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Identificotion Record Request ] FD-d (Reve 4028-65} _ INSTRUCTIONS » This form may be submitted in legible hand printing. 5. Indicate office for reply in lower right comer only. Also list in lower right corner all offices « Use separate form for cach individuat on whom which should receive copies of available records. record ts requested, Inthude carbon of FD-9 for cach office receiving copies and forward with original to Bureau. « Make effort to furnish FBI identification nwnber, tw enforcement identification nwnbder, or military service number, « Furnish descriptive data and fingerprint classification only when FBI number not available. To: DIRECTOR, FBI Attention: Identification Division "373/72. Field File No. L677 S/ ——————— The Known enn eeren Record of the Following: Fat Ne, |_| bé ase pope pape per rm Weight Hair Eyes Complexion 69" 155s Brown Blue Fingerprict Classification Scars, marks and tattoos Also Furnish: $2 Photo Cj Fingerprints (2) Hondwriting Specimens Retutn Reply to: SAC, at C164-9/ Lon fee Send Copies To: Identification Division’s Reply xs () On basis of information furnished, Civil “i [oF : ecord _e> Photo Atteched-” {[] Photo Not Availeble (C} Fingerprints Atteched (2) Hondwriting Specimen Attached MAR 7 tP Seema ¥ DB Cooper-7781 #72 #04096