJ'S	80	Overtime Hours	5 1/2
Asrua!
Sick
leo- ¢	Leave
Differe .. c	$
O. C=	S
O'ne-	5

DATE	İN	OUT	TOTAL HOURS
Me"	05/08/72	0,30	6ª	8+1
.
DATE	İN	OUT	TOTAL HOURS
Me"	05/08/72	0,30	6ª	8+1
. Tucs	05/09/72	930	600	8++2
We=	05/10/72	gm,	6.99	8+1
Thu-	05/11/72	930	6º	8+2
Fr ..	05/12/72	20	600	8+2
Så ..
05/13/72	40-22
Sur	05/14/72
Men.	05/15/72	9.30	7:00	8+1
Tues	05/16/72	9:30	5:30	8
Wed	05/17/72	8+1
Thu*	05/18/72	10	5.30	7元
For	05/19/72 05/20/72	9:30	5.30	8
So-	46-2
Sur	05/21/72
30	8
So-	46-2
Sur	05/21/72

FORM 93
Author :ed Saraiv'e
80H+52HOT
b6 b7C
DB Cooper-37867Emp. Name
J
COFFELT
Emp. No.
014052
Dept.
17/02/72

Pay Ending Regulor Hours	63	Overlim 0 Hours	3 1/2
Annual	Sick
Leave	Leave

Differential S
On Call	S
Other	S

DATE	IN	OUT	TOTAL HOURS
Mon.	Co/19/72	930	4.30	8+1
Jues.	Ct/20/72	930	6.00	8+3
Wed.	06/21/72	930	600	8+2
Thur.	06/22/72	10.00	15	8
Frl.
Differential S
On Call	S
Other	S

DATE	IN	OUT	TOTAL HOURS
Mon.	Co/19/72	930	4.30	8+1
Jues.	Ct/20/72	930	6.00	8+3
Wed.	06/21/72	930	600	8+2
Thur.	06/22/72	10.00	15	8
Frl.
0X /2:/72	78	%-	8x12
Sol.	06/24/72	0
Sun.	C6/25/72	D
Mon.	CS/21/72	D
Juos.	C6/27/7.2	93º	6ª	8+1
Wed.	Cc/22/72	930	530	8.
Thur.	24/24/72	SI
Fıi.	C+1.F /77	SI
Sat.	07/ .. 1/72	730	130	6.
F /77	SI
Sat.	07/ .. 1/72	730	130	6. 13
Sun	:7/ 2/72	D

FORM 90
Authoriteil Signature Carlos 17 H bude 04 35.05

Emp, Name J CCFFELT
Emp. No.	014052 Dept 0009
Pay Ending	06/18/72
Regular Hours	511/2	Overtime Hours	61/2
Annual	Sick
leave	Leave
Differential	$
On Coll 'S
Other S

DATE	IN	OUT	TOTAL HOURS
Mon.
S

DATE	IN	OUT	TOTAL HOURS
Mon.	04/05/72	0,30	8 ª	8+22
Tues.	06/06/72	930	6,00	8+2
Wed,	C6/07/72	930	62	8+1
Thur,	06/08/72	- 25	1ª	8+1'2
Fri.
06/09/72	930	630	8+1
Sal,	06/10/72	1)	40+ (2-
Sun.	C6/11/72	D
Mon.	06/12/72	Laup
Tues.	06/13/72	Lwop
Wed.	06/14/72	Iwill
Thur.	06/15/72	930	530	8 :12
Fri,	06/16/72	900	6008+12
Sol.	06/17/72	1)
Sun.
06/15/72	930	530	8 :12
Fri,	06/16/72	900	6008+12
Sol.	06/17/72	1)
Sun.	C6/18/72	D

FORM 90
Authorized Signature 572H+65OT+16/WOP
b6 b7C
DB Cooper-378686320/0001/4709/0528 COFFELT , JACK 4208 S 12TH RUAD ARLINGTON, VA.
22204

Pay Ending	7-30-72	09
Regular Hours	76	Overtime Hours	/
Annual Leave	Sick
Leave

.

Differential	$
On Call	$
Other	$

DATE	IN	OUT	TOTAL HOURS
Mon.	7/17/12	9.30	11.30	2
Tues.	18	930	630	8+1.
Wed.	19	930	1.
Call	$
Other	$

DATE	IN	OUT	TOTAL HOURS
Mon.	7/17/12	9.30	11.30	2
Tues.	18	930	630	8+1.
Wed.	19	930	1.99	8+
Thur.	20	630	1Er	8+1
Fri.	21	930	5 30	8 %
Sol.	22	D)
Sun.
23	D
Mon.	24	1)
Tues.	25	930	600	8+2
Wed.	26	935.	60	8+2
Thur.	27	930	120	8
Fri.	28	930	5 3.	8
Sat.	29	72	3 ...	8
Sun.	7 30

FORM 90
Authored Signature
76H+NOT+4H /WOp
7 30

FORM 90
Authored Signature
76H+NOT+4H /WOp

J CCFFELT
Emp. Name
C14C52	Depl.	0009
Emp. No
07/16/72.
Pay Ending

Regulor	75.5	Overtime Hours	1º/2
Hours

Annual	Sick
Leave	Leave
Annual	Sick
Leave	Leave

Differenliol	S
On Call S
Other $

DATE	IN	OUT	TOTAL HOURS
Mon.
07/03/72	7.30	5ª5	8+2
Tues.	07/04/72	H
Wed.	07/05/72	SI
Thur.	07/06/72	3ch 599	600	8+2
Fri.	07/07/72	930	630	8+1
Sot.	07/08/72	1)	21/2
Sun.
DATE	IN	OUT	TOTAL HOURS
Mon.	07/03/72	7.30	5ª5	8+2
Tues.	07/04/72	H
Wed.	07/05/72	SI
Thur.	07/06/72	3ch 599	600	8+2
Fri.	07/07/72	930	630	8+1
Sot.	07/08/72	1)	21/2
Sun.
07/09/72	2	4300
Mon.	07/10/72	30	~30 5	5
Tues,	07/11/72	930	530	₹
Wed.	07/12/72	930	5-30	3
Thor.	07/13/72	930	630	4%.
Fri.	07/14/72	930	600
Sot.	07/15/72
Sun	07/16/72
<
07/15/72
Sun	07/16/72

FORM 90 Authorized Signature 612-8 Hus 4'2 Laup I'm Not b6 b7C
DI. Cooper-378696320/0001/4 709/0528
COFFELT , JACK 4208 S 12TH ROAD ARLINGTON, VA. 22204
AUG 2 7 1972
Pay Ending
Regular
80
Ovattime
4.
Hours
Hours

Annuol	Sick Leove
leave

Differential S
On Coll $
Other S

DATE	IN	OUT	TOTAL HOURS
Mon.	8-14-721	9	530	4.3
โบธร.	8-15-12	930	530	8
Wed.	8.16.72	950	630	8+1
Thur.	8.17.
Coll $
Other S

DATE	IN	OUT	TOTAL HOURS
Mon.	8-14-721	9	530	4.3
โบธร.	8-15-12	930	530	8
Wed.	8.16.72	950	630	8+1
Thur.	8.17.92	930	630	8+1
Fri,	8-18.72	9.30	500	8
Sat.
8-19-12	D
Sun.	8-20-12	D
Mon,	8-21-12	$30	3 س	8+2
Tues,	8.22.72	930,	600	8+1
Wed.	8-23.12	930	430	7
Thur	8.24.72	of	86
Fri.	8.25.72	930
122	5	3/8
Sat.	8-16-72	730	3º	1%
Sun.
72	930
122	5	3/8
Sat.	8-16-72	730	3º	1%
Sun.	8.27-12

FORM 90
Authontud Swingture
80H+ 4 HOT
6320/0001/4709/0528
COFFELT , JACK 4208 S 12TH ROAD ARLINGTON, VA. 22204
Pa, Ending 8-13-72

80 RogJIC' Hours	Overtime 2 Hours

Annuo!	Sick
Leave	Leave
D.
Herential 5

2- Cs !! S
O-net 5

DATE	IN	OUT	TOTAL HOURS
Ban	7/3/	930	500	8
Tues.	8/1	4.30	6.50	8+1
Wed.	2	930	500	8
Thur	3	930	5.
5

DATE	IN	OUT	TOTAL HOURS
Ban	7/3/	930	500	8
Tues.	8/1	4.30	6.50	8+1
Wed.	2	930	500	8
Thur	3	930	5.30	8
Fri	4	93ª	5.30,	8
Sat,	7
5	40+1.
Sun.
6
Mor ..	7	9º	5.30	8
Pues	8	930	500	8
Wed	9	9.30	5.00	8
inJ.	10	73	150	8+1
7-1	11	439,	535	8
5:1	12	4021
Sun.	13

FORMA 90
Authorited Signcture
80H+2HOT
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DB
13

FORMA 90
Authorited Signcture
80H+2HOT
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DB Cooper-378706320/0001/4709/0528 COFFELT, JACK 4208 S 12TH ROAD ARLINGTON, VA. 22204
Poy Ending
SEP 24 1972

11 14.5 Regular Overtime Hours Hours
Annua:
Sick 6
Leave	Leove
Diferenhol S
On Cell S
Ciber S

DAJE	IN	OUI	TOTAL HOURS
Mon.	9/11	800	630	16tr
Tues.	9/0	0,30	630	G
Wed	9hrs	2,55	900	115
Thuế	QUAL	930	630.	5
Fri.	9/15	930	600	8€
Sot.	9/16	73º	1:30	6
Sun.
S
On Cell S
Ciber S

DAJE	IN	OUI	TOTAL HOURS
Mon.	9/11	800	630	16tr
Tues.	9/0	0,30	630	G
Wed	9hrs	2,55	900	115
Thuế	QUAL	930	630.	5
Fri.	9/15	930	600	8€
Sot.	9/16	73º	1:30	6
Sun.
9/17
Mon.	9/15	750	:
Tues.	GG	75	{
Wed.	9kč	SL.
Thur	950	$5/8
Fri	934	430/9
Sat
Sun

FOR₦ 90
Authorized Signature
71 H + 14 ZOT +651 + 31wep
/td>
Fri	934	430/9
Sat
Sun

FOR₦ 90
Authorized Signature
71 H + 14 ZOT +651 + 31wep
6320/0001/4709/0528 COFFELT, JACK 4208 S 12TH ROAD ARLINGTON, VA. 22204
Poy Ending
SEP 1 0 1972

Regular Hours	89	2.
5 Ove+lime Hours
Annual	Sick
Leave
$
Differentiol

On Call	S
Other	S

DAJE	IN	OUT	TOTAL HOURS
Mon.	8/21/12	É	-82
fue s.	8/29/12	G	520	-8
Wed.	8/26/12	1/2	15.5	8kr
Thur	8/31/12	1000	6,30	8/2
Fes.
DAJE	IN	OUT	TOTAL HOURS
Mon.	8/21/12	É	-82
fue s.	8/29/12	G	520	-8
Wed.	8/26/12	1/2	15.5	8kr
Thur	8/31/12	1000	6,30	8/2
Fes.	8/1/12	950	63º	94
Sor.	小さな
Son.
Mon	9/55	4
Tues,	5	3.0	700	11호
Wed.	6.	7.30	600	10%
Thur	9	7.30	430	9/
F.4	8	130	3,20	Y ::
500	90
Son	15

FORM 90
Authorized Signature 79H+22HOT.
4	8	130	3,20	Y ::
500	90
Son	15

FORM 90
Authorized Signature 79H+22HOT. +8Hol.
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DB Cooper-378716320/0001/4709/0528 COFFELT , JACK 4208 S 12TH ROAD ARLINGTON, VA. 22204

Pay Ending	OCT 8 1972
- Regular Hours	400	Overtime 10 Hours
Annual Leove	Sick cave

Differential $
On Call	$
Other<
lSpan=2>Overtime 10 Hours
Annual Leove	Sick cave

Differential $
On Call	$
Other	S

DATE	IN	OUT	TOTAL HOURS
MOR.	9/25	530	730	12
Tues.	9/27	730	330	8
Wed.	9126	7301	630	11
Thur.	9/24	730	635	11
Fri.
cave

Differential $
On Call	$
Other	S

DATE	IN	OUT	TOTAL HOURS
MOR.	9/25	530	730	12
Tues.	9/27	730	330	8
Wed.	9126	7301	630	11
Thur.	9/24	730	635	11
Fri.
9/30	7 30	3.30	8
Sat,	1)
Sun	D
Mon.	Lwop
Tues
Wed
Thur.
Fri.
Sat.	1)
Fri.
Sat.	1)
Sun	D

FORM 90
Authorized Signalute 50H+10OT+40/2008
b6 b7C
DB Cooper-37872Coffelt, Jack 4208 S. 12th Road Arlington, Va.

DATE	SALARY	DIFF.	POSITION	SHIFT
12-8-71	$410/mo.	OT	OR Orderly	FT
4-2 -- 22	9-5:30

DATE TERMINATED:
NVDH No. 8
3-3-72 9-29-72
DB Cooper-37873Jack Goffert 8- 35 72
DB Cooper-378743.
TERMINATION-
Date:
10/19/72
Employee's Name
Jack
COFFPIT
First
Middle
Last
Department OK
Position ORDERly

Reason for Termination:	(Check One)	Remarks: (Briefly indicate nature of action.)
Voluntary Resignation
End Temp.
TERMINATION-
Date:
10/19/72
Employee's Name
Jack
COFFPIT
First
Middle
Last
Department OK
Position ORDERly

Reason for Termination:	(Check One)	Remarks: (Briefly indicate nature of action.)
Voluntary Resignation
End Temp. Assignment	
Discharge		Excessive.I wol
Other

Employee's Rating:	Excellent	Very Good	Good	Satisfactory	Unsatisfactory
Performance	
Attendance	V/ Until Recently 
Attitude	
· Appearance	
Personality		

Remarks: me coffelt has Reseguro succeed me Ago one to Extempor.
unselected:	

Remarks: me coffelt has Reseguro succeed me Ago one to Extempor. Business concerning Family Death. was exhieen due to the vicent POSITION. He hus BOON OFF Again FOR 3 WK 1 wop ON Personal BUSINESS I talked with him By phone 10/12/72. He promised he would Be to work.

cequiAR 10/13/72 He has NOT
os he would BeReplaced, Last Day Actuafly Worked:	worked SINCE.
FRI	I	TOLD him
9/29	to REPORT FOR	WORK
19	10/13
72
Day	L	Date

increase
Would you rehire? Yes No
Subject To: See ABOVE - WOULD GENTE MURcie PROBLEM.
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NOTED AND APPROVED:
Northern Virginia Doctorsyhospital 
Termination record received: Suministzator
REMARKS:
Earnings record file:
(Date) 
Leave clip filed. 
Tipo cand filed.
Ressed card filed: Hospitalization cancelled: 
NVDH Form # 126
Switchboard: :
Ressed card filed: Hospitalization cancelled: 
NVDH Form # 126
Switchboard: 
,em w. Sw.
Comp #
DB Cooper-37875 NOI IERN VIRGINIA DOCTORS HOSP. AL EMPLOYEE EVALUATION! " JOB PERFORMANCE REPORT
Date:
10/19/72
Name : COFEXIT
JUCK
Last
First
Initial

Department:	O.R.
Station:	02.
Full Time:	 Part Time;
Temporary:	Permanent: 


3 Mos. Probationery Period Annual
Termination 
Position:
ORDERly
Shift:
9 3-5-70
Grading from left to right indicates lowest to highest Marginal Unsatisfactory
Satisfactory
Excellent Outstanding
NOTE: If employee is graded unsat isfactory in any category, this report must be shown, discussed, and signed by employee as an acknowledgement of contents. Remarks

Attendance	
Job Performance	:
Remarks

Attendance	
Job Performance	
Ability	
Industry	
Dependability		Until Recently
Cooperation	
Appearance	
Personality	
Health	

GENERAL REMARKS MR.
Health	

GENERAL REMARKS MR. COFFEIT had Resegnon several ma. ago due Necessity to have
exterown lwop was Referen As PasiTied was vecent. Hos Again Felt NerD
FOR EXTENDED 1WOP - BWK+ 84, WAS TOLD TO BYDONT FOR WORK 10/13/22 OR he WOULD BE REPLACED. HE'S NOT WORKED yet. Employee's Departmen Signature Signature 
Approved
Disapproved
Date
Remarks
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Administr
DB Cooper-37876 August 30, 1972
Jack Coffelt
· In a recent letter from one of our patients, you were singled out for special commendation.
We wish to let you know how proud we are to have an efficient and competent employee such as you on our staff.
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Administrator
me

DB Cooper-37877Form VA .- 4 (Rev. 1-1-72) Department of Taxotion VIRGINIA EMPLOYEE'S WITHHOLDING EXEMPTION CERTIFICATE
Print full name Collect, JCK BruAnt
Social 1 ity No.
1-1-72) Department of Taxotion VIRGINIA EMPLOYEE'S WITHHOLDING EXEMPTION CERTIFICATE
Print full name Collect, JCK BruAnt
Social 1 ity No.
513-26-2480
Print home address:
4208 3. 12 th Rd City Arlington
State 22
ZIP 22204
Code:

EMPLOYEE:	HOW TO CLAIM WITHHOLDING EXEMPTIONS 0
File this exemption certifi- cate with your employer,	1. If SINGLE, and you claim an exemption, write the figure "1"
2. If MARRIED, one exemption eoch for husband and wife if not claimed on another certificate. (a) If you claim both of these exemptions, write the figure "2" (b) If you cloim one of these exemptions, write the figure (c) If you claim neither of these exemptions, write "0" 3. Exemptions for age and blindness (applicable only to you and your wife but not to dependents):
EMPLOYER: Keep exemption certificates	(o) If you or your wife will be 65 years of age or older at the end of the year, and you claim this exemption, write the figure "1"; if both /be 65 or older; and you claim both of
12 th Rd City Arlington
State 22
ZIP 22204
Code:

EMPLOYEE:	HOW TO CLAIM WITHHOLDING EXEMPTIONS 0
File this exemption certifi- cate with your employer,	1. If SINGLE, and you claim an exemption, write the figure "1"
2. If MARRIED, one exemption eoch for husband and wife if not claimed on another certificate. (a) If you claim both of these exemptions, write the figure "2" (b) If you cloim one of these exemptions, write the figure (c) If you claim neither of these exemptions, write "0" 3. Exemptions for age and blindness (applicable only to you and your wife but not to dependents):
EMPLOYER: Keep exemption certificates	(o) If you or your wife will be 65 years of age or older at the end of the year, and you claim this exemption, write the figure "1"; if both /be 65 or older; and you claim both of these
with your records. Certifi-	exemptions, write the figure "2"
cates may be on this form, or a similar form.
Certifi-	exemptions, write the figure "2"
cates may be on this form, or a similar form. If the employee is believed to have	(b) If you or your wife ora blind, and you claim this exemption, write the figure "1"; if both
are blind, and you claim both of these exemptions, write the figure ".2'
claimed too mony exempl-	4. If you claim exemptions for one or more dependents, write the number of such exemptions
fons, notify the Virginio De-
partment of Taxation.	5. Add the number of exemptions which you have claimed above and write the total ..
0
6. Additional withholding per pay period under agreement with employer $

I CERTIFY
{Date).	that the number of
aug. 1	withholding exemptions
19	claimed on this certificate does not exceed the number to which I am entitled.
(Signed). Jack Caffelt

DB
(Signed). Jack Caffelt

DB Cooper-37878A: IF YOU FAIL to file this certifi with your employer, he must withhold Virginio income tax hom your wages without exemption. If on employer believes thot an employee is claim- ing an excessive number of exemptions, he will odvise the Department of Taxation.
B. NUMBER OF EXEMPTIONS .- Do not claim more than the correct number of exemptions. However, if you expect to owe more income tax for the taxable year than will be withheld if you cloim every exemption to which you are entitled, you may increase the withholding by claiming a smaller number of ex- emptions or you moy enter into on ogreement with your em- ployer to have additional amounts withheld.
C. EMPLOYEES WITH TWO OR MORE EMPLOYERS .-- If you have more than one employer and wish to increase your with- holding to on omount nearer your correct income tax you should cloim a smoller number or no exemptions on each Form Va .
-- If you have more than one employer and wish to increase your with- holding to on omount nearer your correct income tax you should cloim a smoller number or no exemptions on each Form Va .- 4 filed with all employers other thon your principal employer.
D. CHANGES IN EXEMPTIONS .- You moy file a new certifi- cate ot any time if the number of your exemptions INCREASES. You must file o new certificate within 10 days if the number of exemptions previously claimed by you DECREASES for any of the following reasons:
(1) Your wife [or husband) for whom you have been claiming exemp- tion is divorced or legally separated, or claims her (or his) own exemp- lion on o seporote certificate.
(2) The support of a dependent for whom you claimed exemption is
taken over by someone than half the support i, ne year. so that you no longer expect to furnish more
(3) You find that a dependent for whom you claimed exemption will receive $600 or more of income of his own during the taxable year. .
OTHER DECREASES in exemption, such as the death of o wife or a dependent, do not affect your withholding until the next year, but require the filing of a new certificate by December 1 of the year in
OTHER DECREASES in exemption, such as the death of o wife or a dependent, do not affect your withholding until the next year, but require the filing of a new certificate by December 1 of the year in which they occur.
E. DEPENDENTS .- Do not claim ony dependent in Line 4 (on other side) unless he or she meets all four of the follow- ing tests: (1) He or she is receiving over one-holf of his or her support from you for the taxoble year, and (2) he or she is "closely related". to you, ond (3) he or she will not have os much as $600 gross income of his or her own during the toxoble yeor (if a son, daughter, stepson, or stepdoughter is a full time student at an educational institution, this limitation does not apply),, and (4) if married, her or his exemption is not claimed by her husband or his wife. "Closely related" meons your children (including stepchildren and legally adopted children) and grandchildren; your parents and grandparents; your brothers and sisters; your immediate "in-laws" (mother-, father-, son-, doughter-, brother-, sister-in-law); your blood related uncles, cunts, nieces, , and nephews,
F.
your children (including stepchildren and legally adopted children) and grandchildren; your parents and grandparents; your brothers and sisters; your immediate "in-laws" (mother-, father-, son-, doughter-, brother-, sister-in-law); your blood related uncles, cunts, nieces, , and nephews,
F. PENALTIES .- Penalties are imposed for willfully supplying false information or willful failure to supply information which would reduce the withholding exemption.
DB Cooper-37879Coffech, Jack Employee NUDH
7-10-72 Personnel
NORTHERN VIRGINIA DOCTORS HOSPITAL DEPARTMENT OF RADIOLOGY
REQUISITION FOR ROENTGEN EXAMINATION b6
7 .b7C Insurance: GHI O No GHI (Check one)
Transport to X-ray department by walk chair stretcher.
(Check one)
Part to be examined
1 Check
3 RX. Shoulder
Clinical Diagnosis.
trauma- due to accudent at work
Report of Roentgenologist
Date of Examination
X-Ray No. 66674
Roentgen Findings .
July 10, 1972
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RE: Jack Coffelt, # 66674
Dear
X-ray examination of the chest reveals the previously described blunting of the left costophrenic angle secondary to scarring. Old healed rib fractures are noted on the right.
July 10, 1972
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RE: Jack Coffelt, # 66674
Dear
X-ray examination of the chest reveals the previously described blunting of the left costophrenic angle secondary to scarring. Old healed rib fractures are noted on the right. The lung fields are clear. The heart is unremarkable. The aorta is elongated calcified at the knob and tortuous. The lateral view reveals degenerative changes of the thoracic spine.
X-ray examination of the right shoulder girdle reveals no evidence of fracture or subluxation. Minimal degenerative changes are noted.
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N. B .- The Radiologist will be pleased to confer with the Attending Physician with respect to all cases referred to this department.
DB Cooper-37880
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Nurses SignatureNORTHERN VIRGINIA DOCTORS HOSPITAL
EMPLOYEE ACCIDENT REPORT
NAME OF EMPLOYEE INJURED.
Cofelt, Jack
NOTE: This form to be completed in duplicate and sent immediately to Administrotor.
DEPARTMENT
CR
A.M.
DATE OF INJURY
7-7-72
DAY OF WEEK
IT iday
TIME
4:30 
P.M.
PHYSICIAN NOTIFIED: (Name)
la
WAS EMPLOYEE DOING REGULAR WORK?
Vea
WAS EMPLOYEE INSTRUCTED REGARDING DANGERS OF JOB
When wenot linked, he sans instructed is in danger
BEING DONE?
Vea
WAS EMPLOYEE INSTRUCTED REGARDING DANGERS OF JOB
When wenot linked, he sans instructed is in danger
BEING DONE?
BRIEF DESCRIPTION OF INJURY
Büced rib can I cicle wound drathagen
Und R. Aboulder
HOW DID INJURY HAPPEN?
He was helping To andre latest ken
6
OR table To ste. stretcha
WHAT DO YOU BELIEVE CAUSED THE ACCIDENT? (DESCRIBED (a) any unsafe act of the injured employee or fellow employee (b) faulty machine or equipment (c) unsafe condition of area (d) other unsafe conditions) Ifone unit à molochanche or Loven walk to ingre at, I am RU as food and Rest, M solange ant a new chow cheet on it was placed under the it is Launcher the case being and long and as the orderby on the R. on the ist. kulled, Je lifed, the to stretcher came aviny koorn the life and the It was inthe on the rolling What should be done to prevent repetition? mike cure floor is not click.
HAS THIS BEEN DONE? no-imbéciles IF NOT, GIVE REASON. Econis it was a dirty care and the shoes cannot be matched until that is out of the atom.
no-imbéciles IF NOT, GIVE REASON. Econis it was a dirty care and the shoes cannot be matched until that is out of the atom. Here, because of the pla
Date this report completed by supervisor
5-7-72
SIGNED
Jack Coffelt
88
+
2
PHYSICIAN'S REPORT: (DESCRIBE TREATMENT AND/OR MEDICATIONS)
P. X: nejature
client: Rt shoulder & chest : negating
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SIGNED
M.D.
5
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DATE OF THIS REPORT
7-7-72
SIGNE
well within Dach the the industry wow left holding the it in -
mid - air wick the 2 RN'S.
DB Cooper-37881Term
3-3-72
NORTHERN VIRGINIA DOCTORS HOSPITAL
PERSONNEL ACTION
DATE : 4/24/72
NAME :
COFFEIT
Jack
last
first
initial
PRESENT STATUS
Station UR
POSITION
ORDERH
DEPARTMENT O.R
Part time
30 full time
temporary
permanent
SHIFT :
9-530
8
4-12
12-8
THE . FOLLOWING PERSONNEL ACTIONS TO BE APPROVED :
EFFECTIVE: Current Pay Period or
4-24-12
Transfer to
position
department
Change status to:
Part time
full time
Change . station to
North South
Change shift to
8-4 4-12
12-3
INCREASE rate of pay to $ per day/month
differential
Grant Leave without Pay until:
Returning to duty.
station to
North South
Change shift to
8-4 4-12
12-3
INCREASE rate of pay to $ per day/month
differential
Grant Leave without Pay until:
Returning to duty. Resume on payroll as follows:
Position
ORDERly
Dept.
O.R
$
410,00
per day/month. Differential +0.7.
OTHER ACTION: (Specify)
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Approved	Disa
Date

