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D B Cooper — Part 36
Page 64
64 / 483
wok 1, _ (BE SURE. TO READ ACCOMPANYING INSTRUCTIONS BEFORE FILLING OUT FOLDER. IF ADDITIONAL po Sie
pe 7 SPACE I$ NEEDED FOR ANY QUESTIONS, USE BLANK LINES ON é” OF FOLDER) : po
von He P TLEY. ALY, LM on PRIUS. 29218004... 2, Maw./B 4,
| ‘" (LAST NAME), af NAME) L (MIDDLE NAME). 1 (ARMY SERIAL NO? , (DATE’ARRIVED BASIC T, C.)
.! "Home Addces.D., u, LuLb.. wh INVMCSICA oH cight2.. UR. ; Weight. A Bs @. heed. a5 meal A
{City and State)
2. "Te was ditected to ceport to Basic T.C, by paragraph number..eseecenorenancretenersineen af Special ‘Order Number ag. a issued
Headquarters... sanenytenanartacanenneannannae sendeneensreraetveneersceransnveanenersensassenossataneneousestes OF roy cnarcansannanneae oe DMscueessonsnenet®
3. .My Previous organization oc was. a Lon.. E y Té. sesssrersanck WAS stationed dt CaM pl hed 1g 1 hoe Ne, Adi escune
4. "Date of my original enlistmenticom VL On Fe b.. Z 99, wecreorenare My present grade is... Le <a w wick
3. Education (indicate your school record as completely as possible on lines 5 below),
AVERAGE
|
HOO: 2 YEAR
$ 14 NAME ANO LOCATION OF SCHOOL . MAJOR SUBJECT STANDING GRADUATED
HIGH [De we A/ Duloth Mire TRO | Genera
OR TECH,
|
POSY | |
* GRADUATE 1
_ Mathematical and Scientific Subjects taken: Years and Units. (Standings in class, or Average Proficiency.)
+ - High school. AL Geb RAs AYR, LANe. Sea th Ry, WR, Fiysics. Wik, Cheiisth, LeplteBila
COLLEGE
‘NIGHT
College stvateteenaneesy yaccenenverenenensaetuarsuhieenendase councaanecsesngessnesacatenttersiorenesmbacsasasanneracrrecranaenars disedyenyrenproncnttootsasenpthedsauaupsasansnaroacsnaasausaooevasasutgisentanacens
6 Extra Curricular Activities... Sch oad. Flay. Sonn seadvarsecer savvceoasssmnacarortusnurevensquenesanses
7. Athletic Interests and Proficiency... Mas. feck, eld Ht. Foat. fA li, eke. WA All. acai £
a ae LOLA E Bt MAE OM FDL TEIN A rc suntnieetccnnuntnvcenuenanmenstenanave
8. Hobbies. AMUSE UR... that 9 i Ape hy. UME ING. wk IML § tnnnannnnnnnnmnninarni
9. Civil Ps ve position he]d Be firm, Tocktion, dates, weekly salary oth uly ra
IRD Steam shin’oa. lee. Bek en Lae liste hee ILE:
» flue WA Rctdte. 2 UL rla tb lM ARR AMIE 5. 5eplt 5s
E PACs ECMO SONTI MG A ffl Of MURM.~NOMELEBE. lb CMLLES
LO. reous Military. Experience,
ENGTH Of
| einviee ouries
ARM OR SERVICE BRANCH RANK
a sei as Air Passenger or Crew Member (Not at Controls). bade. As. Fe SE MG. ak, fb Va ome OLA. Mis
OARS.
Soke pave peeteMarrnces Aree genre canner hanks Agenee Por itretrerirt Aomawsarwessne Presterinr tite sy fenbenne se Peerenedtaresarer Prt ets Sect owt he aeons s ue are SRE REAP ee cevhere Redes ieee tener
13
12. Previous Flying Experience (other than U. S. Army, Navy, Marine Corps, Coast Guard),
WHERE
: TYPE OF shi ; . OSTAINED SPECIALIZED INSTRUCTION
rE. insteRuMenr
|
| roRMaTiON
|
Personnel RechAwesiver, St. Louis, Missoui
@ be used ror rererency Omly. DO Moe rovUpy
13. ‘Thave (aot) had previous United States Service Training as (Pitot, Nav., Bumb.gissepinate init sant ednay, Rar, casst aa
*. of Marine CoEpS) sen evesysanyentecroessesteneriegancennren (station). parenansvedtettueeereese seaceuen ee BUr gad twas elitninated fo2B. QOD Led.
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a wens
ALCENSE | |
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