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Request for Agency Check | * Sy " ¥ ; 1 t PD-356 (Rev. 12-28-71) ° « ~~ ; qo : INSTRUCTIONS ~ i, Submit fon in duplicate §, Indicate office Jur repls in lower left corner. Also a in Thi . 5 : : omen sanv vorncr ail offices which should receive copies o 2. This form may be submitted in legible HAND PRINTING. reply. Include coten for each office receiving copics. 3. Use separate form for eavh person on whom record is G. With regard to military records this form does not apply to vane sted. deserters. ; 4. Date & place of birth imperative for passport check. 7. Reverse side of form may be used for recording results, if needed, . r Alexandria a Sdit Antonio RE: [J Baltimore KA St. Louis (3 Denver = WO > MILIPARY 5/29/73 1” Indianapolis r 7 PASSPORT ooo Name see ee eee oo Ahern fea. Naber ' Suelal Security Number Passport Number —~ ==. dex 1Comple xion Address | _White = | Male | Fair Height Weight Hair Inves Cleveland, Ohio cai 2 it 519 160 Brown Other pertinent information: FOR REPLY ONLY Information wanted in relation to hijacking of Northwest Airlines 727 Jet, 11/24/71. (_] On basis of information furnished, unable to identify: [ ]Military [7] Passport [_]INS C1 Cité {_] No pertinent identifiable information [-] Available informatiori attached (JD Photo: [_) Attached ([_] Unavailable [__] Handwriting specimen attached Specific information desired: 1. Period of active duty 2. Medical history 3. What was his job? Did he have access to, and knowledge or job training involving aircraft? 4, Type of and reason for discharge Also fumish! (Xj Photo {~} Handwriting specimens Inquiry made by: Date: Block Stamp and Notations /2Y- El SF3 2 SEARCHED. INDEXED. SERIALIZED St FILED... JUL 51973 Retum reply to: < Cleveland (164-88 ) Attention SA b7C Sdind copies to: y~ St. Louis ~ Cleveland ECD:sjf SERIALIZED .- FILED JUN 1 71977. +o —— ULEVELAND nen DB Cooper-11644