Administrator
DB Cooper-37882SUMMARY
SHEET
AINO S:YES
8
NORTHERN VIRGINIA DOCTORS HOSPITAL
79895
HITE
COFFELT, JACK -
TELEPHONE
521-4665
PREVIOUS ADMISS. TO NVDH NO YES 
TIME OF AOMESION
2:15pm
KOMBTION GOWE 7/19/73
ADDRESS
4208 S. 12th RD. ARL. VA. 22204
AGE
48
SEX
M 
F 
₩ 
MARITAL STATUS ₩ SEM DIV. SEP.
DATE &FURTH
2/20/25
ORTH PLACE
MISSOURI
RELIGION
PROT.
OCCUPATION
PHYSICIST
ADMITTING DIAGNOSIS
THROMBOPHLEBITIS

ACCOMODATION
PRIV 

SMIMIN. CARDIAC

ROOM NO.
OCCUPATION
PHYSICIST
ADMITTING DIAGNOSIS
THROMBOPHLEBITIS

ACCOMODATION
PRIV 

SMIMIN. CARDIAC

ROOM NO.	ROOM MAX
3XXX	3145	66.00
DEPOSIT	ADMM

N TTFT TT EMERGENCY	RELATIONSHIP	OFF. PHONE	MORE THAN
&

INSURANCE
GHI
CONTRACT NO 159-1727
CODE NO
1110-B
EFT: 6/1/72
INSURED THROUGH
SELF
EMPLOYER
IBM CORPE, (UNABLE TO GIVE PHONE#)
OUS PHONE
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CAUSE FOR ADMISSION,
Freuenffels
PHYSICAL FINDING S. see karten letly
8

LABORATORY FINDINGS:	az escken.

OPERATIVE PROCEDURES AND DATES

CODE
OPERATIVE FINDINGS:

SUMMARY OF HOSPITAL COURSE:	Troph welk budget x A
PROCEDURES AND DATES

CODE
OPERATIVE FINDINGS:

SUMMARY OF HOSPITAL COURSE:	Troph welk budget x A

United are pay for 2/12/23
FINAL DIAGNOSIS
Tromboflebite left offer their
CODE
45%.0
COMPLICATIONS
0
CONSULTATION WITH:
0
DISCHARGE
DATE:
7-21.73
TION ON DISCHARGE: NOT TREATED RECOVERED IMPROVED
27 OVED 
D X. ONLY 
AUTOPSY COPY TO PHYSICIAN - YES NO 
M.D.
b6 b7C
DB Cooper-37883
b6
RACE C

eeser

NORTHERN VIRGINIA DOCTORS HOSPITAL
I SORXXL. HEREBY AUTHORDE THE PERFORMANCE OF ANY MEDICAL PROCEDURE WHICH MAY BE LOVERS AND MECOMIGO ATTENDING PRYMCUN OF_MYSELF JACK COFFELT
A PATIENT AT MORINENMI YEONM SOCK
HOSPITAL. FURTHERMORE, 1 ARKICI RESPECTFULLY REQUEST THE USE OF ANY
WITNESS DATE DASE WITHESS WITNESS £ " THE CASE OF MINCH CKIDEEN THIS SECTION MUST BE COMPLETED BY THE PARENTS, GUARDIAN OF OTHER
FURTHERMORE, 1 ARKICI RESPECTFULLY REQUEST THE USE OF ANY
WITNESS DATE DASE WITHESS WITNESS £ " THE CASE OF MINCH CKIDEEN THIS SECTION MUST BE COMPLETED BY THE PARENTS, GUARDIAN OF OTHER RESPONSIBLE PLUSOH. DAtt WENAS
RELEASE FORM RESPONSIBILITY FOR ABORTION
b6 b7c LINE UNDERSIGNED, A PATIENT APPLYING FOR ADMISSION TO NORTHITH VIRGINIA DOCTORS HOYTAL MUHY MMI I &M N A COMUNION ABORTION 1 HEREBY DECLARE THAT NEITHER THE ALIENOING PHYSICIAN NOR ANY PERSON EMPLOYED BY OR CONNECTED WHY ME SAD HOW KAS KNOWINGLY PERFORMED ANY ACT WHICH MAY HAVE CONTRIBUTED TO THE INDUCTION OF THE ABORTION
HONED
VALCI
RELEASE FROM RESPONSIBILITY FOR DISCHARGE
L THE UNDERSIGNED, DEMAND THE RELEASE OF
Ht NORTHERN VIRGINIA DOCTORS HOSPITAL AND ASSUME FULL RESPONSEHITY FOR HIS OR MES DISCHARGE AGAINST THE ADVICE OF THE ANINE# PHYSICIAN AND OF THE HOSPITAL ADMINISTRATION, I ACKNOWLEDGE THAT I HAVE BEEN INFORMED OF INE ATH INVOLVED ANO NONAT TILI! THE ATTTWOINO PHYSICIAN AND THE HOSPITAL FROM ALL RESPONSHASTY FOR ANY IL EFFECTS WHICH MAY RESULT FROM KICH ONICKAGE
SKIKED
WITNESS
HLAKNEW TOVICH
ABSENCE PERMIT
A PATIENT IN NORTHHEIN VEOMA BOCIONS HODIN FINO IF NECESSARY TO LEAVE IKE HOSPITAL
PHYSICIAN AND THE HOSPITAL FROM ALL RESPONSHASTY FOR ANY IL EFFECTS WHICH MAY RESULT FROM KICH ONICKAGE
SKIKED
WITNESS
HLAKNEW TOVICH
ABSENCE PERMIT
A PATIENT IN NORTHHEIN VEOMA BOCIONS HODIN FINO IF NECESSARY TO LEAVE IKE HOSPITAL TEMPORARKY, 1 AM FULLY AWARE THAT WHATEVER KINESSES AND OF DUUTES WHICH MAY WN MI DURING MY ABSENCE SKALL HOT SE THE RESPONSINITT OF THE PHYSICIAN IH IN CHAROL, THE HOSPITAL OR ANYONE CONMOCNO # M HOSPITAL
čI I REALCE FURTHER THAT EMERGENCY ADMISSIONS SO INE HOSPITAL MIOKI NECESSITATE THE USE OF MY HOWITAL ME. . REMEI
SONIO
DAME WITNESS
!
WHHESS
DB Cooper-37884COFFELT JACK
7:2 79895
NORTHERN VIRGINIA DOCTORS HOSPITAL
HISTORY
INFORMANT
DATE
7/19/19
CHIEF COMPLAINT
PRESENT ILLNESS This is lat NUOHate for this & dSyv il M former employer whe compliance facute cold tilement in Ely ft. full strine meine for 3-dayal ITA and continues hospitalized for late for idema 2° te these vericisiation: 1.5 hours PTApt lifted tuny object and felt Germany seraction in lever under leg - & Godt welling developed at this time later bicoune tinder, équisitely cont 16 AM. today 2/19/23 actuar pt stood and noticed but flowing pense turim thevery bealized region below the line.
today 2/19/23 actuar pt stood and noticed but flowing pense turim thevery bealized region below the line. it has been remitente Ending du und this time. Decorsit want to would but in sang susceptible te ederaturs Dinstanding. Thentensione muscle camps
PAST MEDICAL ILLNESS allerque - 5 charging - 38 for ingenil termine. Rear. menbrane replaced - 3-1yr. PTD.
Food general health : thereis.
FAMILY HISTORY
SOCIAL HISTORY checking the- 1-2 pur kolding x 30 yrs.
ETOH-henry - collo self-Conductive alecharlie.
REVIEW OF SYSTEMS
N.C
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-
N.V.D.H. Form No. 23
Signed .LY . . 4
DB Cooper-37885
b6 b7CCCFFELT JACK 14 373 79805
NORTHERN VIRGINIA DOCTORS HOSPITAL PHYSICAL EXAMINATION
GENERAL CONDITION: B.P. 62-3. 1. 282 P. 100 RESP. 22 WT. General iffy. wir, upofuk, in muld discomfort, oriented x 3, -meros, goodIts.
this : hiddened due to sun express . Super fundi- not visible due to construction. PERCHÉ COM's- UNL Ear Cher to minis. „Sind amund " the. .7620. UN Oral, Vigor plate, inver cups- ming theme - Mudar Turnépalpable Alist : Soft Sermeses, tendensuns
· Hust.
UN Oral, Vigor plate, inver cups- ming theme - Mudar Turnépalpable Alist : Soft Sermeses, tendensuns
· Hust. NSK, Ches E. 1 Er, un For@ CH: Sort parte. Lungs: Cias to 171.
S.S. Ebene abdomen, The masses, rogamosmaydly palpable. 521: OlvAtenderme. Pick UUNL
Extremities tephenouniversities@1@.@lig@logi.dimetous redlined area El can dian in mydiat aspect of lift ulf le emilie. abone medial andlerades. Limiter non. redefined swelling s @ Treg. Herman 's sign. E non tunder @ extremely so. title calonge on cas Eflife, autant standing.
PROVISIONAL DIAGNOSES,
1. Cante thrombophlebitis.
2.
3.
b6 b7C
N.V.D.H. Ferm No. 26
EXAMINED BY:
DB Cooper-378861 3 146 .
鲜
想
供
DB Cooper-37887OFFELT JACK 0M43 3748 79895 OSES
NORTHERN VIRGINIA DOCTORS HO DEPARTMENT OF PATHOLOGY URINALYSIS
DALLA
1/19 Bande Jonw Promin Sutkowitch (urinary calcium)
Specimen talen by
Cheen Cath. Vold Catch
Acid ADMISSION URINALYSIS Rapset Urinalysis, Appwertnat mellom-dias Reaction 4027
Laukocytt 0-2 Forphobilincrin
Vold Catch
Acid ADMISSION URINALYSIS Rapset Urinalysis, Appwertnat mellom-dias Reaction 4027
Laukocytt 0-2 Forphobilincrin
Erythrocytes
Casts: Hyaline Phenylpytudc Add Serotonin (SHIAA)
CHART Opacific Gravity Albumin BUCK
Finely Granules
Coursely Granular
Cellular
Wxy
Epithelium
Crystals Catrcholamine 11 Kato nicparolde
Miori .. Occult Blood
TE Gliter Cet!
DATE
KUMWH STORAUN
b6 b7C
Sheet 3
LABORATORY REPORT SHEET NORTHERN VIRGINIA DOCTORS HOSPITAL
N.V.D.H. For No. 31
DB Cooper-37888
24 HOUR SPECIMENS: 24 HOUR SPECIMENS: VMA 17 Ketonwokds Acetone Dleatle Acid Bilirubin UrobilinogenCOFFELT JACK 4- 74 79895
NORTHERN VIRGINIA DOCTORS HOSPITAL ELECTROCARDIOGRAMH READING
SERVICE
Medical
DIGITALIS
QUINIDINE
OTHER DRUGS:
HISTORY:

PREVIOUS EKG.S	No
BODY BUILD	lange
HEART MURMURS
BLOOD
JACK 4- 74 79895
NORTHERN VIRGINIA DOCTORS HOSPITAL ELECTROCARDIOGRAMH READING
SERVICE
Medical
DIGITALIS
QUINIDINE
OTHER DRUGS:
HISTORY:

PREVIOUS EKG.S	No
BODY BUILD	lange
HEART MURMURS
BLOOD PRESSURE	150/90

CLINICAL DIAGNOSIS.
REQUESTED BY:
DATE TAKEN
7/19/73
ELECTROCARDIOGRAM NUMBER
1
ANDNOS
RATE:
VENTRICULAR
96
AURICULAR 96
RHYTHM:
NORMAL SIMUS RHYTHM
INTERVAL: .19
ORS INTERVAL:
.06
INTERPRETATION:

ELECTRICAL AXIS:	0
EKG POSITION:	Soni-Horizontal
Q.
T. INTERVALE	32

b6 b7C
WITHIN NORMAL LIMITS.
SIGNED BY:
b6 b7C
M.D.
N.V.D.H. Fann Na. 64
DB Cooper-37889TR
%.
01
V2
Va
di-pok ".110
4
V4.
5
JE
PATIENT.
AU. RATE
T WAVEC
WHYTHM
OT BEG
VE. RATE
P.R INT
P WAVES
MEDICATION
HEMARKS
O.R.B. INT.
PATIENT POSITION
ELEC. AXIS
DB Cooper-37890MORTINE, VINGINIA DOCTORS KOLATMATEX runY
PROGRESS NOTES
MACH LOW NO 3 COFFELT JACK 20: 27 79795

Dete	NOTES
48 or und - ancy reler lack sal une te
AXIS
DB Cooper-37890MORTINE, VINGINIA DOCTORS KOLATMATEX runY
PROGRESS NOTES
MACH LOW NO 3 COFFELT JACK 20: 27 79795

Dete	NOTES
48 or und - ancy reler lack sal une te Atlenki

2/20 /23 AlX beten - a Busylah

3/21/23 Home today
8

<
/td>

b6 b7C
3
KOUTHIEM AIUCIMIY DOCIOS YCLES NOTES laver)
N.V.D.H. Form No. 25
Signed
b6 b7C
DB Cooper-37891MATH TOWNS St
COFEELT. JACK 04:4. 219 70295
DOCIDILI OUCSY MME !
NORTHERN VIRGINIA DOCTORS HOSPITAL DOCTOR'S ORDER SHEET
219 70295
DOCIDILI OUCSY MME !
NORTHERN VIRGINIA DOCTORS HOSPITAL DOCTOR'S ORDER SHEET

ORDERED
Pote	Hour	Noted
2/19/23	3'im	1) радован ДА
2) Lique pack back ligo
) expecta zalider Riba 200 mg news despertares	!-
then ist tid it
4) Necrural gr 1 1/2 AS a macet furc'è
5) Les inval 50mg po q3ª pan pain?
6) Valeur 10 mg po stat & 84 1 pen- b	----
(2) 'the this affeancon. 2.1.
$1 Pont cheat ! a 15 %
9) CSC. Unire this afternoon;
a) sichert
a 15 %
9) CSC. Unire this afternoon;
a) sichert in

3/2/20 5 Am
ARTT in Pm.
1/20/23.
AMAICHAIN 500 mgm 4 X daily , fais; lucca das Devarol; to 100mm 1-
VALин. 10 гр
b6 b7C
/2/2 Home today
8
DOCTOR'S ORDER CHEIT
N.V.D.H. Form No. 24
DB Cooper-37892
b6 b7CCOFFELT JACK PWN49 3745 79895 OR PUSES.
NORTHERN VIRGINA DOCTORS HOWITAL GRAPINC CHART

Data	7/19	7/20	7/21	7/22	7123	7/24	7/25
Dur df DAMM	Adunion
NORTHERN VIRGINA DOCTORS HOWITAL GRAPINC CHART

Data	7/19	7/20	7/21	7/22	7123	7/24	7/25
Dur df DAMM	Adunion	1	2	3
7/25
Dur df DAMM	Adunion	1	2	3	4	5	6
OF P.O. O. P.P.
Hour	A.
Hour	A. M.	P. M.	M.	A. M.	P.	N.	A. M.	P. M.	A. M.	P. M.	A. M.	P. M.	A. H.	P. N.
>
</
d>
d>

100
td>
100
d>
/td>
>

103'	<
td>
<
/td>
>
r>
104*
>
d>
/td>

103'
</
>
102'
d>
102'
</
td>

MAYINWO	<
MAYINWO
101
>

</
d>

100*	</
td>100*
d>

99'	<
/td>
99'
Hermel
>

Se?
<
/td>
td>
>

97		</
/td>
97
unselected:
>
>

96
td>
96
160		</
td>
150 HO 130
120	<
d>
120						
	
ML 110						
	
100	:
unselected:
100						
					
90
unselected:					
80
70 60
unselected:	
															
50
MILIONY 40									:
40									
																						
30							
							:
unselected:																
20 10						
				
																	:
Stests	BP-150/90
BP-150/90
Weight
b6 b7C
N.V.D.H. Form No. 22
DB Cooper-37893719 73
DAILY REPORT - NURSES' NOTES
COFFELT JACK PWY+ 74 79205

NURSES' SIGNATURES:
8.4 7	în
4.12	42
12.8	412

ky
Total CMryn
b6 b7C
UNN b ++ Charge4
Com CHRO Un
8	412

ky
Total CMryn
b6 b7C
UNN b ++ Charge4
Com CHRO Un

MEDICATIONS:	DATE: 7/19	TIMI ADMONKSTERLO	+¥	Only
17 AM to 17 PM	12.7M to 17 AM
dicevano q, 5
alka Butaziladie po	300mg now	30
Demerol 50 mg stat (pc)	300
Valium 10 mg po stat	300
Demerol 50 mg stat (pc)	300
Valium 10 mg po stat	300
PARENTERAL FLUIDS

OXYGEN
TREATMENT
</
/td>
OXYGEN
TREATMENT

ENEMA (S)

b6 b7C
DIET
LAS
X-RAY
EKG
PT UMR

NURSES NOTES
2.30 . Pt à tromboflebitis seaus
to be in a savona paire	Crying
see
b6 b7C
DIET
LAS
X-RAY
EKG
PT UMR

NURSES NOTES
2.30 . Pt à tromboflebitis seaus
to be in a savona paire	Crying
see agression	nurses notes )
UN
3" Refused Chust & Ray
4-8 ametil force
med it for pain
Visitors un
8-6 PM cais gaver.
med if fap	nowy

b6
b7C
DB Cooper-37894COFFELT JACK P *** : 742 79895
ADMISSION NURSES NOTES
TIME:
2,30 PM.
DATE:
7/19/73
PATIENT ADMITTED: WALKING
CHAIR STRETCHER
SERVICES OF DOCTOR:
VITAL SIGNS:
TEMPERATURE
982
PULSE
100
RESPIRATION
22
HEIGHT
WEIGHT
BLOOD PRESSURE /10/90
ADMISSION DIAGNOSIS:
tromboflebitis
HISTORY OF:
DIABETES
NE
IF SO,
ADMITTED: WALKING
CHAIR STRETCHER
SERVICES OF DOCTOR:
VITAL SIGNS:
TEMPERATURE
982
PULSE
100
RESPIRATION
22
HEIGHT
WEIGHT
BLOOD PRESSURE /10/90
ADMISSION DIAGNOSIS:
tromboflebitis
HISTORY OF:
DIABETES
NE
IF SO, WHEN?
HEART DISEASE
IF SO, WHEN?
EPILEPSY
U
IF SO, WHEN?
TUBERCULOSIS
N
IF SO, WHEN?
ALLERGIES:
Markhow Sealead
USUAL DIET
Regular
MEDICATIONS PRESENTLY BEING TAKEN:
Name
Dosage
Times a Day
MEDICATIONS SENT: HOME
NURSING OFFICE
VALUABLES SENT: HOME
HOSPITAL SAFE 
LIST VALUABLES KEPT WITH PATIENT:
DENTURES: YES V NO GLASSES: YES NO
:
URINATION: FREQUENCY
normal
NOCTURIA
no
TIMES PER NIGHT
BOWELS: CONSTIPATION?
no
LAXATIVES REQUIRED
CONDITION OF PATIENT (BRUISES, RASH, SKIN CONDITION AND/OR ANY OTHER PERTINENT
INFORMATION):
It & tranbellobitis seems to be in a severe pois in
the @ lea crying and asking something for
paris
GN
b6 b7C
NVD Form 704
DB Cooper-37895 7 70 73
NONTHENY IMA DOCTORUS HOSPITAL DAILY REPORT - NURSES' NOTES
COFFELT JACK P. : 7: 79395
8.2
4.1
12
Totw Chargn
b6 b7C
Anam Xine The

MEDICATIONS:	Only
DATE:
1
12
Totw Chargn
b6 b7C
Anam Xine The

MEDICATIONS:	Only
DATE: 7-2
Nalium 10 mq pe. Just
Ampecelle Isto	my pc que	4.
Butazalide	altabeing pides	1.
1
Numeral Me pay po	932 Dor Pair	4.

