</s>C Date : 07/25/96 Page : 1 Released under the John F. Kennedy Assassination Records Collection Act of JFK ASSASSINATION SYSTEM 992 (44 USC 207 Note) Case(Nv) JFK Assassination System 982 (44 USC 207 Note] Case(NW) IDENTIFICATION FORM 0813-04-12-2012 AGENCY INFORMATION AGENCY NUMBER : INSCOM/CSF RECORD NUMBER: 194-1003-10141 RECORD SERIES : DOD-APPLIED PERSONNEL AND INCIDENT INVESTIGATIONS AGENCY FILE NUMBER = 2Z00003W - PAGES 1183-1184 DOCUMENT INFORMATION ORIGINATOR : USA FROM : : : TO : TITLE : SWORN STATEMENT : : DATE : 10/03/82 PAGES : : SUBJECTS : 2 SLOVODA, VLADIMIR WHITE, JOSEPH TIMOTHY [ RESTRICTED ] AFFIDAVIT DOCUMENI TYPE : PAPER, TEXTUAL DOCUMENT CLASSIFICATION : RESTRICTIONS : 3 UNCLASSIFIED CURRENT STATUS : : : : RELEASED WITH DELETIONS DATE OF LAST REVIEW : 03/20/95 CURRENT CRITERIA : COMMENTS : NW 886313 Docdl:3453132 Page 1

Summary: The document is an Identification Form (0813-04-12-2012) related to a sworn statement submitted by Henry D. Glaster, with a social security number 547-76-1040 [SSN REDACTED]. The form includes details about the submission of an affidavit dated 22 September 1982, submitted by Paul J. LoZano, referencing Joseph Timothy White and J. J. Morval (CMAN) White Jr., father of Joseph Timothy White. The document contains administrative information regarding the release of an agent report (DA Form 31), references to DA Forms 1885 and 190-451, and notes about restricted content. It includes redacted sections, unclear text, and formatting errors such as "END OF 3 TRIATE MENT" and repeated numerical sequences. The form is associated with the JFK Assassination Records Collection Act of 1996 (44 USC 207 Note) and case numbers JFK Assassination System 982 and 992.  

Key People: Henry D. Glaster, Joseph Timothy White, J. J. Morval (CMAN) White Jr., Paul J. LoZano  

Key Locations: Columbia, Missouri; unspecified locations referenced in the document  

Key Events: Submission of a sworn statement/affidavit by Henry D. Glaster on 22 September 1982; reference to an agent report (DA Form 31); administrative procedures under DA Forms 1885 and 190-451; mention of restricted content and redacted sections  

Key Organizations: U.S. Department of Personnel Management, Inc.; MI Group (possibly Military Intelligence or similar unit); unidentified agencies referenced in the JFK Assassination Records Collection Act context

JFK Declassified Files

194-10013-10141.pdf

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