PARENTERAL FLUIDS
PARENTERAL FLUIDS

OXYGEN
TREATMENT
4/2 went to wet".
ENEMA IS)	

LAB
X-RAY
EKG
PT
BMR
DIET REGULAR
12.8
NURSES NOTES

4-8 Beating quete mix
83). For Mais in Garray-	Jook det well
8-4 Sell A.M Love 408k diet	Do Varied Complaints
Well.
8
NURSES NOTES

4-8 Beating quete mix
83). For Mais in Garray-	Jook det well
8-4 Sell A.M Love 408k diet	Do Varied Complaints
Well. BR wortenod. Aqua	5
back in both legs con west
of the time. c/O of haus	I
In the @ leo medicated x?	b6
I app relips. Pt seques to be
very nervous Pastina anjoty
this P.M. UN

b7C
DB Cooper-37896
b6 b7C

NORTHERN TECING DOCTORS HOSMIM
DAILY REPORT - NURSES' NOTES

COFFELT JACK P=4. 274 79895
muot tri CISNATURES:
8-4
4-12
12-8

4-12
4-12

FORM
Total Chorym
b6 b7C
Units To Be Charged
Liam Of the

MEDICATIONS.
79895
muot tri CISNATURES:
8-4
4-12
12-8

4-12
4-12

FORM
Total Chorym
b6 b7C
Units To Be Charged
Liam Of the

MEDICATIONS.	DATE. 7-21-73	Lut ADMINSHRED	5+,	Only
12 AM in 12 PM	17 PM to 12 AM

Dischaged
Span=2>

Dischaged

PARENTERAL
FORM
Total Chorym
b6 b7C
Units To Be Charged
Liam Of the

MEDICATIONS.	DATE. 7-21-73	Lut ADMINSHRED	5+,	Only
12 AM in 12 PM	17 PM to 12 AM

Dischaged
Dischaged

PARENTERAL FLUIDS
FLUIDS

OXYGEN
TREATMENT

ENEMA (S)

DIET Regular.	LAB	X-RAY	EKG	PT	BMR
12-8 NURSES	NOTES
fügte der dices 1	b6
8- 8° Upt, P.R. Condition seems

8ª Orailage
(S)

DIET Regular.	LAB	X-RAY	EKG	PT	BMR
12-8 NURSES	NOTES
fügte der dices 1	b6
8- 8° Upt, P.R. Condition seems

8ª Orailage wolle

b7c
DB Cooper-37897NORTHERN VIRGINIA DOCTORS HOSPITAL
No. 27.99 Admittab 3248
E.S. P. H .... HO.
EMERGENCY ROOM RECORD"
O Metlows Foriem

Len Nem Cauet	FIR Neme will	MitH NAmy	Home Phone 8.
EMERGENCY ROOM RECORD"
O Metlows Foriem

Len Nem Cauet	FIR Neme will	MitH NAmy	Home Phone 8.465	Adimwits Dete 219-23 200
Aby Cilunder Bow, Welinton, 20 Sute CHE SON Adrien # * * * *
560	Addrie weil Da	ComMANAU ¥ 

Na

Mismo

Name of Blue CroftAnd/or Ulueach PE
54-200 50-1591727
Other hasoftalizatlan insurance
Neme :4
Address
26 1110-0
Effective Data
61.22 
Out. or Polley No.
Group Ho.
Pasomdot 
Caacwww.
Ettective Dert
Fazulu Dassey
Netifia 20 
Brought Bur Bettim QUE 
Rumorizations on Reverse Skie Must be Signed by Patient or Authorized Person
EMERGENCY ROOM CHANGES Does Not Include Fes of Arzending Physician

ITEM	CHARGE	ITEM	CHARGE
ERMEINTY Room
Bettim QUE 
Rumorizations on Reverse Skie Must be Signed by Patient or Authorized Person
EMERGENCY ROOM CHANGES Does Not Include Fes of Arzending Physician

ITEM	CHARGE	ITEM	CHARGE
ERMEINTY Room 	Sutures
Artthetle	Tetanus Antitoxin
Contrat Supoty	Cast
Drawings	E.D.U.
OrUN
DAYIM

OTHER SERVICES RENDERED

b6
X-ray
LADYANY b7C

Prysky! TITIPY CKO

to known allergies to druge
BRIEF HISTORY
1 pointwhere, when, and new injures; If Hinaus cortex 2 Bt Swing auth qui in bath liver legal, especially
Rt.
TITIPY CKO

to known allergies to druge
BRIEF HISTORY
1 pointwhere, when, and new injures; If Hinaus cortex 2 Bt Swing auth qui in bath liver legal, especially
Rt. men which begin thei amnings lin deromet
NOTIFIED ####### ---- Pelle+ 
Or www.
FMHMY
R
A.N.
PHYSICIAN'S REPORT Tomp. 986
·100- 24/2/80 150
ACIMISSION does D PONE thank Hemorrhage come
Tutapus Antienle Test
Tours Amierin VA
Tyssement; Titanus Texeld
Thinkophletter
To beadmitted
Referred to Df
7/19/73
b6
INSTRUCTIONS TO PATIENT:
b7C
DB Cooper-37898
b7C ៛
CONDITION
cinciingly work ?'
ofor'i Jaune
bwin
Tim
" 1b6
Group No.
482820
Contract No
Subscri 
Tras of Servita: NORTHERN VIRGINIA DOCTORS HOSPITAL
No.2799
41 3748
b6 b7C
EMERGENCY ROOM RECORD !
798
.S. o. H.I.D. No.

Lay Nama	First Name	Middle Name
5 4665
Home Phone	Admission Date .
Lay Nama	First Name	Middle Name
5 4665
Home Phone	Admission Date . D	Hoto No.
Cauit	30.11	2-19-22
Address 124	City	Stale Age 1 48	Date of Birth Civil Status MSWD S.P.	Religion

Employer ER
Re
Nat
Group No. 6.820
Address
Cert or Policy No.
Group No Comorastsert E tlective Date
Family Doctor i Have
Notified YOUCINO Z
Brought By Relative
[]
[]
Authorizations on Reverse Side Must be Signed by Patient or Authorized Person

EMERGENCY ROOM CHARGES Does Not Include Feo of Attending Physician OTHER SERVICES RENDERED =
ITEM CHARGE	ITEM CHARGE
Emergency Rooni
	Sutures	X fay : 9


Anesthetic	Tatanus Antitoxin	Laboratory 0 Phyutal
0 
:
Relative
[]
[]
Authorizations on Reverse Side Must be Signed by Patient or Authorized Person

EMERGENCY ROOM CHARGES Does Not Include Feo of Attending Physician OTHER SERVICES RENDERED =
ITEM CHARGE	ITEM CHARGE
Emergency Rooni
	Sutures	X fay : 9


Anesthetic	Tatanus Antitoxin	Laboratory 0 Phyutal
0 

Central Supply	Catt
Dressings	E D.U	Therapy
EKG C

Drugs	0

Oxygen	C 

. Ichange
BRIEF HISTORY
If accident state where, when and how injured; If illness describe
17
NOTIFIED Relatives Coroner
Police 
7
Nurse's Signature
Officer's Signature
Badge
Outre1
Timo AM PM
b6
PHYSICIAN'S REPORT
b7c
CONDITION ON ADMISSION Good :
If accident state where, when and how injured; If illness describe
17
NOTIFIED Relatives Coroner
Police 
7
Nurse's Signature
Officer's Signature
Badge
Outre1
Timo AM PM
b6
PHYSICIAN'S REPORT
b7c
CONDITION ON ADMISSION Good Coma Poor Shock Fair Hemorrhage Tump. yr6
Ora! Rectal BP 140
Treatment: Tetanus Toxoid
cc. Tetanus Antitoxin Tert
Tutarıil Antitorin units
Diagnosis: Thembe dele ites
Okposition of Care. Julienmettici
Referred to Dr.
Date
7/19/23- 2
b6
b7C
INSTRUCTIONS TO PATIENT:
7/11/20
(Date)
= 
(Patient's Signature)
'1' .: SOTFKL.
NVDH #100
Address
Compensation Y* No
Family Member Ppotrest
Other hospitatization insurance Nante
Type of Service
By Whom.
R.N.
DB Cooper-37899 b6 b7C
Nó. 79895
tas receipt MUST ER MIOMED IN THE FREIENOD OF HA CUSTODIAW whto tos valuables, which have been Cogisitod are called for. Waluskies will be surrendered only sprsass as the case of the movelops.
79895
tas receipt MUST ER MIOMED IN THE FREIENOD OF HA CUSTODIAW whto tos valuables, which have been Cogisitod are called for. Waluskies will be surrendered only sprsass as the case of the movelops.
60
2/19/73
DB Cooper-37900B
NORTHERN VIRGINIA DOCTORS HOSPITAL Pre-Employment Interview
NAME
COFFelT
Jack
DATE
12/1/71
POSITION APPLIED FOR
ORDERLy
Type of work:
Full Time 
Part Time
16-6325
No .. Days per Week
5
FOR NURSING PERSONNEL:
Shift:
8-4
4-12-
12-8
What days
MON-FRI
Weekends
ROTOTING
Ocher
O.T.
DATE. AVAILABLE
NEW
TRANSPORTATION
PROVIDED
HOW REFERRED
N. I. SUN
PHYSICAL IMPAIRMENTS
Now.
LAST EMPLOYMENT (TYPE OF WORK AND DATE)
PRIVATE DUTY
FAMILY :
Husband's (or Wife's) Occupation Children Their ages
Care Provided
IMPRESSIONS:

EXCELLENT	GOOD	FAIR	POOR
Appearance	
Personality	
. Health	
Qualifications	
Knowledge of skills	:
LAST EMPLOYMENT (TYPE OF WORK AND DATE)
PRIVATE DUTY
FAMILY :
Husband's (or Wife's) Occupation Children Their ages
Care Provided
IMPRESSIONS:

EXCELLENT	GOOD	FAIR	POOR
Appearance	
Personality	
. Health	
Qualifications	
Knowledge of skills	
Interest		

RECOMMEND FOR EMPLOYMENT yes
REMARKS :
going NVCC FOR Nursing Degate - his SCRUBed ON SURg. +ASSISTED much experience INhospitals - very talkative - good Sulesment 2ND choice
Employment co Commence 12/8/71
Department
OR
Shift 9 FT
PT
SALARY $
410
b6
APPROVAI
DIFF.
+
O.T.
b7C
Haministrator
NVDH Form #123
DB Cooper-37901JERN VIRGINIA DOCTORS HOSE AL EMPLOYEE EVALUATION AND JOB PERFORMANCE REPORT
Name :
COFFeIT
Jack
Date:
3/21/12
Last
First
Initial
3 Mos.
b7C
Haministrator
NVDH Form #123
DB Cooper-37901JERN VIRGINIA DOCTORS HOSE AL EMPLOYEE EVALUATION AND JOB PERFORMANCE REPORT
Name :
COFFeIT
Jack
Date:
3/21/12
Last
First
Initial
3 Mos. Probationery Period
Annual
Department:
OK
Termination 
Station:
UR
Position :
ORDiety
ill Time: 
Part Time;
Shift:
9-5-30
Temporary:
Permanent: 
Grading from left to right indicates lowest to highest
Unsatisfactory Marginal
Satisfactory
Excellent
Outstanding
NOTE: If. employee is graded unsa: isfactory in any category, this report must be shown, discussed, and signed by employee as an acknowledgement of contents. Remarks

Attendance	
Job Performance'		very Thorough
Ability	
Industry	
Dependability
Remarks

Attendance	
Job Performance'		very Thorough
Ability	
Industry	
Dependability	
Cooperation	
Appearance			
Personality			
Health	
	

GENERAL REMARKS A very loyal employee hard
unselected:
Health	
	

GENERAL REMARKS A very loyal employee hard working conscientious Short term employment Due to Suppen Death IN Family - legal AFFAIRS were PROlongon IN Settlement .. He Felt IT NOT FAIR to CONTINUE
with the employee shortage, Employee's Signature
Departmen Signature
b6 b7C
Approved 
Remarks
Disapproved
Date
Administrato
DB Cooper-37902 NORTHERN VIRGINIA DOCTORS HOSPI .L Arlington, Virginia
b6
TERMINATION
Date:
3-29-12
b7C
COFFeTT
Employee's Name
Tack
First
Middle
-Last
Départment
Position

Reason For Termination:	(Check One)	Remarks: (Briefly indicate nature of
Voluntary Resignation		SUDDEN Death IN Family-PROlonged
action. )
End Temp. Assignment		legal matters to settle concerning
Discharge		Death.
Other
Assignment		legal matters to settle concerning
Discharge		Death.
Other	

Employees Rating:	Excellent	Very Good	Good	Satisfactory Unsatisfactory
Performance		
Attendance		
Attitude .		
Appearance			
Personality			

Remarks :
Employed only Short time BUT enguer willing
WORKER. TRien ALMOST too HARD to please people, DID WIRk
Thoroughly & with PRIDE whis work, was ON leave without
Pay BUT AFFERR ATOCK LONGER theN expected to settle.
Last Day Actually Workde:
FRI
V Would you rehire? Yes
Day
Subject To: No
R.
TRien ALMOST too HARD to please people, DID WIRk
Thoroughly & with PRIDE whis work, was ON leave without
Pay BUT AFFERR ATOCK LONGER theN expected to settle.
Last Day Actually Workde:
FRI
V Would you rehire? Yes
Day
Subject To: No
R.N. b6
b7C
Supervisor OR.S.
NOTED AND APP!
Adminis
Termination record received: 
(Date)

REMARKS :	Earnings used
i file: Leave slip Fiod.
 
Time card filed:
Howord card filed: Hoved Intimation Concalled;	

Form #
Switchboard:
V 
DB Cooper-37903
Mar 29 Mar 3, 1972
Date
Northern Virginia Doctors Hospital February 29, 1972
This is.to certify that Cofelt Jack
attended the Orientation Program held on this date.
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DB Cooper-37904NO .HERN VIRGINIA DOCTORS HOS. . TAL EMPLOYEE EVALUATION AND JOB PERFORMANCE REPORT
Name:
COFFelt
Jack
Date:
1/6/12
Last
First Initial
3 Mos. Probationery Period
Annual 
Department:
UR.
Termination
Station:
B.
TAL EMPLOYEE EVALUATION AND JOB PERFORMANCE REPORT
Name:
COFFelt
Jack
Date:
1/6/12
Last
First Initial
3 Mos. Probationery Period
Annual 
Department:
UR.
Termination
Station:
B.R.
Position :
ORDERLY
Full Time: 
Part Time; 
Temporary:
Permanent:
Unsatisfactory
Satisfactory
Excellent Outstanding
NOTE: If employee is graded unsat isfactory in any category, this report must be shown, discussed, and signed by employee as an acknowledgement of contents. Remarks

Attendance		REPORTS ON Duty even when NOT well.
Job Performance	
Ability	
Industry	
Dependability	
Cooperation	:
Remarks

Attendance		REPORTS ON Duty even when NOT well.
Job Performance	
Ability	
Industry	
Dependability	
Cooperation	
Appearance		
Personality	
Health	

GENERAL
REMARKS A New
unselected:
Personality	
Health	

GENERAL
REMARKS A New employee this PaTicaTiel of Becoming A very good OR Deely Takes CRITISM well. TRIes Almost Too hard To please-HARD working SY's work TO DO. Leases QuerEl.
Employee's Signature
Department Signature
Approved 
Remarks
Disapproved
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Data
Administrator
DB Cooper-37905
Shift:
9 - 5-30
Grading from left to right indicates lowest to highest
Marginal COFFELI, JACK EMP.
NORTHERN VIRGINIA DOCTOR HOSPITAL DEPARTMENT OF PATHOLOGY SEROLOGY I
DATE: 12-13-71 Direct Coombs Indirect Coombs Admission Serology non reactive" Rh Titer Pro Marital Serology Monospot VDRL Quantitativo FTA - ABS Febrilo Agglutinationa
VDRL Slide Test Heterophile ASO-Titer R. A. Test (Latex) C-Reactive,Protoin
CHART
Siz.
FTA - ABS Febrilo Agglutinationa
VDRL Slide Test Heterophile ASO-Titer R. A. Test (Latex) C-Reactive,Protoin
CHART
Siz.12
COFFEIT, JACK EMP.
(
NORTHERN VIRGINIA DOCTORS HOSPITAL DEPARTMENT OF PATH . JGY URINALYSIS
DATE: 12-13-71
SPECIMEN TAKEN BY Cath Void Clean Catch ADMISSION URINALYSIS Repeat Urinalysis Appearance Reaction Specific Gravity Albumin Sugar
Leukocytes
Erythrocytes
Costs: Hyaline
Finely Granular. Coarsely Granular
Cellular
24 HOUR SPECIMENS:
CHART 17 Ketosteroids
Crystals
Mucus. Miscel: Acetone Diocetic Acid Bilirubin Urobilinogen Occult Blood Glitter Cell Bence Jones. Protein (uninary calcium) Sulkowitch Porphobilinogen Phenylpyruvic Acid Serotonin (5HIAA)
Waxy VMA
Epithelium Catecholamines 17 Ketogenicsteroids
TECH DATES
Nurses Signature 12-13-11
DB Cooper-37906RE EST FOR BLOOD
Phenylpyruvic Acid Serotonin (5HIAA)
Waxy VMA
Epithelium Catecholamines 17 Ketogenicsteroids
TECH DATES
Nurses Signature 12-13-11
DB Cooper-37906RE EST FOR BLOOD TEST AND URI ,LYSIS
#9
Employee's Name
COFFLET, JACK
Date of Request
12-13-71
New Employee
X 
Annual Follow-up
Semi-Annual Follow-up
Please send copy of report to the Personnel Office to be filed in employee's personnel folder.
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NVDH Form #F-201
Personnel Office
DB Cooper-37907 To:
Hutchinson, Kansas
NORTHERN VIRGINIA DOCTORS HOSPITAL CORP. 601 S. CARYLN SPRINGS ROAD ARLINGTON, VIRGINIA 22204
December 8, 19 71
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Regarding:
Jack Coffelt
We would greatly appreciate your opinion of the above named applicant for the position of:
O.R. Orderly
in this hospital
Employed by you from: I cant sondentify this boy
Student in your hospital from: for sure to is he is the
Graduated: Yes No
Position held:
Done I'm thinking of, he was
Reason for leaving your employment:
excellentin all hos vivir
Would you re-employ? Yes
No if no, would you comment under Remarks?

·GOOD	·SATISFACTORY	.
Yes
No if no, would you comment under Remarks?

·GOOD	·SATISFACTORY	.NEEDS IMPROVEMENT
Attendance:
Job Performance:
Ability:
Industry:
Dependability:
Cooperation:
Appearance:
Personality:
Health:

REMARKS:
Sign
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By:
R.N/E
Titl
R.N
*(Please Check (X) or comment if indicated.)
Operating Room Supervisor
N.V.D.H. Form 57
DB Cooper-37908 Social Secul
Number
513-26-2480
NORTHERN VIRGINIA DOCTORS HOSPITAL CORP. 601 S. CARLYN SPRINGS ROAD ARLINGTON, VIRGINIA .
APPLICATION FOR APPOINTMENT
NAME: - (Mi55,Mys., Mr.) Jack, Capfelt
ADDRESS: (Permanent)
4208 80.
CARLYN SPRINGS ROAD ARLINGTON, VIRGINIA .
APPLICATION FOR APPOINTMENT
NAME: - (Mi55,Mys., Mr.) Jack, Capfelt
ADDRESS: (Permanent)
4208 80. 99 Il Pd (Local)
Telephone: 521-4665
arlington, Va
Date of Birth 1924 Height: 6.2 Weight 195 Date of last Physical Examination: 220 1970
Date and diagnosis of any recent illness: -7.00
Marital Status - M. S.M. Other No. of Dependents. 0
Position for which Application is made: D. R. Ondeby
Date Available: Expected:
REGISTRATION:
By examination in which state:
Certificate
Year:
Number:
Certificate
Virginia:
Year:
Number:
Other States:
MEMBERSHIP: Alumnae A.N.A
L.N.E.
A.R.C.
Other
ACADEMIC AND PROFESSIONAL QUALIFICATIONS:
Name
City and State
Dates
Diploma Degree Credits
Course
High School:
School of Nursing:
College or University: University of Kansas 3 years
Clinical Post-grad.
Courses:
EMPLOYMENT EXPERIENCE:
Position title:
Institution or Agency:
Address:
Dates: (Duties describe briefly)
Referencia sint 12/8/1
DR. IFlex Ellers,
ISanations in Lancaster, California 3 years Hatchilean, Konas 2539 + 2447-18thST.
Position title:
Institution or Agency:
Address:
Dates: (Duties describe briefly)
Referencia sint 12/8/1
DR. IFlex Ellers,
ISanations in Lancaster, California 3 years Hatchilean, Konas 2539 + 2447-18thST. N.W. Weship.C. 20009 Hoffmans" Furniture, 1824-18th It DOEN Washington, Va Co5-7300 (30m)
PROFESSIONAL REFERENCES;
Name
Position
Address
I. callele tit de Pannes, Laurence
2
66604
Konses
Date:
Signature Zucle Deffet
N.V.D.H. #54 REV. 10/63
1
88
DB Cooper-37909
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Dalta Hospital, minia, Cikla
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605-5116
Date: Dec, 6, 1971 
Minimum SalaryPlease Attach Recent Photograph
(Please use this space for additional information regarding eductation, experience, etc.)
In case of emergency. Person to be notified
Relationship
Address
Phone.
(Please do not write below this line)
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Date application received:
References received :.
Date of employment:
Position title:
Initial Salary:
CHANGES IN POSITION STATUS
SALARY INCREASE

Date:	.Change:	Date:	New Salary:

RESIGNATION: Date:
Letter of notification received:
Summary of
New Salary:

RESIGNATION: Date:
Letter of notification received:
Summary of Professional progress submitted:
DISMISSAL FROM HOSPITAL EMPLOYMENT:
Date:
Remarks:
Signed:
Title:
Date:
DB Cooper-37910#9
REQUEST FOR CHEST X-RAY
Employee's Name COFFLET, JACK
Date of Last Chest X-Ray

Date of Request	12-13.71
New Employee	X
Annual
Follow-up

Semi-Annual
Follow-up
Please send copy of report to the Personnel. Office to be filed in employee's personnel folder.
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NVDH F#200
Personnel Office
DB Cooper-37911# 59558 December 14, 1971 Chest shows pleural scarring at the left base. Otherwise the lungs are clear. The heart, mediastinum, and bony thorax appear normal.
M. D. b6 b7C
DB Cooper-37912FORM W-4 (Rev. Jan. 1967) U.S. Treasury Department Intemal Revenue Service Type or print full name Jack LOFFELT
Home address
4206-80. 12th Rel
City Y ARLINGTAM
State Va
ZIP code 22254
EMPLOYEE:
HOW TO CLAIM YOUR WITHHOLDING EXEMPTIONS
1.
12th Rel
City Y ARLINGTAM
State Va
ZIP code 22254
EMPLOYEE:
HOW TO CLAIM YOUR WITHHOLDING EXEMPTIONS
1. If SINGLE (or If married and wish withholding as single person), write "1." If you claim no exemptions, write "0"
2. If MARRIED, one exemption each is allowable for husband and wife if not claimed on another certificate.
(a) if you claim both of these exemptions, write "2"; (b) If you claim one of these exemptions, write "1"; (c) If you claim neither of these exemptions, write "0"
8
3. Exemptions for age and blindness (applicable only to you and your wife but not to dependents):
(a) If you or your wife will be 65 years of age or older at the end of the year, and you claim this exemption, write "1";
If both will be 65 or older, and you claim both of these exemptions, write "2"
(b) If you or your wife are blind, and you claim this exemption, write "1"; if both are blind, and you claim both of these exemptions, write "2"
4. If you claim exemptions for one or more dependents, write the number of such exemptions.
both of these exemptions, write "2"
(b) If you or your wife are blind, and you claim this exemption, write "1"; if both are blind, and you claim both of these exemptions, write "2"
4. If you claim exemptions for one or more dependents, write the number of such exemptions. (Do not claim exemption for a dependent unless you are qualified under Instruction 4 on other side.).
5. If you claim additional withholding allowances for itemized deductions fill out and attach Schedule A (Form W-4), and enter the number of allowances claimed (if claimed file new Form W-4 each year)
6. Add the exemptions and allowances (if any) which you have claimed above and write total
0
should be so
advised.
[ CERTIFY_that the number of withholding exemptions claimed on this certificate does not exceed the number to which I am entitled. {Date) Nic 13 19.7,2 (Signed)
018-16-70061-1
Form VA .- 4 (Rev. 1-1-68) Department of Taxation VIRGINIA EMPLOYEE'S WITHHOLDING EXEMPTION CERTIFICATE
EMPLOYEE: File this form with your employer.
Print full name. Jack COFFELT
5
"al Security
count Number.
513-26-2420
Print home address in full detail 4268 86 12 4h
Rd.
Arlington, Va
.
HOW TO CLAIM YOUR WITHHOLDING EXEMPTIONS
1.
513-26-2420
Print home address in full detail 4268 86 12 4h
Rd.
Arlington, Va
.
HOW TO CLAIM YOUR WITHHOLDING EXEMPTIONS
1. If you are neither 65 nor blind, enter $1,000 for yourself; if either 65 or blind, enter $1,600; if both 65 and blind, enter $2,200
2. If you are married and your wife (or husband) has no gross income, or if you and your wife (or husband) intend to file a joint return, and if your wife (or husband) is neither 65 nor blind, enter $1,000 for her (or him); if either 65 or blind, enter $1,600; if both 65 and blind, enter $2,200. If your wife (or husband) has in- come subject to Virginia income tax withholding and claims own exemption on own withholding exemption certificate, do not make any entry here.
$
0
$
3. If for the year you will provide more than one-half of the support of a dependent relative (see Instruction 5 on back), enter the number here ____ , multiply the number by $300, and enter result here $
4. If you are an UNMARRIED person, and among the dependents claimed in Line 3 above, there is your father, mother, son, daughter, sister or brother, enter here $700 for only one
If you are an UNMARRIED person, and among the dependents claimed in Line 3 above, there is your father, mother, son, daughter, sister or brother, enter here $700 for only one such dependent. $
5. Add the amounts of exemptions which you have claimed above and enter the total here.
$
2
I CERTIFY that the amount of withholding exemptions claimed on this certificate does not exceed the amount to which I am entitled
(Date) Dac 13 , 19 ... 7./ (Signed) Jack Duffelt
20
DB Cooper-37913
EMP BYEE'S WITHHOLDING EXEMPTION CERTIFICATE
Sutel Security Number
513-26-2480
0
File this form with your employ- er. Otherwise, he must withhold U.S. Income tax from your wages will- out exemption.
EMPLOYER:
Keep this cer- ilicate with your records. If the employee is be- Heved to have claimed too many exemptions, tha District Director
7. Additional withholding per pay period under agreement with employer. (See Instruction 1.) $1. NUMBER OF EXEMPTIONS .- Do not claim more than the correct number of exemptions. However, if t expect to owe more
income tax than will be withheld, a smaller & er of exemptions may be claimed or you may enter into an agreement with your employer to have
However, if t expect to owe more
income tax than will be withheld, a smaller & er of exemptions may be claimed or you may enter into an agreement with your employer to have additional amounts withheld. Note this if you have more than one employer, or if both husband and wife are employed.
2. ITEMIZED DEDUCTIONS .- See Schedule A (Form W-4) for instructions on claiming additional allowances based on large itemized deductions,
3. CHANGES IN EXEMPTIONS .- You may file a new certificate at any time if the number of your exemptions INCREASES.
You must file a new certificate within 10 days if the number of ex- emptions previously claimed by you DECREASES because:
(a) Your wife (or husband) for whom you have been claiming exemption is divorced or legally separated, or claims her (or bis) own exemption on a separate certificate.
(b) The support of a dependent for whom you claimed exemption is taken over by someone else, so that you no longer expect to furnish more than half the support for the year,
(c) You find that a dependent for whom you claimed exemption will receive $600 or more of income of his own during the year (except your child who is a student of
half the support for the year,
(c) You find that a dependent for whom you claimed exemption will receive $600 or more of income of his own during the year (except your child who is a student of who is ander 19 years of age).
The death of a wife or a dependent, does not affect your withholding until the next year, but requires the filing of a new certificate. If pos- D.1. GOVERNMENT PAINTING OFFICE 648-16-78061-1
sible, file a new certificate by. December 1 of the year. in which the death occurs.
For further information de alt your local District Director of In. ternal Revenue or your employer.
4. DEPENDENTS .- To qualify as your dependent (line 4 on other side), a person (a) must receive more than one-half of his or her support from you for the year, and (b) must have less than $600 gross income during the year (except your child who is a student or who is under 19 years of age), and (c) must not be claimed as an exemption by such person's husband or wife, and (d) must be a citizen or resident of the United States or a resident of Canada, Mexico, the Republic of Panama or the Canal Zone (this does not apply to an alien child legally adopted by and living with a United States
citizen or resident of the United States or a resident of Canada, Mexico, the Republic of Panama or the Canal Zone (this does not apply to an alien child legally adopted by and living with a United States citizen abroad), and (e) must (1) have your home as his principal residence and be a member of your household for the entire year, or (2) be related to you as follows:
Your son or daughter (including legally adopted children), grandchild, stp- son, stepdaughter, son-in-law, ot daughter-in-law; Your father, mother, grandparent, stepfather, stepmother, father-in-law, ot mother-in-law:
Your brother, sister, stepbrother, stepsister, half brother, half sister, brother- in-law, or sister-in-law; Your uncle, sunt, nephew, or niece (but only if related by blood).
5. PENALTIES .- Penalties are imposed for willfully supplying false information or willful failure to supply information which would re- duce the withholding exemptions.
1. IF YOU FAIL to file this certificate with your employer, he must withhold Virginia income tax from your wages without exemption, If an employer believes that an employee is claim- ing an excessive amount of exemptions, will advise the Department of Taxation.
must withhold Virginia income tax from your wages without exemption, If an employer believes that an employee is claim- ing an excessive amount of exemptions, will advise the Department of Taxation.
2. AMOUNT OF EXEMPTIONS .- Do not claim more than the correct amount of exemptions. However, if you expect to owe more income tax for the taxable year than will be withheld if you claim every exemption to which you are entitled, you may increase the withholding by claiming a smaller amount of ex- emptions or you may enter into an agreement with your em- ployer to have additional amounts withheld.
3. EMPLOYEES WITH TWO OR MORE EMPLOYERS .- If you have more than one employer and wish to increase your with- holding to an amount nearer your correct income tax you should claim a smaller amount or no exemptions on each Form Va .~ 4 filed with all employers other than your principal em- ployer.
4. CHANGES IN EXEMPTIONS .- You may file a new certifi- cate at any time if the amount of your exemptions IN- CREASES.
You must file a new certificate within 10 days if the amount of exemptions previously claimed by you DECREASES for any of the following reasons:
(B) Your wife for husband) for whom
You must file a new certificate within 10 days if the amount of exemptions previously claimed by you DECREASES for any of the following reasons:
(B) Your wife for husband) for whom you have been claiming exemp- tion Is divorced or legally separated, or cinims her (or his) own exemp- tion on a separate certifiente.
taken over by someone else, so that you no longer expect to furnish more than half the support for the year.
(c) You find that a depender* for whom you claimed exemption will receive $600 or more of incom OTHER DECREASES
his own during the taxable year. xemption, such as the death of a wife or a dependent, do not affect your withholding until the next year, but require the filing of a new certificate by Decem- ber 1 of the year in which they occur.
5. DEPENDENTS .- Do not claim any dependent in Line 3 (on other side) unless he or she meets all four of the follow- ing tests: (a) He or she is receiving over one-half of his or her support from you for the taxable year, and (b) he or she is "closely related" to you, and (c) he or she will not have as much as $600 gross income of his or her own during the tax- able year (if a son, daughter, stepson, or
taxable year, and (b) he or she is "closely related" to you, and (c) he or she will not have as much as $600 gross income of his or her own during the tax- able year (if a son, daughter, stepson, or stepdaughter is a full time student at an educational institution, this limitation does not apply), and (d) if married, her or his exemption is not claimed by her husband or his wife. "Closely related" means your children (including stepchildren and legally adopt- ed children) and grandchildren; your parents and grandpar- ents; your brothers and sisters; your immediate "in-laws" (mother-, father-, son-, daughter-, brother-, sister-in-law); your blood related uncles, aunts, nieces, and nephews.
If you are a married person, do not make any entry what- soever in Line 4 (on other side).
6. PENALTIES .- +Penalties are imposed for willfully supply- ing false information or willful failure to supply information which would reduce the withholding exemption.
(b) The support of a dependent for whom you claimed exemption is EMPLOYER,-KEEP THIS CERTIFICATE WITH YOUR RECORDS.
DB Cooper-37914TO THE ADMINISTRATOR NORTHERN VIRGINIA DOCTORS HOSPITAL
I hereby acknowledge receipt of a copy of PERSONNEL
DB Cooper-37914TO THE ADMINISTRATOR NORTHERN VIRGINIA DOCTORS HOSPITAL
I hereby acknowledge receipt of a copy of PERSONNEL POLICIES of NORTHERN VIRGINIA DOCTORS HOSPITAL.
I have read, thoroughly understand, and hereby agree to carry out the policies outlined to the best of my ability.
Jack Coffeet
Name
Que 13, 1971
Date
O.P.
Position
To be signed and submitted to the Administrator before receiving first pay.
DB Cooper-37915Northern Virginia Doctors Hospital Approval of Employment and Payroll Authorization

NAME	Jack COFFeIT
First Middle	Last
DEPARTMENT O.R. SHIFT	9-530

FORMS COMPLETED BY EMPLOYEE :
State Tax Withholding Statement
1/ V
Federal Tax Withholding Statement
Hospitalization: None
Individual
IND
Family
PHYSICAL REQUIREMENTS:
(To be initialed by Departments)
X-RAY
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LABORATORY
FORMS COMPLETED BY BUSINESS OFFICE : Payroll Record 
Leave Record 
Switchboard Tab
Pen.
V
Federal Tax Withholding Statement
Hospitalization: None
Individual
IND
Family
PHYSICAL REQUIREMENTS:
(To be initialed by Departments)
X-RAY
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LABORATORY
FORMS COMPLETED BY BUSINESS OFFICE : Payroll Record 
Leave Record 
Switchboard Tab
Pen. 
THIS FORM IS TO BE RETURNED TO THE BUSINESS OFFICE. NO SALARY CHECKS WILL BE ISSUED WITHOUT THIS FORM ..
Can Tag # 1630
Jack Cafelt
b6 b7C
F#104 Revised 2-24-69
Taylor ves · 14052
DB Cooper-37916FD-340a (Rev. 3-12-74)
[Title)
(File No.
]
Item
Dare Filed
Disposition
595
5/4/11
Photo Aj
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BF10
5/4/77
74+0 Rx
597
5/4/77
Phap 1
598
5/4/12
Plats y
549
5/4/7
Please
Plate Dahertaut fri
Jeux 5
:00
5/4/07
৳6 b7C
601
5/5/11
Capy os Opark separation form - 80-214 Xauch 845
602
5/5/72
Handwriting excimer Dy
603
5/5/21
Pastero Acciaio La Meilleur Va 2/6/2.6 87
6.04
5/22/11
Pliego of Richard De wever hattan (Deck90)
F
605
6/25/20
OWF tun US Postal Deures
606
6/29/11
Photos
a link to tu lauch anst pilates
607
6/24/27
Plan B
608
1/5/19
70-395 90 interview Ing
n/5/2
arento Katia.
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1.04
1-10
5/5/11
Cheog
611
2/05/7 Groote alive mit, tim
6/2
2/25/17
Letten firm
164-81-1A
SEARCHED .
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1.04
1-10
5/5/11
Cheog
611
2/05/7 Groote alive mit, tim
6/2
2/25/17
Letten firm
164-81-1A
SEARCHED .NELLO SERIALIZEC
MAY 4 1977 FBI -SEA
b6 b7C
DB Cooper-37917b6 b7C
FD-340 REV. (6:24-65)
164-81-1A
695
File No.
Se 164-81-7430
Date Received
4/4/77
b6
From
DMV Drivers License
b7C
(ADDRESS OF CONTRIBUTOR)
Almanca
HOTLINE MAAT
SC
(NAME OF SPECIAL AGENT}
To Be Returned No Yes Receipt Given Yes No
Description : copy of I Lof
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DB Cooper-37918FD-340 REV. (6-24-65)
b6 b7C
596
164-81-1A
File No.
164-81-7465
Date Received
4/26/77
b6
From
b7C
DMV- Drivers License
Olezania
(ADDRESS OF CONTRIBUTOR)
IVA
SC
{NAME OF SPECIAL AGENT}
To Be Returned Yes Receipt Given Yes No No
Description :
copy of DL of
b6 b7C
DB Cooper-37919b6 b7C
164-81-ACO
DEPARTMENT OF MOTOR VEHICLES DRIVER RECORDS
Date
4.26.77
The attached photostatic copy of the Washington State Driver's
License/Identification Card/Instruction Permit was issued
on
5-26-76
DR-552-6 B/W Photo Issue Date (R/9/75)
DB Cooper-37921FD-340 REV.
77
The attached photostatic copy of the Washington State Driver's
License/Identification Card/Instruction Permit was issued
on
5-26-76
DR-552-6 B/W Photo Issue Date (R/9/75)
DB Cooper-37921FD-340 REV. (6-24-65) 697
164-81-1A
File No.
164-81
b6
b7C
Date Received
4/18/77
From
50 Euros
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR]
EVERETT, WASH
b6
b7C
{NAME OF SPECIAL AGENT)
To Be Returned Yes
Receipt Given Yes No No
Description :
b6
( 1) PHOTO OF
b7C
DB Cooper-37922235
6º

BAN	- EYS
brus	hair

b6 b7C
164-81-14 597 
DB Cooper-37924FD-340 REV. (6-24.65)
395
File No.
164 -81-11
Date Received
4/6/77
From
INAME OF CONTRIBUTOR DMV
(ADDRESS OF CONTRIBUTOR)
Olimpia, Wash.
To Be Returned Yes Receipt Given Yos No Na
Description :-
COPY OF
Drivers License
b6 b7C
b6 b7C
b6 b7C
DB Cooper-37925b6 b7c
598 
SE 164-81-1A
DB Cooper-37927FD-340 REV. (6-24-65) 599
164-81-1A
File No.
164-81 SUSJ
Date Received
4/13/79
From
WASH STAT: DMU
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR]
164-81 SUSJ
Date Received
4/13/79
From
WASH STAT: DMU
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR]
OLYMPIA WZY
b6
b7C
(NAME OF SPECIAL AGENT)
To Be Returned Yes
Receipt Given Yes :No -No
Description :
b6
ty OF
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WASH. SONEL
DUK'S LIC.
DB Cooper-37928b6 b7C
៛
#118-691
DB Cooper-37930- FD-340 REV. (5-24-65)
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nayak
File No.
164-81-1A 600
Date Received
4/21/77
From
PA
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR) Snahanu, wa-
b6
b7C
(NAME OF SPECIAL AGENT)
To Be Returned Yes Receipt Given Yes No No
Description:
Photo printerat for
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DB Cooper-37931FURT TIEFIN .04/21/77 09:09:03 02
NAME:
:
: RACE-W: SEX-M: DOB-
WANT STATUS-NO WANT
: JAIL STATUS-NOT IN CUST : TEMPERAMENT-TEMP UNKNOWN.
HEIGHT-510: WEIGHT-158: HAIR-BLACK: EYE-BROWN: LIC#
LIC. ST-WA.
ADDRESS
: SPOKANE
: WA: IDENT#
FBI#- :
PURGED- MISC-REPORTS
END OF RECORD
(b6 b7c
DB Cooper-37932 :
: WA: IDENT#
FBI#- :
PURGED- MISC-REPORTS
END OF RECORD
(b6 b7c
DB Cooper-37932 b6 b7C
164-81-1+
DB Cooper-37934FD-340 REV. (6.24.65)
Dub 845
601 
File No.
164-81-1A

Date Received 4/9/27
From	anchorage

(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
(CITY AND STATE)
(NAME OF SPECIAL AGENT)

To Be Returned	 Yes	Receipt Given	 Yes
 No	 No
Description :

Cappy of Sparks separation form from Oui face. 00-214
All ser 7481
DB Cooper-37935SE KEEP ATTACHED TO EXHIBIT 164-81-1A 60
8171102
FOR. CUMNUMAMAIL A CERTIFICATE OF ELIGIBILITY NO. ISQUED. IO FUE VETERANS ADMINISTRATION TO DE USED FOR THE TL WE'RE QUE W MY QUANANTY OR INSURANCE BENEFIT UNDER TITLE THI OF THE JE SEADJUSTMENT ACT OF 1944 AS AMENDED THAT MAY BE TO TO WHOM THIS SEPERATKM TAPET IL.
VETERANS ADMINISTRATION TO DE USED FOR THE TL WE'RE QUE W MY QUANANTY OR INSURANCE BENEFIT UNDER TITLE THI OF THE JE SEADJUSTMENT ACT OF 1944 AS AMENDED THAT MAY BE TO TO WHOM THIS SEPERATKM TAPET IL.
APR 1 1 1986
RECEIVED
JAN 24 1966
DB Cooper-37936(
A

1 PAST HANE - FIRST MATE -- FICALF KANE	, FERTiCE LUNDEN	3, 644Et - 14 - TULAP	LINMENT AND LAN
W 19 432 637	DATE CF APPARFULLT	UREM

OGAUFFAHR1
20270
EINENPAGARLA O TRILLA
Adin Supr
· ALISON ALP AUTHORITY FON SEPARATION SED' APR 57-10
· PLACE OF SEPARATION
Favis-Lenthan Ay hacern Ariz
9 PAIE SF NOTH
32
" PLACE GF LITEN IC'wy and State)
Clayton
12 MOTRIPTIGN
TEL
Lalo
IKA
0~1
CALCI XILA
TA-7
CHAT1
:20
MEIST
CisOr
1.35
DE TRAILTED IN OR TRANSFTEREP TO & BETERTE COMPONENT
2
LETAS
COBMILANT DISTRICT ER JALA CORTINA.
CHAS ALC Denvor Colo
17 DEANS OF ENTRY OTHER THAN ST INDUCTION 3 REENLISTID COMMISSIONLD CALLED FREM PRACTITE SATT
I GRADL - HATT GO HANE &T TINE DF
ENTRY INTO ACTIVE SINVICE
csic Auran
19 PATY AND PLACE OF INTET INT) ACTIVE SERVICE
12
REENLISTID COMMISSIONLD CALLED FREM PRACTITE SATT
I GRADL - HATT GO HANE &T TINE DF
ENTRY INTO ACTIVE SINVICE
csic Auran
19 PATY AND PLACE OF INTET INT) ACTIVE SERVICE
12
MONIN
Fob 52
MAAEL fCity and Staty
103 A950198 Calif
2 0094SATA OF ANTITING ACTIE IL SE PI Cy. Loty and Stata wx 223 Calipatria Jalif

STATEMENT OF SERVICE FOR PAT PUMPPILY	TEARS	MONTHS	C DAYE	ZU CNLIST ENT
CF TRLJATHEAT,	IF ANY
ALLOPANEL PAID ON CIJENSION
21.114 1 I VERTICE COMPLETES 101 PAT SHIPOFEI LOCATIES THIS PERIOD	DAT	MOREN	YEAR	AKOUNT
14 NET 1ERVICE COMPLETEO FOR PAY PURPOSES THIS PERIOD	4	Ú	0
20 OTHERLAVICE (Act of I Jun JES de amandedy COMPLETE o > 7 PMSPIEL	20 (VAFICH ANO OR TEA SERVICE
24 TOTAL NET SERVICE COMPLETED FON PAY PURPOSES	44	EU	0	TEAR1
Loty and Stata wx 223 Calipatria Jalif

STATEMENT OF SERVICE FOR PAT PUMPPILY	TEARS	MONTHS	C DAYE	ZU CNLIST ENT
CF TRLJATHEAT,	IF ANY
ALLOPANEL PAID ON CIJENSION
21.114 1 I VERTICE COMPLETES 101 PAT SHIPOFEI LOCATIES THIS PERIOD	DAT	MOREN	YEAR	AKOUNT
14 NET 1ERVICE COMPLETEO FOR PAY PURPOSES THIS PERIOD	4	Ú	0
20 OTHERLAVICE (Act of I Jun JES de amandedy COMPLETE o > 7 PMSPIEL	20 (VAFICH ANO OR TEA SERVICE
24 TOTAL NET SERVICE COMPLETED FON PAY PURPOSES	44	EU	0	TEAR1	MONTHS,
3	DATI
4

27 DECORATIONS, WEDALS, HADCES, COMMENDATIONS, CITATIONS AND CAMPAIEN ZIBRORS AWARDED OR AUTHORIZED HAMSFEN IC'DL
SERVICE DATA
ZU, MOST SIGNIFICANT DUTY ASSTORNEKT
IQ
MONTHS,
3	DATI
4

27 DECORATIONS, WEDALS, HADCES, COMMENDATIONS, CITATIONS AND CAMPAIEN ZIBRORS AWARDED OR AUTHORIZED HAMSFEN IC'DL
SERVICE DATA
ZU, MOST SIGNIFICANT DUTY ASSTORNEKT
IQ 303XCIG (DAC)
21 WOUNDS ACCEIVED AS A RESULT OF ACTION WITH ENEMY FORCEE ffface and date, If knowom)
1. 1.0

TAR Gus AND . P IST.CHAD COMUSEL 1.ACCESSFULLT COMPLETED	GÁTPZ (From.TA!	XAJON COURTES	DI SCATICE TRAINING COURSES BUCCEIS. FULLY CONHETED
None	#/A	2/A	2:10

GOVERNMENT INSURANCE INFORMATION: (A) Pamatust poe premium mati tostimne te bg pali whun den, q nhàin ại tigt theretter, - leurum, will last (G) Tạm Imutươi bộ, vườn giữa (mas (A) HRT) (G) Têm LMƯỜNG UNA VITA -XEMINH MATTIA1 Mot M Peredet bitte 121 din after weeatles Forvard WINitAt MA NELI lo Vetal Admithtraties District Ofikes having je Isditler orer, the area three la lite 47. forward pealams in Usdti te veterens Adalalitetiss Wishingtow 2, 0. C. (Ses YA Pantpt B-3), who Mayles premiyes glyp foll mant, etdrer, Servlet Number, Policy Number(e), CLMD H STR4.
(Ses YA Pantpt B-3), who Mayles premiyes glyp foll mant, etdrer, Servlet Number, Policy Number(e), CLMD H STR4. cita of Methe. Contact Mami YA Mike ler laformation center ilas Government Life InaMranes
FIND . FOT. OF INSURANCE & MISLY. PREMIUM
N'ene Indemnity 
APRIL IDES
YES 
KD 

$20 ACTIVE SERVICE PRIOR TO 26	JS MONTH ALLOTMENT DISCONTINUED	JA, MONTH KÉRT PREMIUM DUE
WHENORN	N/A N/A

SU TOTAL PATMERT GION SEPARATION
N/A
J6 TRAVEL OR MILEAGE ALLOWANCE IN.
CLUDED IN TOTAL PAYMENT
H/A
37 DITBURSING OFFICER'S NAME AND STNDOL NUNGEN
N/A
AUTHENTICATION
30 RENASKS {CONTINYE ON TƯVITM) WIL Sec 6a App 26 202 51 50 days lv paid for Blood Group "O-"eg" FOSD 12 Kar 42ACB TO-9 0-9 K-8 2-9 A/10 (P) DOR: 1 Jun 53 Part Forade pes 50 87" Bing !" Dilace 1000
b6
b7C
HAWE, GLACE AND TITLE {Typy
USAF
Separation Officer
ZO Y & BENEFITS PREVIOUSLY APPLIED FOR (Specify type)
COMPENSATION PENLICK, INSURANCE BENEFITS, ETC.
" Dilace 1000
b6
b7C
HAWE, GLACE AND TITLE {Typy
USAF
Separation Officer
ZO Y & BENEFITS PREVIOUSLY APPLIED FOR (Specify type)
COMPENSATION PENLICK, INSURANCE BENEFITS, ETC.
None
CLAIR HUNDEN
NA
41 GATES OF LAST CIVILIAN FMPLOTMENT
42 MAIN CIVILIAN OCCUPATION
Iust Office Clerk
49 NAME AND ADDRESS OF LAST CIVILIAN EMPLOTEN
milipatria Calif

44 UNITED STATES CITIZEN	45 MARITAL STATUS	& KON. SERVICE EDUCATION ' Y'eATE avecemilly completed!


VES
KD	41AM. KA1	WIEN SCHOOL	cal- 35#1	DEGREE S)	MAJOR COURSE ON FIELD
Harried	8	44	2	Kone	USAFI Cert

47 PERMANENT AGGREET FON LLILING POLPOSEZ AFITH SEPARATION (SL.,	R.F.J. City. County and	Stato) 41 SIGNATURE OF PERSON BEING SEPARATEO
ZCX 6023 Callpatria Calif

DD
FOAM
MLLE 214
EDITION OF 1 JAK DO IS CASOLETE.
6023 Callpatria Calif

DD
FOAM
MLLE 214
EDITION OF 1 JAK DO IS CASOLETE.
INDIVIDUAL'S COPY (TO BE DELIVERED TO THE INDIVIDUAL BEING SEPARATED)
1
DB Cooper-37937
77
DOCUMENT KG.
RECORDED REQUEST OF
AR Oxamer
ISS6 FEB 13 PM- 4 : 47 BOOK 929 PA:501 OFFICIAL REV.I'S IMPERIAL COUNTY. CALIF. EVALYN B. WESTERFIELD COUNTY RECORDER NO FEL 20
WLL-
INDEXTO
I HEREBY CERTIFY THAT THIS IS A FULL TRUE AND CORRECT COPY OF THE DOCUMENT RECORDED IN THIS OFFICE, BOOK 929 PAGE 50/ OFFICIAL RECORDS. EVALYN B. WESTERFIELD, COUNTY RECORDER. COUNTY OF IMPERIAL.
DATE
FEB 1 6 1956
BY
QU'at &T & RMAIPI
'12,
MONTH rob
TEX
bl fro A )
34:150155
FIXO 3CAITO
" REGISTERED
PAT
E.M: ..
*17A
TEAM
4 1444 32 73
14 SELECTIVE HERVICE LOCAL BOARD MONDIR ICTÊM, LOKNIy, SURLE)
+144
EL Contro Leperial do calif
T ETVE GF SEPARATION
VIVO NOPAYNYAJS

LMAML.RAWFILFALAR	REPORT OF SEPARATION FROM THE	FiFARMER
ARMED FORCES OF THE UNITED STATES

INSURANCE AND PAY DATA
PERSONAL DATA
PROM
1950
70
1952
DEPITY
b6
6/9/76
b6 b7C
Ale per 7483 DB Cooper-37940
5-603
SE 164-81-1A
KEEP ATTACHED TO EXHIBIT
Charles Thomson
Patriot
U.S.Postage ? !
Federal Bureau of Investigation 342 Main St. Danbury; Ct. 06810
AMERICAN CANCER SOCIETY
GIVE STRIKE BACK AT CANCER
9461 Nd. 1 JUN 7 JANBURY, CF
b6
b7C
DB Cooper-37941
611/76I.E. SKYJACKING Northwest Boeing 727 several yearsb6 ago by passenger D.B. COOPER I believe b7C New Fairfield, Ct matches the
may be the infamous D. B. Cooper. discription, he has flown the 727 as a crewman and knowns the operation of the airstairs and has parachu te training having been a USAF pilot. He has financia: holdings in Mexico unreported. His expenditures far exceed his income. In recent years he has purchased
$ 65.000 $112,000 $7,000 auto$4. b6
snowmobiles b7C . 
Also he has had much expensive work done . He has made some statments about the NW inciden' about the exact date the statue of limitations occure: that only a person in the know would know. one night made the statement that she knew something about him which would put him away for good if she told.
one night made the statement that she knew something about him which would put him away for good if she told. Danbury News Times personel if you want more inf 'DB Cooper-37942FD-340 REV. (6.24.65)
Auk 902 604
SE 164-81-14
File No: SL 164-63 1A
Date Received 5/2/77
From
b6 b7C
(ADDRESS OF CONTRIBUTOR) Mexico, Mo.
Llevas Az
To Be Returned Yes Receipt Given Yes X No No
Description : 1 photo of RICHARD VINCENT CHATHAM Re St. Louis airtel to Seattle, 5/9/77
seuser 7497
DB Cooper-37943DB Cooper-37944SL 164-63
Richard Vincent Chatham taken with his mother in
10/67 604
164-81-1A
CIC :: 70₫
DB Cooper-37945FO-340 REV. (6-24-65)
File No.
164-81-1A 
605
b6 b7C
Date Received
From
(NAME OF CONTRIBUTOR)
{ADDRESS OF CONTRIBUTOR)
(CITY AND STATE)
(NAME OF SPECIAL AGENT)
To Be-Returned Yog Receipt Given Yes. 'No. No
Description :
WF from
b7Đ
US Postal Service
per ser 7527
DB Cooper-37946PLEASE POST
Case No.
No
Description :
WF from
b7Đ
US Postal Service
per ser 7527
DB Cooper-37946PLEASE POST
Case No. 242-90434-F FBI-No. 142 798-H CII No. 3 908 182 May 18, 1973
U. S. POSTAL SERVICE Office of Inspector in Charge San Francisco, CA 94101
PLEASE POST
Fingerprint Classification 19 L 1 R 100 16 M 9 R 100 16
WANTED
Potent. 2 Por
SIGNATURE OF PERSON FINGERPRINTED
FOR MAIL FRAUD ROBERT LEWIS ROSE
DESCRIPTION: Male, Caucasian, DOB: 01-30-47 at Modesto, CA, 5' 11", 170 lbs., brown hair, blue eyes. OCCUPATION: Pilot, Crop Duster
VIOLATION: ROBERT LEWIS ROSE was indicted by a Federal Grand Jury at Sacramento, CA on 04-18-73 for violation of 18 USC 1341.
UNITED STATES MARSHAL AT SACRAMENTO, CA HOLDS WAR- RANT FOR THE ARREST OF ROSE, Rose is known to frequently travel between CA and Vancouver, Canada. If located please cause his immediate arrest and notify the undersigned for the nearest Postal Inspector COL- LECT by telephone or telegraph.
POSTAL INSPECTOR IN CHARGE San Francisco, CA 94101 Tel: 415-556-2098
022-201 alldd5

1.
POSTAL INSPECTOR IN CHARGE San Francisco, CA 94101 Tel: 415-556-2098
022-201 alldd5

1. RIGHT THU	INDEX	3. NICHT RIGOLE	4. RIGHT RING	5. RIGHT LITTLE
DB Cooper-37949
IDOLE	10. LEFT LITTLE

GPO 802-737
164-81-100605U. S. POSTAL SERVICE CHIEF INSPECTOR'S DEPARTMENT OFFICIAL BUSINESS
PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE. $300
U.S. MAIL
DB Cooper-37950FD-340 REV. (6-24.65)
File No. SEATTLE 164-81-/A-
Date Received 3/10/27
From MINNAWELL.
[NAME OF CONTRIBUTOR}
(ADDRESS OF CONTRIBUTOR)
(CITY AND STATE
[NAME OF SPECIAL AGENT)
To Be Returned Yes Receipt Given Yes
X A No No
Description :
Two photographs of and list of furloughed NHA pilots (2).
Devoer 7548
b6 b7C
b6 b7C
b6 b7C
DB Cooper-37951164-81/0600
164-81-14606 b6 b7C
DB Cooper-37957FD-340 REV. (6-24-55)
2
b6 b7C
In(60)
File No.
Devoer 7548
b6 b7C
b6 b7C
b6 b7C
DB Cooper-37951164-81/0600
164-81-14606 b6 b7C
DB Cooper-37957FD-340 REV. (6-24-55)
2
b6 b7C
In(60)
File No. 164-81-7479
Date Received 5/17/07
From
DMV
THYADIE OF CONTRIBUTOMT b6
b7C
(ADDRESS OF CONTRIBUTOR) (
Ariers Liciones Olimpia SC
(NAME OF SPECIAL AGENT)
To Be Returned Yes Receipt Given Yes No No
Description:
copy of Drivers Leven of
b6 b7C
DB Cooper-37958DEPARTMENT OF MOTOR VEHICLES DRIVER RECORDS
Date
5-11-77
The attached photostatic copy of the Washington State Driver's
License/Identification Card/Instruction Permit was issued
on
8-8-75
DR-552-6 B/W Photo Issue Date (R/9/75)
164-81-17(607)
b6 b7C
DB Cooper-37960FD-340 REV. (6-24.65)
ENCLOSURE TO SEATTLE SE 164-81-4
1A 608
b6 b7C
File No.
164- 111
Date Roadiund
6/8/77
From
b6 b7C
(ADDRESS OF CONTRIBUTOR)
SAN Diego, CALif
To Be Returned Yes Receipt Given Yes No No
' Description : 78 395 + Pm Interview Forg.
REU DEL 7563
DB Cooper-37961 608
SE
144-81-14
KEEP ATTACHED TO EXHIBIT
Person interviewed
Place interviewed
45.
REU DEL 7563
DB Cooper-37961 608
SE
144-81-14
KEEP ATTACHED TO EXHIBIT
Person interviewed
Place interviewed
45. MARSHALLS' OFFICE
Date interviewed
6/8/77
Time interview began
8:33 AM
Time waiver presented
9:34 AM
Time waiver. signed
Not Signed 9:36AM
Time statement commenced
N/A
Time statement ended
N/A
Time interviewee read statement
H/A
Date and time arrested
NOT arrested.
Place arrested
Arresting officers
"
Requests-complaints-action taken:
Time interview ended!
9:40AM
Signed:
Name
Title Data
Special Agent, LAI, SATX 6/8/77
SA, FBI, Acuantonio, Dal 4/5/72
b6 b7C
b6 b7C
DB Cooper-37962PD-395 (Rev. 10-10-67)
INTERROGATION; ADVICE OF RIGHTS
YOUR RIGHTS

Place	SAN ANTONIO, TX
Date	6/8/77
Time	9:34 AM

Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make a statement and answer questions. I do not want a lawyer at this time. I understand and know what I am doing. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me.
adamil of above b6
deccomail. Tto weare one wanie rights. bTC stated he did not wish toigned la interviuul & JAI.
Witness
Special Agent, FBI, SATX 6/8/77
Witness
A, FBI, Aman Cantonio, Tax. 6/8/77.
Time: 1: 36 Am.
DB Cooper-37963FD-340 REV. (6-24.
Witness
Special Agent, FBI, SATX 6/8/77
Witness
A, FBI, Aman Cantonio, Tax. 6/8/77.
Time: 1: 36 Am.
DB Cooper-37963FD-340 REV. (6-24.65)
ENCLOSURE TO SEATTLE SE 164-81-1A 609
b6 b7C
File No.
164- 111
Date Received
6/8/77
From
{NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
1
b6
b7C
To Be Returned Yes Receipt Given
Description : Yes No No
Agentes Notes
24 2CL 7563
DB Cooper-37964 609
SE 164-81-1A
KEEP ATTACHED TO EXHIBIT
9 23 9.4
W/M.
6'2 225 4. Brn. HAZEL Eyes. Moustachle -
SAN Diego CALIf. Usual BerChten
Over 904 - Dissement interviene
b6 b7C
b6 b7C
DB Cooper-37965FD-340 REV. (6-24-65) 610
164-81-1A
File No.
164-81-7510
b6
b7C
Date Received
1/27/17
From
DMV Driveso Licenzio b6
b7C
{ADDRESS OF CONTRIBUTOR)
Olympic
SC
To Be Returned Yes Receipt Given Yes No No
Description : copy of DL of
b6 b7C
ACU. SeV 1510 DB Cooper-37966b6 b7C
DEPARTMENT OF MOTOR VEHICLES DRIVER RECORDS
Date
6-27-77
The attached photostatic copy of the Washington State Driver's
License/Identification Card/Instruction Permit was
E3-No-
Description:
1 cellus from
SUSPECT:
b6 b7C
Chandwriting super 1611
DB Cooper-37974KEEP ATTACHED TO EXHIBIT
KC 164-80-1A8
DB Cooper-37975164-81-1A 613
₪
5
DB Cooper-37976S
5
CUAVUES
Volume XVII No. 6 The New York State Credit Union League Jan .- Feb., 1973
NCUA Final Regulation Governing Records Preserva- tion Program Effective January 1, 1973
WE WELCOME OUR NEW MANAGING DIRECTOR DONALD K. COOPER
Donald Cooper was appointed Managing Director of the New York State Credit Union League, Inc., effective January 15, 1973.
Don comes to New York with twenty years of consumer finance experience, nine and a half years of which were spent in the small loan and discount fields where he received his basic training.
Realizing that a greater service could be rendered through credit unions, he started his credit union career with the East Moline Works Credit Union, East Moline, Illinois, as its first full-time Loan Officer.
Don was appointed as Assistant General Manager of the State Capitol Credit Union, St. Paul, Minnesota, to assist in the reconstruction of one of the country's largest credit unions to be taken over by a regulatory body because of prior mis-management.
Paul, Minnesota, to assist in the reconstruction of one of the country's largest credit unions to be taken over by a regulatory body because of prior mis-management.
After this credit union was well on its way to re- covery, and once again taking its place as a multi- million dollar credit union, Don accepted the chal- lenge of League work in North Dakota where he spent three and a half years as Managing Director.
Just prior to his arrival on the New York scene, Don completed a one-year tour in Uganda, East Africa,
(Continued on page 3)
The provisions of the new regulation are as follows:
1. The Treasurer of the credit union must develop and maintain a records preservation program (RPP) to include off-site storage for duplicate vital records at a place sufficiently removed from the location of the credit union. The responsibility for the RPP may be delegated to the person who manages the day-to- day operations of the credit union.
2. The RPP must be developed by May 1, 1973, or four months after date of credit union's share insur- ance certificate, whichever is later.
The RPP must be developed by May 1, 1973, or four months after date of credit union's share insur- ance certificate, whichever is later.
The initial set of duplicate records must be sent to the off-site Vital Records Center (VRC) by July 1, 1973, or six months after the effective date of the credit union's share insurance certificate, whichever is later.
3. Thereafter, credit unions using Electronic Data Processing (EDP) shall send duplicate records to the VRC on a quarterly basis and mailed no later than the 30th day of the following month.
Non-EDP credit unions shall also prepare and send duplicate vital records to the VRC on a quarterly basis to be mailed by the 30th day of the following month.
4. Duplicates of the following vital records must be stored:
a. A listing of member's share and/or deposit and loan balances.
b. Member's account number.
c. A financial and statistical report as of the record- clate.
d. Credit unions using EDP which maintains its members' share and/or deposit and .loan ledgers on a data processing system shall be deemed to have met the requirements of this (Continued on page 6)
164-80-101 8
)

Item	Date Filed	Disposition
613	2/05/2	La state Pen litter ata 4/6/22
614	1/25/20	lispo, Phoenk litter atd 5/25/2
615	8/18/17	Plat $	b6 b7C

616
8/11/11
Vital Organs levende diaz Herren (Aut 882)
2017
8/18/17
Photos As
luije
618
7/20/22
3 copies al militare sus procenta. Do
619
1/27/77 Photo of
620
10/1/12
Photos as
b7C
621
/20/20
Invest notes Kt interieur
622
10/2/20
@gy of let of
Z
datei/ 7/10/27
123
1/1/72
Photos of
1/2/77
Interieur notes NÍ
626
"bam
Waiver of rights & interviene by for Vernice a Hofthe
627
1/29/77
advice of rights + interview los for
b7C
628
12/3/1
Interview notes se io
629
1/6/78
Photoonez af Donald Cmore Tunel
630
1/6/78
bateria bog for
DB Cooper-37993
164-81-17
₹
SEARCHED SERIALIZED JUL 2 5 1977
FBI
b6 b7C
b6
624 626
1/21/72
Photo of
b6FD-340 REV. (6-24.65)
164-81-1A 613
File No.
Donald Cmore Tunel
630
1/6/78
bateria bog for
DB Cooper-37993
164-81-17
₹
SEARCHED SERIALIZED JUL 2 5 1977
FBI
b6 b7C
b6
624 626
1/21/72
Photo of
b6FD-340 REV. (6-24.65)
164-81-1A 613
File No. 164-80-100
Date Received 3/06/96
From
INAME OF CONTRIBUTOFO
b6
FRC
b7C
(ADDRESS OF CONTRIBUTOR)
Remo
SCB,
To Do Returned Yos Rocelpt Givon Yes to No
Description :
La State Pen. Letter dated 4/6/12
Deuper 1611
DB Cooper-37994

LOUIS M. SOWERS
Director of Corrections

LOUISIANA STATE PENITENTIARY UNIT OF THE DEPARTMENT OF CORRECTIONS Angola, Louisiana 70712
JOHN J. McKEITHEN Governor April 6, 1972
10-29- 06
C. MURRAY HENDERSON Warden
b6
b7C
Records Office Federal Corredtional Institute Terminal Island Los Angeles, Calif. 90000
NO RECORD
RE:
ISP:
RACE: White Male
YOUR :
YOUR NO:
Dear Sir;
The above named man was received at this institution on
to serve a term of for the crime of
We have information that he was confined at your institution from
So that we may errectively plan for this inmate from the standpoint of custody, discipline, work, and all other
man was received at this institution on
to serve a term of for the crime of
We have information that he was confined at your institution from
So that we may errectively plan for this inmate from the standpoint of custody, discipline, work, and all other phases of training and treatment, we will appreciate your sending us copies of any classification, social history, medical conduct, or. any other reports available to you, which will reflect his past history and adjust- ment at your institution. If complete reports are not available, please furnish information regarding the items specified on the reverse of this letter.
b6
b7C
To be of maximum value to us, we need this information at the earliest possible date.
We appreciate your cooperation and will be glad to reciprocate upon request.
Sincerely yours,
164-81-104613)
by :
CL-34
SEARCHED
wcc/ag-w Clas mut Find Apr 19, 1972
SERIALIZED
INDEXED. FILED
MAR26
FBI-KANSAS CITY
b6
b7C
DB Cooper-37995FD-940 REV. (6.24.65)
14 614) 
164-81-76
File No. 164-80-1A15
Date Racalved
From
FRC b6
(ADDRESS OF CONTRIBUTOR)
b7C
Kema
To Bo Roturned Yos Receipt Given Yoz Ho No
Description: U.
164-80-1A15
Date Racalved
From
FRC b6
(ADDRESS OF CONTRIBUTOR)
b7C
Kema
To Bo Roturned Yos Receipt Given Yoz Ho No
Description: U.S. P.O. Phoenix, letter dated 5/25/71
pul ser 7611
DB Cooper-37996KEEP ATTACHED TO EXHIBIT XC 164-80-1415
U.S. PROBATION OFFICE 6443 U. S. COURTHOUSE PHOENIX, ARIZONA 85025
Phoenix
25 May 1971
par May 20, 1971
G. S. Board of Parole 101 Indiana Avere NA Washington,-D. C .~~ 20537
SEARCHED
SERKALIZED. INDEXED FILED MAR26 % FBI -KANSAS CITY
REY
ReMand #
:
Report of violation
On was given authority to relocate from Long Beach, California to Beber, Arizona, where he was promised a job with Air-Land, Inc., operated by
Subject reported in as directed and advised he was the for the mentioned company, We wish to report the 'following violations of his releases
1.
2.
3.
DETAILS:
received a
three-year A-type sentence on
for a
He is also up for sentence in Denver, Colorado on
a
was convicted by the
State of California on
on or about
in Greeley, Colorado and El Monte, California. These have been traced to above casa pending pesi- .
DETAILS:
received a
three-year A-type sentence on
for a
He is also up for sentence in Denver, Colorado on
a
was convicted by the
State of California on
on or about
in Greeley, Colorado and El Monte, California. These have been traced to above casa pending pesi- . tive identification. The three subjects all left the Phoenix area on or about May 9 and their present whereabouts are unknown.
cont'd
DB Cooper-37997
b6 b7C
b6 b7c
b6 b7C
b6 b7C
b6 b7C
b6 b7c
b6 b7C- Wash. RE: ReMand
Page 2
Ltr to
25 May 71
According to the police department an all-points bulletin has been placed throughout the western states. Further, a police informant at Albuquerque, New Mexico stated that on believed to be a
In Albuquerque, were in
possession of
on
advised sha had seen
She further advised that
was
at in El Monte, California-
reportedly
per the
The police further advised that on visitor's register at visited for 1-3/4 hours, signing in as employer.
the above information was furnished by the Phoenix Police Department - and of the El Monta Police Department, El Monte, California.
It is respectfully recommended that a Parole Violator's Warrant be issued immediately.
U. S.
the above information was furnished by the Phoenix Police Department - and of the El Monta Police Department, El Monte, California.
It is respectfully recommended that a Parole Violator's Warrant be issued immediately.
U. S. Probation Officer
TSY:mb
cc: USPO Long Beach, California
USPO - Denver, Colo.
USP -
b6 b7C
b6 b7C
b6 b7C
b6 b7C
b6 b7c
b6 b7C
DB Cooper-37998£D.340 REV. (6-24-65)
b6 b7C
6/5
/A
File No.
164-81-7559
Date :R
17/5/77
b6
From
b7C
D.M.V Níveis Licences XADORESS, OF CONTRIZUTOR)
DIES I.V.A.
SCO
To Bo Roturned Yes
Receipt Given Yes No No
Description copy of Drivers License
b6
b7C
DB Cooper-37999DEPARTMENT OF MOTOR VEHICLES DRIVER RECORDS
Date
7-1-77
The attached photostatic copy of the Washington State Driver's
License/Identification Card/Instruction Permit was issued
on
3-3-77
DR-552-6 B/W Photo Issue Date (R/9/75)
DB Cooper-38000 b6 b7C
FD-340 REV. (6.24.65)
164-81-14 616
Sus 882
Filo No.
b6 b7C
FD-340 REV. (6.24.65)
164-81-14 616
Sus 882
Filo No.
164 -24/20123
Date Received
2/8/17
From
Licence DiBr
(NAME OF CONTRIBUTOR)
DriversLicense
-
(ADDRESS OF CONTRIBUTONU)
Santino SLC
To Bo Returned Yos Rocolpt Givon Yos Ho Ho Description : Utah driver license photo of Michael C. Hurrem.
(With bu letter to Scute . 8/1/7)
Deuser 7621
DB Cooper-38002FUT
UTAN OPERATOR'S LICENSE NO.
A314124
2
Expires om Berday
1930
08 391. 35-5-3000-€
mantão UTAN 9302
DIRIA CATE
8-26-49
WEIGHT
EYES
FROWN
LES
160
MOTORCYCLE LICENCE
ES
1
0
0-26-76
589-74-5319
-EMISSIONCO OF PUBLIC SAFETY
DB Cooper-38003
(801)-723-2451 MantrailFD-340 REV. (6-24-65) 617
File No.
164-81-1A
Date Received
8/4/72
From
Las Vegas
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
(CITY AND STATE)
(NAME OF SPECIAL AGENT)
To Be Returned 5 Yos Rocoipt Givon Yes No No
Description :
Photos of
Faxa
photos of Knife
Reser 7638
DB Cooper-38004
b6 b7C2
O
C
DB Cooper-38005DB
AGENT)
To Be Returned 5 Yos Rocoipt Givon Yes No No
Description :
Photos of
Faxa
photos of Knife
Reser 7638
DB Cooper-38004
b6 b7C2
O
C
DB Cooper-38005DB Cooper-38006FP-340 (REV. 6-24-65)
b6 b7C
File to.
164-81-1A (618 
Date Received
9/16/77
From
{NAME OF CONTRIBUTOR)
(ADDRESS OF, CONTRIBUTOR)
Indianapolis
(CITY AND STATE)
By
(NAME OF SPECIAL AGENT)
To Be Returned Yes No
Receipt given Yes Ho
Description:
Three copies of military pay vouchers for b6
b7C
5
Del Der 7667
DB Cooper-38008FO-340 REV. (6.24.65)
b6 b7C
SE 164-81- It 619
File No.
164-72
Date Received
9/14/77
b6
From
b7C
MIAMG OF CONTRIBUTOR FBIHQ
(ADDRESS OF CONTRIBUTOR}
WDC
(CITY AND STATE)
(NAME OF SPECIAL AGENT)
To Bo Roturned Yos Rocoipt Givon Yos Ho No
Doocription :
photos of
b6
b7C
Re Alexandria airtel to the Bureau, 9/15/77.
sel De. 7671
DB Cooper-38012

FD-340 REV. (6.24.65) If (620) File No. 164-811 b6 b7C Date Received 10/4/77 From MIAMI (NAME OF CONTRIBUTOR) (ADDRESS OF CONTRIBUTOR) {CITY AND STATE)
7671
DB Cooper-38012

FD-340 REV. (6.24.65) If (620) File No. 164-811 b6 b7C Date Received 10/4/77 From MIAMI (NAME OF CONTRIBUTOR) (ADDRESS OF CONTRIBUTOR) {CITY AND STATE)

(NAME OF SPECIAL AGENT) To Bo Returned 



Yos Receipt Given
Yos
No
No Doscription : b6 b7C PHOTO OF

Del De. 7678.
›DB Cooper-38014164-81-1A 620
164-81-A
620 
b6
b7C
DB Cooper-38016FD-340 REV. (6.24.65)
SE 164-81-1A (62) AT. 164-26-LA (5)
File No.
Dato Receive
b6
From 8A
b7C OR)
(ADDRESS OF CONTRIBUTOR}
2
To Bo Roturned Ycs Receipt Given Yos No No
Description :
b6
b7c
Questigativo Dites se interview
sat , 005/27/7).
Que Der . 7685
b6
b7C
DB Cooper-38017 b6 b7C
164-81-LA (628)
164-26 9-27-77
pep my sequential Time
b6 of talking to crew- of NW: b7C
don't read it wa comento were tape recorded - if there were anty tapes they would have obtained by the FBI.
b7C
DB Cooper-38017 b6 b7C
164-81-LA (628)
164-26 9-27-77
pep my sequential Time
b6 of talking to crew- of NW: b7C
don't read it wa comento were tape recorded - if there were anty tapes they would have obtained by the FBI.
b6 b7C
Linical months Was in contact with his - I was in Toledo, ohio .- (They TraG- 2) 1977 + 3128-411177.42/14-15/77 Jan 3-51 1977.
Unites Produção Stemin Orte
c/ hevc b6 b7C
Le led me astray auf referred that NWA - he had got o mr. Netop + NW actions to compute with them
next day .
DB Cooper-38018 he asked a number question - They were war on dilace + I un guarded. all the sunlige I keep was frumented the FBI he told me he and talked to crew & they were Computing- no way conducted b6 b7C
asked me if I could interested in being a technical adviser. - World nor do 10 wateris FBI w NWA authority
- tiempo de dia nor tel him anything of a confidential nature of Common Reality
Have his so cather since from
b6 b7C
DB Cooper-38019FD-340 REV. (10-1-76: 
SE 164-81-4 (622
File No. 164-26 la( 36).
Date Received 10/13/77
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
(CITY AND STATE)
SA
b6
(NAME OF SPECIAL AGENT)
b7C
To Be Returned.
Date Received 10/13/77
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
(CITY AND STATE)
SA
b6
(NAME OF SPECIAL AGENT)
b7C
To Be Returned. Yes
Receipt Given Yes
i No. No
Description:
One copy of letter of to
dated 7/10/77 b6 b7C
sec 09 7685
b6
b7C ৳7D
DB Cooper-38020SE 16-81-14(622) KEEP ATTACHED TO EXHIBIT
July 10, 1977
b6 b7C
United Productions Ltd. 3921 Deervale Dr. Sherman Oaks, CA 91403
Dear
›
Several months ago you called me in Toledo, Ohio relative to the "D.B. Cooper" skyjacking case.
In response to your questions I gave you some limited infor- mation on the incident. It was my understanding from your conversation that you were soon to meet with Mr. Nyrop of NWA and that you had, or expected to receive, NWA's blessing and cooperation on the film you intended to produce.
I indicated, based on the above, that I would be interested, pending further information, on helping you with the intended project.
I have since learned that Northwest is not interested in the project and are in fact very much opposed to it.
I have since learned that Northwest is not interested in the project and are in fact very much opposed to it. On that basis I could not participate in any way in the project and I further request that you do not use any of the information I gave you on the phone in connection with my name.
In view of Northwest's feeling about the project it could be very difficult for me if you were to use my name in any way in connection with furnishing of information or cooperating with you on the project.
I am sorry the circumstances are such but know you will re- spect my wishes.
MT
b6
b7C
9-27-716 DB Cooper-38021
b7C FD-340 REV. (6.24.65) 623
IA
File No.
164-81
b6
b7C
Date Received
From
MC NEIL IS PAN
(NAME OF CONTRIBUTOR) \
(ADDRESS OF CONTRIBUTOR]
TACOMA ICACH
(CITY AND CYATE
b6
b7C
GENT)
To Be Returned Yas Receipt Givon Yog No No
Description :
PHOTOGRAPHS OF
b6
b7C
All Les, 7701
DB Cooper-38022FD-340 REV. (10-1-76:
164-81-1A (624)
File No.
(CITY AND CYATE
b6
b7C
GENT)
To Be Returned Yas Receipt Givon Yog No No
Description :
PHOTOGRAPHS OF
b6
b7C
All Les, 7701
DB Cooper-38022FD-340 REV. (10-1-76:
164-81-1A (624)
File No.
164-91
Date Received
10-31.77
From
INAME OF CONTRIBUTOR) b6
b7C
(ADDRESS OF CONTRIBUTOR) Ichamandy, Ca
SYATE)
CIAL AGENT)
To Be Returned Yes
Receipt Given Yos No No
Description:
agents aring
notes centerin with
b6 b7C
b6 b7C
de La 7715
DB Cooper-38027b6 b7C
124-81-14 (62) 10-31.77 624
(FR) Cada1 1 ; [1
1906 F 05Bd
John Mc Mica (AA)
armand comple que
N1 15 Jan South - Conti for
L Essex fitt automation Put die B P 6233 Ccand Lare Ceta mind
-A 3 Lesdirman of Chite Cacherdags
3B
+ barthe Lapago Conbaty CovenTri Lt
He Ca brach. com ana
Here-mindbuti
An pas 4-5 to.
DB Cooper-38028Day has Lo Haen LA
777 Mission, L.A. - (1 habpendant tv) b6
b7C
can get Ju dah
La.
Genetica If get for the ask for
atalanta Lui
1 -the tet / Scamp esta
1972- 0125 73 Hid menty b6
. b7C
di -/-
Ha laid off a de andthe till my why do not read. He red twee a propios him ,
DB Cooper-38029 1
2
(prob 43) An war 2 - Set (red)
www.
b7C
di -/-
Ha laid off a de andthe till my why do not read. He red twee a propios him ,
DB Cooper-38029 1
2
(prob 43) An war 2 - Set (red)
www. Bailed out. pour.
donot exactly , mr. Red Ein fl
oct (pas. 44) .
b6
b7C
Nagy
He and the
b6 b7C
Either stuff
was / pecting on po part of it
Lagen Chip jeho
b6
b7C
DB Cooper-38030If trans figurete
my last week - hu lot pos = exem at yspread 200- 300the$6,00 Anticipating /day pending
type - Laterality
$ Lidt spend it. Sauhet tintor 5
rg - metil dilection - comp in com,
Sup.
Afin Se. com
2 molhe ant compte
3 Hod veiledant ( time of year
allah cent of het huis at/ Se. -/ck.
& not hom bach. Manca / cash $.
DB Cooper-380313'
778-185
b6 b7C
5.10-5.11 - Oh La- Wash planting 5 thmin that punte 4
35
Hanno Sono - 220073.
is not book Line age. Look 47-48
digel abassi
Contante ich, 20 200 Adable - Sd Land MC.
shocked today- ground
lation -wan
silny - but peace & co lunghe
Fand - 4 cm. any / La land,
that Cim Clif at /tim
DB Cooper-38032Data - 1 coment.
Slept.
Samla bindía - fotos
fondant not quite as his want
Both of met gehen very Rada
Detaily want to - email
Amigos-
And let of rome- you could
Samla bindía - fotos
fondant not quite as his want
Both of met gehen very Rada
Detaily want to - email
Amigos-
And let of rome- you could see in his
approach to and.
DB Cooper-38033FD-340 REV. (6-24-65)
File No. 164-81-14 (625)
Date Received
11/3/27
b6
From
(NAME OF CONANDICKY
b7C
QMV - Quenses
(ADDRESS OF CONTRIBUTOR) Olimpia WA
Sel

To Be Returned	 Yes:	Receipt Given	 Yes
 No	 No

Description :
copy of @ hot
b6 b7C
b6
b7C
DB Cooper-38034FU-340 REV. (6-24-65)
sieb 788
626
164-81-LA
12
File No.
164-136-TA
Dato Received
10/19/76
From
Venue-Hallte
(NAME OF CONTRIBUTORY
1407 Universite
(ADDRESS OF CONTRIBUTOR)
Raquette La
*
b6 b7C
To Be Returned Yos
Receipt Given Yes No No
Description: Waiver of Rights and Interview Long for Vernice A. Hoffe
DB Cooper-38036FD-395 (Rev. 10-10-67)
INTERROGATION; ADVICE OF RIGHTS
YOUR RIGHTS
SE 164-81-14 626 KEEP ATTACHED TO EXHIBIT

Place	Lafayette
10-10-67)
INTERROGATION; ADVICE OF RIGHTS
YOUR RIGHTS
SE 164-81-14 626 KEEP ATTACHED TO EXHIBIT

Place	Lafayette La
Date	10/19/76
Time	11:01 AM

Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make a statement and answer questions. I do not want a lawyer at this time. I understand and know what I am doing.
9-23-66)
VOLUNTARY APPEARANCE; ADVICE OF RIGHTS
YOUR RIGHTS
Before we ask you any questions, you must understand your rights. You have the right to remain silent. Anything you say can be used against you in court. You have the right to talk to a lawyer for advice be- fore we ask you any questions, and to have him with you during questioning. You have this right to the advice and presence of a lawyer even if you cannot afford to hire one. We have no way of giving you a lawyer, but one will be appointed for you, if you wish, if and when you go to court. If you wish to answer questions now without a lawyer present, you have the right to stop answering questions at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER
I, have come to
b6 b7C
the NEW ORLEANS Office of the Federal Bureau of Investigation (FBI) of my own choice to talk with Special Agents of the FBI about a crime which they are investigating. I know that I am not under arrest and that I can leave this office if I wish to do so.
NEW ORLEANS Office of the Federal Bureau of Investigation (FBI) of my own choice to talk with Special Agents of the FBI about a crime which they are investigating. I know that I am not under arrest and that I can leave this office if I wish to do so.
Prior to any questioning, I was furnished the above statement
of my rights at 10:25 AM on 9-28-73
(time) (date) at NEW ORLEANS LA.
(place)
by Special Agent of the FBI. I have (read) b6 b7C (had read to me) this statement of my rights. I understand what my rights
are. I am willing to answer questions and make a statement. I do not want a lawyer. I understand and know what I am doing. No promises or threats b6 b7C
have been made to me and no pressure of one kind how har ward aminat me
Signed
SE 164-81-14(62) E 164-81-14 (627)
10:28 AM 9-28-73 NEW ORLEANS, LA. KEEP ATTACHED TO EXHIBIT
time) (date)
Witness
(place) Specialagent, F. B. I. New Orleans, du, 9/28/23
Witnes
Special agent, FBI, New Orleans, Za. 9-29-13.
DB Cooper-38040INTERVIEW LOG
9- 28.73 NEW ORLEANS, LA.
APPEARED AT THIS NEW ORLEANS FBI OFFICE
TO BE INTERVIEWED BY AGENTS
AND b6 - b7C
10:20 AM.
ARRIVED AT FOI OFFICE.
10:25 AM
ADVISED OF RIGHTS BY SA
b6
10:28 AM
WAIVED RIGHTS.
APPEARED AT THIS NEW ORLEANS FBI OFFICE
TO BE INTERVIEWED BY AGENTS
AND b6 - b7C
10:20 AM.
ARRIVED AT FOI OFFICE.
10:25 AM
ADVISED OF RIGHTS BY SA
b6
10:28 AM
WAIVED RIGHTS.
b7C
10:30 AM.
PHOTOGRAPHED BY SA
10:38 AM
INTERVIEW BEGUN,
10:59 AM " ENDED
11:02 AM
FINGERPRINTED BY SA
11:12 AM
DEPARTED E.R.I. OFFICE
b6
WITNESSED
SA, FBI, New Orleans, Ja. 9-28-23
b7C SA. F.B.7, New Orleans to, 9/28/20
DB Cooper-38041FD-340 REV. (10-1-76:
Seattle 164-81-1A(63)

File No. Date Received	164-181-1A4 1/12/20
From

(NAME OF CONTRIBUTOR)
LA BARDES AR CANTO1011PADL
b6
b7C
To Be Returned Yes
Receipt Given Yes No No
Description:
Auterne notes ne
b6
b7C
b6
b7C
Del
164-81-7733
DB Cooper-38042

KEEP	ATTACHED TO EXHIBIT
164-191-104

IN #

- LA(628) b6
11/17/27 b7C
LAUREL, MS.
No current Posto
VIENEO composites Not similiAR to ANYONE KNOWN TO HER.
DB Cooper-38044
2DB Cooper-38045DB Cooper-3804661
70
b6 b7C
DB Cooper-38047DB Cooper-38048
4NAME
donald Turner
ALLES
164-34-1A5
SEX RACE
SOE
DOB
WEIGHT o
HEIGHT
HER
EYES
SCARS & MARKS
164-81-14/629
DB Cooper-38049FD-340 REV. (10-1-76:
164-81-A 630
11
File No. 164=34=TA
Date Received 6/27/77
From
{NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR]
To Be Returned Yes
Receipt Given Yes No No
Description:
interview log for
.
b6 b7C
b6 b7C
b6 b7C
DB Cooper-38050Selma, al. 6/27/77
interview Log
b6
b7C
Person interviewcal .. denterminal by: SA'L and.
denterminal at .
advised of rights and provisions of Fraud against Government statut 10:15 Am
Shown a waiver of rights for which he read and started to understand: 10:16 AM
Signal form 10:20 AM
determin Regan : 10:21 Am
antennino endel : 11:28 Am
witamqueste made during internais: None SA, FBI, Montgomery, alu 6/21/2) b6
SA FOI, Ł .€
* b7C
SE 164-81-1A(630) KEEP ATTACHED TO EXHIBIT
DB Cooper-380511
(Tide)
(File No.)
Item
Dare Filed
Disposition
631
1/6/78
Waiver of rights forma ne
632
1/6/78
Sol Brent noter
11
F
633
1/27
Photo of
Un 12/17
634
7/7/78
March of rights
Life
635
2/2/78
Interviewlog
/1.
)
Item
Dare Filed
Disposition
631
1/6/78
Waiver of rights forma ne
632
1/6/78
Sol Brent noter
11
F
633
1/27
Photo of
Un 12/17
634
7/7/78
March of rights
Life
635
2/2/78
Interviewlog
/1.
11
1
d
1
636
2/6/28
PhotoofRichard 7 Schwandt, Der auf
700
637
2/2/18
Copy of anestrecord
1. 7.
"
638
2/2/78
Device of rights-
Dec 2min
vol sub- Q
b7C
639
/2/78
Interven era .
K
"
640
76/8
Photoas
641
2/2/08
Photos
6.42
3/2/78
Photo of.
Then
5/12-
643
3/03/7
advise fright-alvin Carter Hartley -Si
1,437
644
11
1,
0
1
10
1
645
2)
Latencia boy › , ,
₺
N
646
11
Copy of birth certificate # 691 Jerry arthur Cooper-Sub 781
697
4
Photo of
пив-А.
b6
b7C
648
4/3/20
advise of rights ,intervindo
164-81-14
DB Cooper-38052
16
b6
b7C
C.
FD-340a (Rev. 3-12-74)
b6
b7C
b6FD-340 REV. (10-1-76:
b6 b7C
164-81-1A (63) 
File No. +64 -34-1A2
Date Received 6/27/12
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
b6 b7C
To Be Returned Yes
Receipt Given Yes No No .
Description:
Wavier of rights for
for
b6 b7C
DB Cooper-38053FD-39S (Rev. 10-10-67)
INTERROGATION; ADVICE OF RIGHTS YOUR RIGHTS

Place	Selma	ala.
10-10-67)
INTERROGATION; ADVICE OF RIGHTS YOUR RIGHTS

Place	Selma	ala.
Date	6/27/77
Time	10:16	AM

Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make a statement and answer questions. I do not want a lawyer at this time. I understand and know what I am doing.
I am willing to make a statement and answer questions. I do not want a lawyer at this time. I understand and know what I am doing. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me.
Signed X
b6 b7C
Witness:
SA, FBI, Montgomery, als. 6/21/17
Witness:
SA FBI, Montgomery, Ale. 6/27/77
Time: 10:20 AM
SE 164-81-14 (63)
KEEP ATTACHED TO EXHIBIT
DB Cooper-38054FD-340 REV. (10-1-76:
b6 b7C
164-81-A (632) 
File No. 164-34-1A 13
Date Received 6/27/72
From (NAME OF CONTRIBUTOR}
(ADDRESS OF CONTRIBUTOR)
b6
b7C
To Be Returned Yes Yes No
Receipt Given No
Description:
directigutes notes
DB Cooper-38055b6 b7C
at
302
8/27/77
citatet 6/29/17
b6
b7C
6/27/77 SE 164-81-14(632 KEEP ATTACHED TO EXHIBIT
Montrant olympic - stayed at Holly dm - downturn motel
نيه ميسسعيد
b6
b7C
1st part of June ... 1976
9 went nuit
2
b7C
b6 outside fairground 16.12 years all saluting
male arrangement to met - her that sugit - she wanted to be taken out to form guy from states was brought land
DB Cooper-38056Bur cioal calar 4500 ft.
12 years all saluting
male arrangement to met - her that sugit - she wanted to be taken out to form guy from states was brought land
DB Cooper-38056Bur cioal calar 4500 ft. all bain
Tout out to form -6-7 other gul
do vail man had liganche plane. jumper out quer Demir
2 homes carrinho.
anato boas before woher hours.
have facedword
af to right
left Mantried on Huy 25 Jarig north Huy 25 gor
(5 mil) under 640 - Aluguel on 25 until it comer 7-8 mit 8th aurore
341 tool
left on 341 - want 2-3 milen 34% -
23: 2020 2acties sign
on an pavel wand hal mã O AKCE.RD (it um dank)
farmhouse- 12 mil dawn word on left ban vid - only one down. rood :
DB Cooper-38057barn & have whit . Frau han bug have 10 room for barn
she went tocl to get duffle boy ready to be touch & Maler
resemble quy
all together 3-4 give
autres ihren
who hans b6 b7C
introduit Cumul anka what.
Tanul to talk girl out of beans un montmel
DB Cooper-38058the sand man was bigcities.
Louis Eluso
track want me then in guy
fint she said he had bought it thema . a la mented it
qual it un couper
Wm lait 30m 5'9 ' 5'10 165- 170 Dank Pen Back- Mulder Tempen partiel in front- neat go thee - changed all around it
a la mented it
qual it un couper
Wm lait 30m 5'9 ' 5'10 165- 170 Dank Pen Back- Mulder Tempen partiel in front- neat go thee - changed all around it mutande went into mobileme A Northern accent
DB Cooper-38059meaning. jean shirt levi type - jean hard wing tigeque chever hand military would lung for military + weg tem
jas type danke completando
feature of fore hand looking chicken feet
well built week that.
spike way intelliquety -. had piju in parket.
entrer ihateus or enchan Complexion
hand girlfriend - Und hen und her for quite what DB Cooper-38060 could have passed for middle 80'hused word anamonty several times very intelligent
no profan language.
angry unto graf - showund no emitir- would have bom good.com
WF age 16 95 -100
way. allanto 54
dyret. Bland
b6 b7C
at timo cooper on TV and new can't semente
DB Cooper-38061ED:340 REV. (6-24-65)
b6 b7C
File. No. 164-81-14 633
Date. Received 1/11/78 1
b6
From.
(NAME OF CONTRIBUTOR} DMV - Drives Licenzio
b7C
(ADDRESS OF CONTRIBUTOR) Olemia WA
Le
{NAME OF SPECIAL AGENT]
b6 b7C
then alim

To-Be Returned		Yes	Receipt Given
Place
Dallas Texas
€

Date	2-16-72
Time	3:27 pm

Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make a statement and answer questions. I do not want a lawyer at this time. I understand and know what I am doing. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me.
Witness
Witness
Time: 3:28pm
Signed declined to sign b6 SAFBY but sind he worked 170 Dalles answer questions
SAREI Dallas- Freely+ Voluntarily.
164-191-1A
Date Received
2-28-74
From
Dallas SO
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
By SC
b6 b7C
To Be Returned Receipt given No Yes Yes No
Description:
Photo of
Richard Frank Schwandt
DB Cooper-38069DB Cooper-38070 Richard Frank Schwandt
164-191-1A" DB Cooper-38071FD-340 REV. (6-24-65)
pub 700
169-81-637 
File No.
164-191TA-
Date Received
2/22/74
b6
From
INAME OF CONTRIU TORI
b7C
troms PD
(ADDRESS OR CONTRIBUTOR)
Toamna tex
By
To Be Returned Receipt given Yes Yes NO No
Description:
Copy of appest
Record du Richard
F. Schwandt.
. DB Cooper-38072NOTICE OF ADULT PROBATION DALLAS COUNTY CRIMINAL DISTRICT COURTS DALLAS, TEXAS
DATE
March 13, 1972
NAME
SCHWANDT, RICHARD FRANK
ADDRESS
Box 112, Clearwater, Minn.
SEX
M
RACE
₩
AGE
27
DATE OF BIRTH
8-3-44
HEIGHT 612
WEIGHT 180
EYES
blue
HAIR
bind
COMPLEXION
EMPLOYER
OFFENSE
PWC
SENTENCE
2 years
COURT No
395th Judicial District
DOCKET No.
073-2907-KN
DATE OF PROBATION
3-10-72
PROBATION CASE No.
SEX
M
RACE
₩
AGE
27
DATE OF BIRTH
8-3-44
HEIGHT 612
WEIGHT 180
EYES
blue
HAIR
bind
COMPLEXION
EMPLOYER
OFFENSE
PWC
SENTENCE
2 years
COURT No
395th Judicial District
DOCKET No.
073-2907-KN
DATE OF PROBATION
3-10-72
PROBATION CASE No.
7-72-532
b6
PV
b7C
PROBATION OFFICER
FBI No.
DPS No.
1,486,738
SO No.
173702
DPD No
NU (Prob 12084)
REMARKS
Form 69 -94
POLICE DEPARTMENT - DALLAS, TEXAS
17439
Below Blue Line
Pd. Red. #3636
Disregard
$53.00
ATTEST:
TOM E. ELLIS, County Clerk
4-14-72
Deputy
b6 b7C
By: -
DSO
209 520
DPD
DPS
FBI
681 111 C
DB Cooper-38073WILSON E. SPEIR Director
THE STATE OF TEXAS DEPARTMENT OF PUBLIC SAFETY AUSTEN
Form 6
The following is a transcript of the record, including the most recently reported data, as shown in the files of the Hentification & Criminal Records Division concerning DPS# 1,486,738
FPC: 17/ S 9 U IOI 15 L 2 U IOI 15
Joel Tisdale, Chief identification & Criminal Records Division

ARRESTED OR RECEIVED	CONTRIBUTOR OF FINGERPRINTS	NUMBER	NAME	CHARGE	DISPOSITION
10-11-68	Dallas, Tex.	SO#173702	Richard Frank Schwandt	Drunk &
FPC: 17/ S 9 U IOI 15 L 2 U IOI 15
Joel Tisdale, Chief identification & Criminal Records Division

ARRESTED OR RECEIVED	CONTRIBUTOR OF FINGERPRINTS	NUMBER	NAME	CHARGE	DISPOSITION
10-11-68	Dallas, Tex.	SO#173702	Richard Frank Schwandt	Drunk & Disorderly
7-18-69	Dallas, Tex.	SO#173702	|Richard Frank
Schwandt	Pass. Worthless Checks, Dist. Peace
2-28-72	Dallas, Tex	Kos
SO/173702	|Ric Frankie Schwandt	Prob Viol, PWC (2)
MAR 1 5 1972

' Representa notatione unsupported by LincrisHints. DB Cooper-38074
For completion of out records, please supy sy dispositions to this. Bureau in any ! the foregoing cases where they do not appear.J. H. Kitching, Chief, Bureau of Identification and Records
BILL DECKER, SHERIFF ALLAS COUNTY, TEXAS
Form 138
Page
1
NAME
SCHWANDT RICHARD FRANK
Race &
Sex
WM
DOB 8-3-44
ALIAS
DSO #
173702
DPD #
DPS #
1,486,738
FBI #
The following is a
Identification and Records
BILL DECKER, SHERIFF ALLAS COUNTY, TEXAS
Form 138
Page
1
NAME
SCHWANDT RICHARD FRANK
Race &
Sex
WM
DOB 8-3-44
ALIAS
DSO #
173702
DPD #
DPS #
1,486,738
FBI #
The following is a transcript of the record of the above named subject as shown in the files of the Bureau of Identification and Records.

ARREST CARD #	ARREST DATE	CHARGE	DISPOSITION	RELEASE DATE
450004	10-11- 68	DRUNK & DISORDERLY	XPATHX 25XXXXXXXX PAID FINE IN JAIL OFFICE	10-12-68
474907	7-18-69	Passing Worthless Check #CCr68-765-C H/F DeSoto PD	Posted $300.00 bond.
7-18-69
Disturbing Peace	$25.00 fine pd in J/o.
-518473	8-13-70	Pass worthless checks CCR68-765-C	60 days Jail, $100 fine, $45 cost (PROBATED TO 2-13-71) Paid Cost	8-13-70
FE
581207	2-28-72	PASSING WORTHLESS CHECK
ARREST CARD #	ARREST DATE	CHARGE	DISPOSITION	RELEASE DATE
450004	10-11- 68	DRUNK & DISORDERLY	XPATHX 25XXXXXXXX PAID FINE IN JAIL OFFICE	10-12-68
474907	7-18-69	Passing Worthless Check #CCr68-765-C H/F DeSoto PD	Posted $300.00 bond.
7-18-69
Disturbing Peace	$25.00 fine pd in J/o.
-518473	8-13-70	Pass worthless checks CCR68-765-C	60 days Jail, $100 fine, $45 cost (PROBATED TO 2-13-71) Paid Cost	8-13-70
FE
581207	2-28-72	PASSING WORTHLESS CHECK #CCr71-2349- PASSING WORTHLESS CHECK #C71-2907-KN PROBATION VIOLATION PASSING WORTHLESS CHECK #CCr68-765-C	REC 5 DAYS $50 FINE $108 COST CCC#1 SVD 37 DAYS REC .
2-28-72	PASSING WORTHLESS CHECK #CCr71-2349- PASSING WORTHLESS CHECK #C71-2907-KN PROBATION VIOLATION PASSING WORTHLESS CHECK #CCr68-765-C	REC 5 DAYS $50 FINE $108 COST CCC#1 SVD 37 DAYS REC .2 YEARS TDC PROB $10 COST PGBCT #195th REC 60 DAYS PROB $100 FINE $72 COST CCC#3 SVD 1 DAY ON F/C PD BAL $167 IN JO DB Cooper-38075

3-10-72

PROBATION DEPARTMENT CRIMINAL DISTRICT COURTS OF DALLAS COUNTY DALLAS, TEXAS ₡
Okt. No. C71-2907-KN
Name. RICHARD FRANK SCHWANDE
Address: Box 112, Clearwater, Minnesota
%
Wright County
Phone No. none
Race 4
Sex 14 Age 27
DOB 8-3-44
POB Rochester Mine
Employer. Plans to attend school
Address:
Phone:
Martial Status: S
M
W D.X Sep, Health: Good
Salary:
Description: 'Ht
612' Wt." 180 Hair Bind
Eyes Blue
Complexion Light
Scars-Marks-Tattoos
Right shoulder "U. S.A. ", Scars on left am.
Status
Freshman School at St. Cloud Univ., St. Cloud, MinReligion
None
MIl. Service: A X AF.
M N
CG From 8-4-61 To
8-3-64 ASN 17599781
Type Disc.
Honorable
Resources, Prop. Will attend school on G.
M N
CG From 8-4-61 To
8-3-64 ASN 17599781
Type Disc.
Honorable
Resources, Prop. Will attend school on G. T. Bill; part owner of Clear Lake
Payments or Rent: $
Nono
Auto. None
Make & Model
Lic.#
Driver Lic.# 55307382616xp. Date
Social Security #
472-46-7756
19
Des. 1, 1186,738
so 173702
DPD
Probation Date March 10, 1972
Expiration
March 10, 1974
Det. Attorn
Pros. Attorney:
b6
Phone No.
b7C
EX-Spouse
Address
unk
Employer
Children
Address
Father Daceased,
Address
Mother
Address
b6
Employer: 58038 or Moth
b7C
Father-in-law
Address
Mother-in-law
Address
Int. # and add unicnatal
b6
Siblings
Address
b7C
F
DB Cooper-38076
FBI
Offense
PNC
(sky-diving) Star Factory
Minn. Op. BILL-DECKER, SHERIFF DALLAS, TEXAS Form 102
Classed by:
Searched by
Filed by:

NAME	SCHWANDT	RICHARD	FRANK
LAST NAME	FIRST NAME	MIDDLE
BILL-DECKER, SHERIFF DALLAS, TEXAS Form 102
Classed by:
Searched by
Filed by:

NAME	SCHWANDT	RICHARD	FRANK
LAST NAME	FIRST NAME	MIDDLE NAME
ALIAS
>
NICKNAME

LEAVE THIS SPACE BLANK
11/5 9
CLASS	U	IOM	15
L.
2	0	00I	17 b6
REF.	100	b7C
1789159:15221219PI17

c Was cool ** ***** #101649-0
RACE
V
SEX M
DSO 173702 DPD
DPS
FBI

&

AGE
24
HT.
6-2
WT. 185
BLUE
BLOND
COMP.
1912 WEISRON, IRVING ,TEXAS
OCC. SALESMAN
Sky Diver
ARR. NO.
450004
RES
7-18-69 618 N. Loganridning
PLACE OF BIRTH ROCHESTER, MINN
DATE OF BIRTH
8-3-44
DATE
10-11-68
DRUNK & DISORDERLY
ARR:
DSO
CHG.
IL4 14-177
Dato Donalund
4-4-72
Fr
b6 b7C
(ADDRESS OF CONTRIBUTOR)
Richardson, Je
(CITY AND ST
By 39 Parquet
(NAME OF SPECIA
To De Returned Yes
Receipt given Yes Hồ HO
Description:
advice of rights
see auf Q 2nd Vol. 4-10-12a 4/4/72 5 Billas
DB Cooper-38079KEEP ATTACHED TO EXHIBIT
DL #
164-191-17
DB Cooper-38080FD-395 (Rev. 10-10-67)
INTERROGATION; ADVICE OF RIGHTS
YOUR RIGHTS

Place	Richardson Texas
Date	4-4-12
Time	1 08 pm

Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make a statement and answer questions. I do not want a lawyer at this time. I understand and know what I am doing. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me.
Signed
Witness:
SA defter Bramming of Special Agent, FIST. Glemevent
Witness: Aringi, Colo 4/24/73
Time:
3:06 pm
Hardly read the above form , advised he was fully aware of his right and declement to sign the form adering .
to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make a statement and answer questions. I do not want a lawyer at this time. I understand and know what I am doing. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me.
Signed
FAL
Witness: SA Chefin Browning , 2 Clancora Drenge 200/1/73
Witness:
Time:
742 AM
Hartley read the above , but refused le segis adesing be understood his right .
DB Cooper-38095PD-340 (REV. 6-24-65)"
sub437
SE 164-81-LA(645
File Ho.
16422173
Date Received
7/11/73
From
FBI - Bang
{NAME OF CONTRIBUTOR)
Am c/ Bet Humanas
1
(ADDRESS OF. CONTRIBUTOR)
Glenand Spreis LA
(CITY AND STATE)
By Вичи
(NAME OF SPECIAL AGENT)
To Be Returned Yes
CONTRIBUTOR)
Glenand Spreis LA
(CITY AND STATE)
By Вичи
(NAME OF SPECIAL AGENT)
To Be Returned Yes
Receipt given Yes Ho Ho
Description ;. Interieur bay of alvin Curile Hartley
DB Cooper-380967/1/23
Interna para
Subject aberin Celer fully Place Glenwood Ajunge, Col Acte 7/11/73
Interviewing agent SA Clifton Bramming, 6
Interior comment 7:39Am
Funded Warming of higher 7:38am fulgent activid he understand right
but refused ile vis
Zi42PM
baleiaen terminales de Hijacking 8:22Pm major care ful allamed at 8:2200 Glenwood franja PD
gillam
164-81-LA (645) 
DB Cooper-38097FD-340 REV. (6-24.65)
781 
SE 164-81-14 (6.46
File No.
164,74-175
Date Received
13/17/26
b6
From
b7C
BUIS 1
(ADDRESS OF CONTRIBUTOR)
RK
To Be Returned Yes Recoipt Givon Yes No No
Description :
Copy of Birth Certificate #6691
DB Cooper-38098

Department of Commerce Bureau of the Census	6691
CERTIFICATE OF BIRTH
COMMONWEALTH OF VIRGINIA
62
DEPARTMENT OF HEALTH
BUREAU
OF CONTRIBUTOR)
RK
To Be Returned Yes Recoipt Givon Yes No No
Description :
Copy of Birth Certificate #6691
DB Cooper-38098

Department of Commerce Bureau of the Census	6691
CERTIFICATE OF BIRTH
COMMONWEALTH OF VIRGINIA
62
DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS
Registered No.

PLACE OF BIRTH
(*) County
arlington
Registratica
DiJit Ne
20
Fxx rec. use
(b) Magisterial District
(b) County
Gailfax
(e) City of town
(c) City of town Velina --- 5m
4. 7"
(d) Name of hospital er Institution
arlington Hospital
(d) Street no.
(e) is place of residence within corporate Fiants? yes
(e) Is place of birth within corporate limits?
Jerry arthur Cooker
3. Full name of child.
If child Is not yet named, leave blank.
Boy Bog
6. Twin or
Triplet
1! so, born ist.
2nd. or Bad
9
E. Harths
dates-
macy
7. Is mother married
to father
of child?
yes
8. Date
of bitt
Feb 4
Maori by name,
Day.
1915
Year

*
3. Full nant 12. Color of 12 Eutiplac 13. Usual od IL Industry	FATHER OF ALILLA

21.
Color of 12 Eutiplac 13. Usual od IL Industry	FATHER OF ALILLA

21." Children born to this mother:
0
(e) How many other children of this mother are now living?
0
(b) How many other children were born alive bat ire raw detd ?.
0
(c) How many children were born dead ?.
0
21, I harchy certify that I attended the birth of this child who was
form alios.
T
at the hour of.
3:35pm
on the date aboro
Mother
b6 y
b7C
sted and that the information given was furnished
24. Were eyedrops used ?.
2jea:
I
Attendant's
own signature.
0. :
Physician,
Cada úrod 2/8/45
Midwife, or other.
Hemban Ja
Gress
ness to signature.
"het sigtet by mark
§
NOTICE OF VERIFICATION
FOR OFFICIAL GOVERNMENT USE ONLY (To Be Retained by Using Agency)
This is to verify that the foregoing is a reproduction of the original record on file in the Bureau of Vital Statistics, Virginia Department of Health, Richmond, Virginia.
JAN 7 1976
Date Issued
DEANE HUXTABLE, State Registrar
DB Cooper-38099
b6
b7C
1
23.
Yes No Ho
Receipt given
Description: adanie of it & Interview log
DB Cooper-38103Interviews log of
at b6
b7C
Lamas Colo, as 7/19/13
advised folgent of b6 10:40 A - 8H
b7C
and adice of Its as per FI 395, which goes stated by and at
to be understood
10:46 A - he willingly segue The waiver and proceeded @ allows self t be interived
al. 11: 12A - Interviu Ended
Sp. Agent b6 b7C
Denes Dur
E 164-81-LA(648) EEP ATTACHED TO EXHIBIT
DB Cooper-38104FD-395 (Rov. 10-10-67)
INTERROGATION; ADVICE OF RIGHTS
YOUR RIGHTS
Place

Date	Lamar,
7/19/73	Colorado
Time	10:40	AM

Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time.
b7D; Page 17 ~ b6; b7C; b7D; Page 18 ~ b7D; Page 19 ~ b6; b7C; b7D; Page 20 ~ b7D; Page 21 ~ b6; b7C; b7D; Page 22 ~ b7D; Page 23 ~ b6; b7C; b7D; Page 24 ~ b7D; Page 25 ~ b6; b7C; b7D; Page 26 ~ b7D; Page 27 ~ b6; b7C; b7D; Page 28 ~ b6; b7C; b7D; Page 29 ~ b7D; Page 30 ~ b6; b7C; b7D; Page 31 ~ b7D; Page 32 ~ b6; b7C; b7D; Page 33 ~ b6; b7C; b7D; Page 34 ~ b6; b7C; b7D; Page 35 ~ b7D; Page 36 ~ b6; b7C; b7D; Page 37 ~ b7D; Page 38 ~ b6; b7C; b7D; Page 39 ~ b6; b7C; b7D; Page 40 ~ b7D; Page 41 ~ b6; b7C; b7D; Page 42 ~ b6; b7C; b7D; Page 43 ~ b6; b7C; b7D; Page 44 ~ b7D; Page 45 ~ b6; b7C; b7D; Page 46 ~ b7D; Page 47 ~ b6; b7C; b7D; Page 48 ~ b7D; Page 49 ~ b6; b7C; b7D; Page 50 ~ b6; b7C; b7D; Page 51 ~ b6;
40 ~ b7D; Page 41 ~ b6; b7C; b7D; Page 42 ~ b6; b7C; b7D; Page 43 ~ b6; b7C; b7D; Page 44 ~ b7D; Page 45 ~ b6; b7C; b7D; Page 46 ~ b7D; Page 47 ~ b6; b7C; b7D; Page 48 ~ b7D; Page 49 ~ b6; b7C; b7D; Page 50 ~ b6; b7C; b7D; Page 51 ~ b6; b7C; b7D; Page 52 ~ b6; b7C; b7D; Page 53 ~ b7D; Page 54 ~ b6; b7C; b7D; Page 55 ~ b7D; Page 56 ~ b6; b7C; b7D; Page 57 ~ b6; b7C; b7D; Page 58 ~ b6; b7C; b7D; Page 59 ~ b6; b7C; b7D; Page 60 ~ b6; b7C; b7D; Page 61 ~ b6; b7C; b7D; Page 62 ~ b6; b7C; b7D; Page 63 ~ b7D; Page 64 ~ b6; b7C; b7D; Page 65 ~ b7D; Page 66 ~ b6; b7C; b7D; Page 67 ~ b6; b7C; b7D; Page 68 ~ b7D; Page 69 ~ b6; b7C; b7D; Page 70 ~ b7D; Page 71 ~ b6; b7C; b7D; Page 72 ~ b6; b7C; b7D; Page 73 ~ b7D; Page
b6; b7C; b7D; Page 65 ~ b7D; Page 66 ~ b6; b7C; b7D; Page 67 ~ b6; b7C; b7D; Page 68 ~ b7D; Page 69 ~ b6; b7C; b7D; Page 70 ~ b7D; Page 71 ~ b6; b7C; b7D; Page 72 ~ b6; b7C; b7D; Page 73 ~ b7D; Page 74 ~ b6; b7C; b7D;Page 75 ~ b6; b7C; b7D; Page 76 ~ b7D; Page 77 ~ b6; b7C; b7D; Page 78 ~ b6; b7C; b7D; Page 79 ~ b7D; Page 80 ~ b6; b7C; b7D; Page 81 ~ b7D; Page 82 ~ b6; b7C; b7D; Page 83 ~ b6; b7C; b7D; Page 84 ~ b6; b7C; b7D; Page 85 ~ b6; b7C; b7D; Page 86 ~ b6; b7C; b7D; Page 87 ~ b6; b7C; b7D; Page 88 ~ b6; b7C; b7D; Page 89 ~ b6; b7C; b7D; Page 90 ~ b6; b7C; b7D; Page 91 ~ b6; b7C; b7D; Page 92 ~ b6; b7C; b7D; Page 93 ~ b6; b7C; b7D; Page 94 ~ b6; b7C; b7D; Page 95 ~ b6; b7C; b7D; Page 96 ~ b6; b7C; b7D;
age 87 ~ b6; b7C; b7D; Page 88 ~ b6; b7C; b7D; Page 89 ~ b6; b7C; b7D; Page 90 ~ b6; b7C; b7D; Page 91 ~ b6; b7C; b7D; Page 92 ~ b6; b7C; b7D; Page 93 ~ b6; b7C; b7D; Page 94 ~ b6; b7C; b7D; Page 95 ~ b6; b7C; b7D; Page 96 ~ b6; b7C; b7D; Page 97 ~ b6; b7C; b7D; Page 98 ~ b6; b7C; b7D; Page 99 ~ b7D; Page 100 ~ b6; b7C; b7D; Page 101 ~ b6; b7C; b7D; Page 102 ~ b6; b7C; b7D; Page 103 ~ b6; b7C; b7D; Page 104 ~ b6; b7C; b7D; Page 105 ~ b7D; Page 106 ~ b6; b7C; b7D; Page 107 ~ b6; b7C; b7D; Page 108 ~ b6; b7C; b7D; Page 109 ~ b7D; Page 110 ~ b6; b7C; b7D; Page 111 ~ b7D; Page 112 ~ b6; b7C; b7D; Page 113 ~ b7D; Page 114 ~ b6; b7C; b7D; Page 115 ~ b7D; Page 116 ~ b6; b7C; b7D; Page 117 ~ b6; b7C; b7D; Page 118 ~
Page 109 ~ b7D; Page 110 ~ b6; b7C; b7D; Page 111 ~ b7D; Page 112 ~ b6; b7C; b7D; Page 113 ~ b7D; Page 114 ~ b6; b7C; b7D; Page 115 ~ b7D; Page 116 ~ b6; b7C; b7D; Page 117 ~ b6; b7C; b7D; Page 118 ~ b6; b7C; b7D; Page 119 ~ b6; b7C; b7D; Page 120 ~ b6; b7C; b7D; Page 121 ~ b6; b7C; b7D; Page 122 ~ b6; b7C; b7D; Page 123 ~ b6; b7C; b7D; Page 124 ~ b6; b7C; b7D; Page 125 ~ b7D; Page 126 ~ b6; b7C; b7D; Page 127 ~ b6; b7C; b7D; Page 128 ~ b7D; Page 129 ~ b6; b7C; b7D; Page 130 ~ b7D; Page 131 ~ b6; b7C; b7D; Page 132 ~ b7D; Page 133 ~ b6; b7C; b7D; Page 134 ~ b6; b7C; b7D; Page 135 ~ b6; b7C; b7D; Page 136 ~ b6; b7C; b7D; Page 138 ~ b6; b7C; b7D; Page 139 ~ b6; b7C; b7D; Page 140 ~ b6; b7C; b7D; Page 141 ~ b6;
~ b7D; Page 131 ~ b6; b7C; b7D; Page 132 ~ b7D; Page 133 ~ b6; b7C; b7D; Page 134 ~ b6; b7C; b7D; Page 135 ~ b6; b7C; b7D; Page 136 ~ b6; b7C; b7D; Page 138 ~ b6; b7C; b7D; Page 139 ~ b6; b7C; b7D; Page 140 ~ b6; b7C; b7D; Page 141 ~ b6; b7C; b7D; Page 142 ~ b6; b7C; b7D; Page 143 ~ b6; b7C; b7D; Page 144 ~ b6; b7C; b7D; Page 145 ~ b6; b7C; b7D; Page 146 ~ b6; b7C; b7D; Page 147 ~ b6; b7C; b7D; Page 148 ~ b6; b7C; b7D;Page 149 ~ b6; b7C; b7D; Page 150 ~ b6; b7C; b7D; Page 151 ~ b6; b7C; b7D; Page 152 ~ b6; b7C; b7D; Page 153 ~ b6; b7C; b7D; Page 154 ~ b6; b7C; b7D; Page 155 ~ b6; b7C; b7D; Page 156 ~ b6; b7C; b7D; Page 157 ~ b6; b7C; b7D; Page 158 ~ b6; b7C; b7D; Page 159 ~ b6; b7C; b7D; Page 160 ~ b6; b7C;
Page 153 ~ b6; b7C; b7D; Page 154 ~ b6; b7C; b7D; Page 155 ~ b6; b7C; b7D; Page 156 ~ b6; b7C; b7D; Page 157 ~ b6; b7C; b7D; Page 158 ~ b6; b7C; b7D; Page 159 ~ b6; b7C; b7D; Page 160 ~ b6; b7C; b7D; Page 161 ~ b6; b7C; b7D; Page 162 ~ b6; b7C; b7D; Page 163 ~ b6; b7C; b7D; Page 164 ~ b6; b7C; b7D; Page 165 ~ b6; b7C; b7D; Page 166 ~ b6; b7C; b7D; Page 167 ~ b6; b7C; b7D; Page 168 ~ b6; b7C; b7D; Page 169 ~ b6; b7C; b7D; Page 170 ~ b6; b7C; b7D; Page 171 ~ b6; b7C; b7D; Page 172 ~ b6; b7C; b7D; Page 173 ~ b6; b7C; b7D; Page 174 ~ b6; b7C; b7D; Page 175 ~ b6; b7C; b7D; Page 176 ~ b6; b7C; b7D; Page 177 ~ b6; b7C; b7D; Page 178 ~ b6; b7C; b7D; Page 179 ~ b6; b7C; b7D; Page 180 ~ b6; b7C; b7D; Page 181 ~ b6; b
e 172 ~ b6; b7C; b7D; Page 173 ~ b6; b7C; b7D; Page 174 ~ b6; b7C; b7D; Page 175 ~ b6; b7C; b7D; Page 176 ~ b6; b7C; b7D; Page 177 ~ b6; b7C; b7D; Page 178 ~ b6; b7C; b7D; Page 179 ~ b6; b7C; b7D; Page 180 ~ b6; b7C; b7D; Page 181 ~ b6; b7C; b7D; Page 182 ~ b6; b7C; b7D; Page 183 ~ b6; b7C; b7D; Page 184 ~ b6; b7C; b7D; Page 185 ~ b6; b7C; b7D; Page 187 ~ b6; b7C; b7D; Page 188 ~ b6; b7C; b7D; Page 189 ~ b6; b7C; b7D; Page 190 ~ b6; b7C; b7D; Page 191 ~ b6; b7C; b7D; Page 192 ~ b6; b7C; b7D; Page 193 ~ b6; b7C; b7D; Page 194 ~ b6; b7C; b7D; Page 195 ~ b7D; Page 198 ~ b6; b7C; b7D; Page 199 ~ b6; b7C; b7D; Page 200 ~ b6; b7C; b7D;
xxxxxxxxxxxxxxxxxxxxxxxx X Deleted Page(s) X X No Duplication Fee X
b7D; Page 194 ~ b6; b7C; b7D; Page 195 ~ b7D; Page 198 ~ b6; b7C; b7D; Page 199 ~ b6; b7C; b7D; Page 200 ~ b6; b7C; b7D;
xxxxxxxxxxxxxxxxxxxxxxxx X Deleted Page(s) X X No Duplication Fee X X For this Page X XXXXXXXXXXXXXXXXXXXXXXXX File - Serial Charge Out FD-5 (Rev. 6-17-70)
File
164
Class.
81
Date
Case No.
Last Serial Pending Closed
Scrial No.
.Description of Serial
Date
Charged
A659
78 ptactos of talent prints
sent to HQ Lab
8/23/01
b6 b7C
RECHARGE
Date
To
From
Initials of Clerk
Date
Date charged
Employee
Location
៛ U.S. GPO: 1989-241-706/08023
DB Cooper-38106FD-340a (Rev. 3-1-67)
(Title)
(Filo No.)
Dáto Filed
Disposition
$499 /6/28
b6
b7C
650,
Miljö instance log

65%	Chats of Kol t Welling	Rochstin. die	sut 933
652
653	200	ab 933. 1. 1 .x
654 Mich	Photos of Robert Redbitiau	we put 93

655
I went to
Hoy if bleshow biz anti impact of theil / gliares
b7D
65% 5/7/28
658 6/9/28
28 datos of latent print + one latent
Mich	Photos of Robert Redbitiau	we put 93

655
I went to
Hoy if bleshow biz anti impact of theil / gliares
b7D
65% 5/7/28
658 6/9/28
28 datos of latent print + one latent impresion Sul I'll 659 6/6/78
60 6/2/18 Photos . carpet Lux 153
612/23/1 Copy or wash Drivers la
b7c
03:10/3/7 Photos
64 19/ HERVED OR
6519 79 Copy of Buying aexempt Cours decal BAC27DPa-152
64-81-UP
SEARCHED INDEXED FILED
APR 10. 1978
FORSLOTTLAI
DB Cooper-38107
b7D
b6
b7C 656 5/3/18FD-340a (Rev. 11-12-89)
(Title)
(File No.)

Item	Date Filed	To be returned	Disposition
Yes No
doce	1/8/19		٨ 	Hueprist depicting location of decat on 727
667	5/8/19		
	Rough draft Notes re
668	5/8/2			Original Notes of interview w/
669	5/8/19			Business and of D.
)

Item	Date Filed	To be returned	Disposition
Yes No
doce	1/8/19		٨ 	Hueprist depicting location of decat on 727
667	5/8/19		
	Rough draft Notes re
668	5/8/2			Original Notes of interview w/
669	5/8/19			Business and of D.B. Cooper Sky Diving School
670	5/5/19			Original Notes de intervidio of
671	5/5/29			Interview Notes re.
672	1			Rights & Waiver form re:
673			Interview log- Jawel
unselected:		Rights & Waiver form re:
673			Interview log- Jawel Sparks
6.74				Waiver+ Rights farm re: Sparks
688	2
		
675				Waiver & Raits form re.
676				Copy of Sili 586
677				Copy of
678				Copy of
		
		
	

b6 b7C
₣
b6
b7C
b7D
DB Cooper-38108FD-340a (Rev, 10-3-77)
(
given Yes
 Ho	 Ho
Description:

Waiver and Warning form .
DB Cooper-38304YOUR RIGHTS
Place Anchorage
Date 158/27/7/
Time 10/155 PM
Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning, if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make ;a state- ment and answer questions. I do not want a lawyer at this time. I understand and know what. I am doing. No promises or threats have been made to me and no pressure or coercion of any kind has been used again-
b6
No promises or threats have been made to me and no pressure or coercion of any kind has been used again-
b6 b7C
Witnes
SA, FBI Anchorage
Witness
Time 10:56 PM
DB Cooper-38305FD-340 REV. (6.24.65)
674
164-81-1A
File No.
164-59-1A12
Date Received
3/31/77
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR}
(CITY AND STATE)
(NAME OF SPECIAL AGENT)
To Be Returned Yes Receipt Given Yos No No*
Description :
Waiver of rights Firmy Billy Samal Sparks .
DB Cooper-38306FD-395 (Rev. 10-10-67}
INTERROGATION; ADVICE OF RIGHTS YOUR RIGHTS

Place	ANaHounge, AK.
Date	3131177
Time	17:56 Pm

Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make a statement and answer questions. I do not want a lawyer at this time. I understand and know what I am doing. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me.
Signed FBI, Butorange, Ali. JA, FBI anchorage. oh,
Witness:
Witne
Time: 12:58 pm
b6 b7C
Billy Sul Sports , lena, Stated Understand but declined it Sin
DB Cooper-38307FD-340 REV. (6-24.65)
164-81-1A
623
164-59-1Al1
File No.
Date Received
3/31/77
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
EnilTShele
(CITY AND STATE)
(NAME OF SPECIAL AGENT)
To be
Date Received
3/31/77
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
EnilTShele
(CITY AND STATE)
(NAME OF SPECIAL AGENT)
To be Returned Yes Receipt Given Yes No No
Description : Interview los - Billy
Jemel Spunto .
DB Cooper-38308Autemin bag - Bility Jamal Spirito, Gordonje , Alasta. 3/31/77.
12:55 pm - Spark Conducted at HOS, 4334 Special Al. Advised of Identity f. Gata, purpose of Internet Cesta, Constitutional tych 5 Sa Steele, found "four Ryt4 form & declined to Sign
12:58 pm - aterrar bym. 1127 pm- Starvier tomates. ball U Stub - Efect, andrage LA EBI anchorage ok.
b6
b7C
DB Cooper-38309FD-340 REV. (8-24.65)
164-81-14(672
File No. 164-59-1A14
Date Received 1/30/28
From
b6 b7C
TAPADOS OF CONSTRUIDOTOM Fairbanks alaska

To Be Returned 	Yes	Receipt Given	 Yes
	No	 No
Description :

Rights + Waiver
form.
To Be Returned 	Yes	Receipt Given	 Yes
	No	 No
Description :

Rights + Waiver
form.
DB Cooper-38310FD-395 (Rev. 10-10-67)
INTERROGATION; ADVICE OF RIGHTS
YOUR RIGHTS
Place
Fairbanks alaska
Date Jan, 30, 1978
Time
3:40 PM
Before we ask you any questions, you must understand your rights.
You have the right to remain silent.
Anything you say can be used against you in court.
You have the right to talk to a lawyer for advice before we ask you any questions and to have him with you during questioning.
If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish.
If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make a statement and answer questions. I do not want a lawyer at this time.
WAIVER OF RIGHTS
I have read this statement of my rights and I understand what my rights are. I am willing to make a statement and answer questions. I do not want a lawyer at this time. I understand and know what I am doing. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me.
Sign
Witness:
SA, FBI
Witness:
Time:
3:42 PM.
b6 b7C
DB Cooper-38311FD-340 REV. (6-24.65)
164-81-14(621
File No.
164-59-11715
Date Received
1/30/78
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
b6 b7C
To Be Returned Yes Receipt Given Yes No No
Description :
Interview Log on
interview of
b6 b7C
DB Cooper-38312Interview Lag
Date: Jan, 30, 1978
Place: 10/ 12th ave, Fairbanks, ak. Interviewce; b6 b7c
TIME
3:35 PM - appeared @ RA, informed b6
I.D. of interviewing agent + b7C
purpose of interview
3:40 PM .-
furnished rights + Waivers
form read, advised he understood 3:42 P.M. - and signed.
3:44 P.M. - Interview commenced 4:28 P.M. - Interview concluded, description 4:40 PM .- and background obtained
witness:
1 , SA FBI b7C
b6
DB Cooper-38313FD-340 REV.
- Interview concluded, description 4:40 PM .- and background obtained
witness:
1 , SA FBI b7C
b6
DB Cooper-38313FD-340 REV. (6-24.65)
670
164-81-1A
File No.
164-59-1A13
Date Received
1/30/78
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
b6 b7C
To Bo Returned Yes Receipt Given Yes No No
Description :
original notes on
interview of
b6 b7C
DB Cooper-383141/30/78
1971 Glcatorce.
A. S.F
b6 b7C
res : S. F. ,CALIF
+
was broke + would not have traveled @ that time Interviewved by F.B. I@ S.F. since he dis member of american Parachuters area.
DB Cooper-38315
the P.B. Cooper core bic b6 b7C
as A case study inb6 b7C
admire the man's feat immensely not the
Criminal aspect of it, but the finite planning and precision jumping required to carry out such a feat.
. DB Cooper-38316b6 b7C
DOB 5.11'175
Sin Hazel
Res.
Employed: U.LA -
b6
b7C
FBKS
dismissed
military: navy - b6
b7C
DB Cooper-38317Hobby" Sport jumping - test para. rating
self employed - manufacture + modification ofchantes b6
b7C
- Defence Dept.
LA -
b6
b7C
FBKS
dismissed
military: navy - b6
b7C
DB Cooper-38317Hobby" Sport jumping - test para. rating
self employed - manufacture + modification ofchantes b6
b7C
- Defence Dept. Vietnam- Tech Rep- Locklet & Brand X b6 b7C
Son-
DB Cooper-38318

164-81-14670 

DB Cooper-38319ER81855Yes -14-77) 1 card
169
To
Seattle
1
File #
164-81-/4
From Portland,
File #
164-41
Portland
airtel
,
Dated
1/5/79
Field File No.
00 and File No.
Date Received
From
( NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
(CITY AND STATE)
By
( NAME OF SPECIAL AGENT)
To Be Returned Yes Receipt Given Yes No No
Description:
One business card of D.
(ADDRESS OF CONTRIBUTOR)
(CITY AND STATE)
By
( NAME OF SPECIAL AGENT)
To Be Returned Yes Receipt Given Yes No No
Description:
One business card of D. B. COOPER, Director, Cooper's Sky Diving School, Sky Harbor, Salem, Oregon.
Du ver Sc 80
DB Cooper-38320Cooper's Sky Diving School Specializing in Night Jumps From Large Jet Aircraft
D. B. Cooper Director Airline Jump Operations
Sky Harbor Field Salem, Oregon 503 $200,000
1669
164-SI-1A
DB Cooper-38321FD-250 (11-10)-)
DB Cooper-38322
1
JFD-340 REV. (6-14-77)
b6 b7C
Field File No.
164-81-1A
66R
00 and File No.
164-174
Date Received.
3/19/79
From
-ELVEN
( NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
ATE)
By.
AGENT)
b6 b7C
To Be Returned Yes
Receipt Given. Yes No No
Description:
ORIGINAL NOTES OF
INTERVIEW WITH
b6 b7C
Der ser 8063
DB Cooper-38323668
164-81-1A
2
DB Cooper-38324
13/19/79
b6 b7C
LOUISVILLE KY
b6
w/m.
1YR, COLLEGE b7C
- WENT INTO
- NO TROUBLE AS VUV. OR AS ADULT LIFE
- 15
- LAST SAM NOV. 38.
WORKS
AT MINE.
15
b6 b7C
NON QUANDO FOR HIS ALSO NOW HE WORKS AT A CHURCH CAMP IN THE MOUNTAINS OF COLORADO (LOCATION UNKNOWN)
DB
15
b6 b7C
NON QUANDO FOR HIS ALSO NOW HE WORKS AT A CHURCH CAMP IN THE MOUNTAINS OF COLORADO (LOCATION UNKNOWN)
DB Cooper-38325
NO, SARGE WHENTHANCE TO KNOWLEDGE HAS HAD
b6
10
b7C
NOV. OF 1971 BUT SHE COULD
NOT RECALL THE FENART DATE. DONING. THIS TIME
TOOK OFF WORK FOR ABOUT I WI SO
STARO WITH
UNTIL AFTEN THANKSGIVING. EVERYTHING APPEARED
NORMAL EXCEPT THAT ITE WASb6 REALLY UPSET b7C
Aim
DB Cooper-38326FD-340 REV. (6-14-77)
164-81-1A 
667
Field File No.
164-640-12
00 and File No
Sicilller 164-81
Date Received
2/21/19
From
(NAME OF CONTRIBUTOR)
(ADDRESS OF CONTRIBUTOR)
By.
( NAME OF SPECIAL AGENT)
To Be Returned Receipt Given : : Yes Yes No. No
Description:'
P/D. notes se
interior of
b6 b7C
Ale ser 8061
DB Cooper-38327
b6 b7C
b6 b7C662
164-81-1A
DB Cooper-383282/21
, AMAY ,
b6
b7C
aplicativo 4/1/65
b6
b7C
518/2 168 BrJBro
Graul.
b6
b7C
Pra
Colo
Boing ancrage, Seable, 12/61-10/64 b6
b7C
Off Shore Par, NOLA
6/61-12/61
b6
b7C
b6
b7C
10/02/11 -
01/4/71
DB Cooper-38329b6 b7C
518 12" 180' Br Egen,
(partidar left side) Brown hair - amin temple,
b6
b7C
Pra
Colo
Boing ancrage, Seable, 12/61-10/64 b6
b7C
Off Shore Par, NOLA
6/61-12/61
b6
b7C
b6
b7C
10/02/11 -
01/4/71
DB Cooper-38329b6 b7C
518 12" 180' Br Egen,
(partidar left side) Brown hair - amin temple, SSAN
1-gr College -
grad -
Mellanz
b6
b7C
5 Navy
USAF -
- no parachute experiena. - drop 100' for USN -survival. W/ hare
- never smoke - smoke pochino in confined area
-
8 b6
b7c
smoke.
Employment -
- moved auto procent.
house 2/70 ar 71€.
6/2/85 employed.
@ Merales one -
b6
pur up. b7C
Bought
sale price -
Umowa
DB Cooper-38330Olhe personal Employment.
Off shore Navigation - Now Petroleum Achicoplans b6 b7C
6 61
applied Bouni, aucraft
1942-
12/62 -
b6
b7C
6/65
- Maulana.
SP.
mo, b6
1964-
b7C
, Net.
1964-
fixil 6/65 - AMAX
hoffees - pilot - b6 ৳7C
ceranus
- 1965
- 10/77.
DB Cooper-38331b6 b7C
no Roaming Boeing 727 - not familiar w/ any lange jets
Bank - Jeff Bank + Freeat b6
b7C
divie
Concerning Week 11/21/71-25/21 - initiale can't recall. activities well recoverwants wi
A advice -
AMAX.
b6
b7C
b6 b7C
no large amount of # DB Cooper-38332
- inheritance
56
b7Cb6 b7C
0
b6
current
per year. b7C
meg re DB Cooper
Meg De Camping,
han wellness b6
b7C
0
will funwith Photo.
b6
b7C
b6 b7C
no large amount of # DB Cooper-38332
- inheritance
56
b7Cb6 b7C
0
b6
current
per year. b7C
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Meg De Camping,
han wellness b6
b7C
0
will funwith Photo.
DB Cooper-383332/2/19
(Vel Call)
b6 b7C
Weglad 11/24
-
-
Cervada
A
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Was with entire week.
b6
b7C
DB Cooper-38334FD-340 REV ;: (6-14-77)
De BuB P
Field File No.
AP 164 73 (bbb).
00 and File No:
SE 164-81-1Q
Date Received
12-1:78.
From
b6 b7C
"NAME OF CONTRIBUTOR)
اسمحن في
(ADDRESS OF CONTRIBUTOR)
mpls- ST Paul Dupar
STATE)
By
CIAL AGENTY
To Bo Returned Rocoipt Given Yes Yos No TTO
Description: Bluepunto depicting location of decay on
727
Del Denial 164-81-8040
DB Cooper-38335LET
CHANGE
DATEBY
V. REVISED NOTE 22RE DETAIL FOR LOWERWING PAIDY (V) "ADDED MITE: 219
3:278
b6
b7C
164-81-10 (66) KEEP ATTACHED TO EXHITIT SE
- SCH1-33165-12 LOGO
NOTES CONT 19) LEAVE ASUS WIDE BARE METAL STRIPE AROUND ALL COCKPIT & EYEBROW WINDOWS
20 EXPOXY PRIMER PER BMS 10-79 (DESOTO P/N 5/3-731 OREQUIV.) AND FLEXIBLE POLYURETHANE ENAMEL COLOR BAC 7025 GREY GLOSS PER BMS 10-60 TYPE II OPTIONAL TO COROGARD.
) AND FLEXIBLE POLYURETHANE ENAMEL COLOR BAC 7025 GREY GLOSS PER BMS 10-60 TYPE II OPTIONAL TO COROGARD. !!!
15 de2 KM
21 PAINTING OF UPPER SURFACE OF HORIZONTAL STABILIZERSOPTIONAL DEPENDING ON. CONDITION: PAINT ENTIREVINSPAR SKIN FROM BEL. 70.5, 70 WS 760,5 BETWEEN FRONT & REAR SPAR (OPTIONAL) PAINTING FASTENER ROWS SYGE'S 8 ONLY(PREFERRED)
APPLY BMS 1079 PRIMER (S/1181-PR-720)
BMS: 5 95 TYPE F, SEALANT (SN) 185- SE-195) 2" BAND, AT. FASTENER ROWS ONLY AND BMS 10-60 TYPE I GREY ENAMEL (S/H) 181; EN- 599) (REE CORROSION PREVENTION: MANUAL DE-41910.
PART I 57-30-27 FIG. 4)
23
PLACARDS BAC 27DPA/52, BACZZOPA151, BAC27DPA 66 & BACZ7DPA138 ARE NOT REQUIRED ON 7276 A/C (488- 499) WHICH HAVE BEEN MODIFIED PER GO, 35166 SECT. I & I.
24, REF: NWA: DWG 4011-34338 - MAINTENANCE MARKINGS É PROTECTIVE PAINT.
CHUTE SEMI GLOSS POLYURETHANE
NAMELIA
1-10
DB Cooper-38336
1.1.25SPODYEAR GRIFINTU BUL WHITE, TWEE SALE in, diey INA SOLID PATTERN In.
HUTCH & KREEL
68L 70.50
FRONT SPAR
5-8
5-6
REAR SPAR
E FASTENER ROW
2.
25SPODYEAR GRIFINTU BUL WHITE, TWEE SALE in, diey INA SOLID PATTERN In.
HUTCH & KREEL
68L 70.50
FRONT SPAR
5-8
5-6
REAR SPAR
E FASTENER ROW
2.0 T
TYPICAL PAINT INSTALLATION AT TITANIUM FASTENER W> 5-6 € 5-8
DB Cooper-38337
PART NO.
DESCRIPTION
STOCK SIZE
SPEC'S.
NWA STK. NO.
QUANTITY REQUIRED
DR
EN > SURFACE
6/25/69
CK
CK
AP
3-19 69
LIMITS UNLESS NOTED FRACTION : /12 DECIMAL _ 110 ANGLE J 1/2
DESIG 727-/0)5

FINISH
HEAT TR,
SCALE	3:15 NOTES
NEXT ASS'Y	FINAL

NORTHWEST AIRLINES, INC.
COLOR SCHEME INSTL - 727 EXTERIOR

ISSUED	REV
PROJ	35459	U

4D11-33176
SHEET
12/1/78
b6 b7C
M
REASON CODE
1
4b6 b7C
3

LET	CHANGE	DATE	BY
A	ADDED OVERWING ESCAPE POUCE
B	ADDED BAC MOLIAV, BAUMLY BALM9LZE DECALS
C	ADDED NOTE
4D11-33176
SHEET
12/1/78
b6 b7C
M
REASON CODE
1
4b6 b7C
3

LET	CHANGE	DATE	BY
A	ADDED OVERWING ESCAPE POUCE
B	ADDED BAC MOLIAV, BAUMLY BALM9LZE DECALS
C	ADDED NOTE 19
D	BAC 751 CRAY WAS BAC 7051	1470
E	ADDED NOTE 20	2/2/13
F	ADDED NOTE 21 2	2/14 75
G	ADDED NOTES 22 F23, DETAIL III	5/76
H	DELETED 2" STRIPE AROUND CAPT.
FI -OFF SLIDING WINDOW, REVISED NOTE 19 REE BAC TINY NWMSP-76RE2427225	12/10/1)

PAINT. THE LOWER SURFACE OF HORIZONTALSTABILIZER THE LOWER SURFACE OF.THE ELEVATOR AND TAB. MAY BE PAINTED. BUT MUST. BE FREBALANCED FOR BALANCE CHECKED AND PLACARDCOSTBAC
164-81-1a (666). SE KEEP ATTACHED TO EXHIBIT
75% GRAY. ENAMED3 45
AINT844 502
LUE
NOTE ALL EXPOSED PRIMED, SURFACESOF THE DECORATIVE PATTERNS SHALL, RECEIVES ONE COAT OF BMS 10-11 TYPE 2 JENAMELCOLOR GREY 844 707 GLOSS
ENAMED3 45
AINT844 502
LUE
NOTE ALL EXPOSED PRIMED, SURFACESOF THE DECORATIVE PATTERNS SHALL, RECEIVES ONE COAT OF BMS 10-11 TYPE 2 JENAMELCOLOR GREY 844 707 GLOSS
UPPLIED BER 06-4816 EXPOSED SURFACES ARE DEFINED AS "EXTERIOR- AREAS "WHEN ALL " ACCESS DOORS ARE IN PLACE & CONTROL SURFACES ARE IN FAIREDUPOSITION 2- DO- NOT PAINT RUBBER FOR MOHAIR SEALSFOR STAINLESS STEEL RUB STRIPSTHRESHOLDS, OR ANODIZED HANDLES OR DOOR HANDLE PENSEOR DUMMY WINDOW PLATES.
3. DO NOT PAINT
4. REFERENCE DWG BAC 65-39747
5. NWA PIN 7623-31726-2 THRU-11 AS REQ. FAINT PER DWG 7023-31726 OPT) 6. NWA 2× 7023. 31721-2 THRU-14 AS REQ. ( PAINT PER DWG 7223-31721 OPT)
BO EDGE SEAL DEALS APPLIED TO BARE METAL ( PAINTED SURFACES WITH "SCOTCHCAL" BRAND EDGE SEALER " 3950 .. PRE- MASKED DECALS) APPLIED PRIOR TO PAINTING DO NOT REQUIRE EDGE SEALING.
8) BINS 10-11 PRIMER, & ENAMEL. DALL 727 1 7270 AIRCRAFT 10 727C AIRCRAFTIONLY FOR IN ROUTE RADOME" TO PAINT SHOP. DO NOT
DB Cooper-38338
? ₹12. REF DWG 9811-32616 FOR GENERAL PAINT USAGE 8 Pln'S. 13. BMS 10-60 OR EQUIV. 14. SEE PAC DWG 65-38578 FOR OTHER STANDARD EXTERIOR MARKINGS.
REF DWG 9811-32616 FOR GENERAL PAINT USAGE 8 Pln'S. 13. BMS 10-60 OR EQUIV. 14. SEE PAC DWG 65-38578 FOR OTHER STANDARD EXTERIOR MARKINGS.
5. FOR LETTER SPACING ON 1270 SEE SHEET 2 A APPLY GOODYEAR GRIPTRED A862 WHITE, SMOOTH SLIP RESISTANT WALKWAY STRIP'S OVER U.S. PAINT A.92- W-136 WHITE POLYURETHANE ENAMEL. APPLY GRIPTREU STRIPS OVER U.S. PAINT AA-92-8-16 BLACK POLYURETHANE ENAMEL INDICATORS. in APPLY GOODYEAR GRIPTRED A862 WHITE SMOOTH SLIP- RESISTANT WALKWAY COATING ONLY ( APPLY SOLID. NO STRIPES). DO NOT APPLY WHITE POLYURETHANE ENAMEL UNDERCOAT ON THIS AREA. EDGE OF GOODYEAR GRIPTRED SLIP-RESISTANT WALKWAY. (NOTES CONT. SHT 3.)

ICMAL2 AX	DECAL	BAG	014-ME-953
KEMAL2 AY	DECAL	014 ME 959
CM9ZZZ	DECAL	018- ME-925
M.93145	DEGAL	018 ME- 929
KEMAL2BC	DECAL	018-ME
)

ICMAL2 AX	DECAL	BAG	014-ME-953
KEMAL2 AY	DECAL	014 ME 959
CM9ZZZ	DECAL	018- ME-925
M.93145	DEGAL	018 ME- 929
KEMAL2BC	DECAL	018-ME 919
EMISELAW	DECAL	018-ME-9201
CM961044X	DECE	018:XE4927
ÜÜÜÜZAL
d>018-ME 919
EMISELAW	DECAL	018-ME-9201
CM961044X	DECE	018:XE4927
ÜÜÜÜZAL	DECAL	018 ME 924
179829	DECAL	0/8 M163923
UM19878	DESAL	0/8 M= 926
K27DPA452	PLAGAROI	011 PL-164
27DPA 66	BRLACARD	CHEFE 767
CZIDFA
M= 926
K27DPA452	PLAGAROI	011 PL-164
27DPA 66	BRLACARD	CHEFE 767
CZIDFA 51	ERDACARD	011-21-163
27029138	PLACARD	BAC	0/1 24- 16:2
1- 33033	DECAL	NWA	014-DE-1212
11 33165-12	LOGO	018-DE-1340
23-31726	DECAL
236 3172%	DECAL
11-33165-2	KIT.
" ORIENT"
7-33165-1	KIT "NORTHWEST"	NWA
PART NO.	DESCRIPTION	STOCK SIZE	SPEC'S.	NWA STK. NO.

FINISH
HEAT TR.
FINISH
HEAT TR.
SCALE	2=1. + NOTED 16
20	NEXT. ASS'Y	FINAL

NORTHWEST AIRLINES, INC.
COLOR SCHEME INSTL
727 EXTERIOR

ISSUED	REV.
PROJ	35459	y

4011-33176
SHEET
12/1/78 b6
b7C
DB Cooper-38339SLIP RESISTANT WALKWAY STRIP'S OVER U.S. PAINT 7-92-1-196, WHITE POLYURETHANE ENAMEL. APPLY GRIPTREU STRIPS OVER U.S. PAINT AA-92-8-16 BLACK POLYURETHANE ENAMEL INDICATORS. /T. APPLY GOODYEAR GRIFTRED A362 WHITE SMOOTH SOIF- RESISTANT WALKWAY COATING ONLY (APPLY SOLID -
NO STRIPES). DO NOT APPLY WHITE POLYURETHANE ENAMEL UNLERIDAT ON THIS AREA.
EDGE OF GOODYEAR GRIPTRED SLIP-RESISTANT WALKWAY. (NOTES CHAR ENTE)

AR	BACINI 912 AX	DECAL	BAC	014-ME-953
AR	BACMALZAY	DEL
(NOTES CHAR ENTE)

AR	BACINI 912 AX	DECAL	BAC	014-ME-953
AR	BACMALZAY	DELAL	014-ME-959
AR	FACMALZZ	DECAL	018-ME-925
1	BALMESSIAS	DECAL	018-ME- 921
1	EN_MOLLBC	DECAL	018-116-919
2	BILL	MAL LAW	DECAL	S	018 -me 920
2	CALM9-10 AAX	DECAL	0181976922
/	8	EM9972	DE4AL	018-ME-924
1	64CMDE2.96	DECAL	018-ME- 923
"
/	8	EM9972	DE4AL	018-ME-924
1	64CMDE2.96	DECAL	018-ME- 923
"	DECAL	018-1-926
3270 PA 152	PLACARD	014-PL-164
1270P4 66	PLACARD	014-PE-167
PLACARD	014-PL-163
PLACARD	BAC	014-PL-162
td>	014-PE-167
PLACARD	014-PL-163
PLACARD	BAC	014-PL-162
DECAL	UWA	014-DE- 2/2
2	8411-23165-12	LOGO	018-DE- 340
AR	1423-1/726	DECAL
AR	7029. 3772/	DECAL
2	8411-33165-2	KIT " ORIENT"
3772/	DECAL
2	8411-33165-2	KIT " ORIENT"
2	807-33/65-1	KIT " NORTHWEST"	NWA

QUANTITY REQUIRED
PART NO.
DESCRIPTION
STOCK SIZE
SPEC'S.
NWA STK. NO.
DR
6-25-69
CK
CK
AP
9-19-69
DESIG 727-100

FINISH
HEAT TR.
SCALE	2 + 1 + NOTED ib
NEXT ASS'Y	FINAL

NORTHWEST AIRLINES, INC.
COLOR SCHEME INSTL - 727 EXTERIOR

ISSUED	REV
PROJ	35459.	0

4011-33/76
SHEET
1
OF
2
12/1/78
b6 b7C
6/25/09
LIMITS UNLESS NOTES FRACTION + /12 DECIMAL ~ 10 ANGLE 1 1/2
RERJON DOWE E
DB Cooper-38340