[1]Cc ©
[2]Date : 07/25/96
[3]Page : 1
[5]UFK ASSASSINATION SYSTEM
[6]IDENTIFICATION FORM
[8]AGENCY INFORMATION
[10]AGENCY : INSCOM/CSF
[11]RECORD NUMBER : 194-10013-10141
[12]RECORDS SERIES : DOD-AFFILIATED PERSONNEL AND INCIDENT INVESTIGATIONS
[13]AGENCY FILE NUMBER : .Z2F000003W - PAGES 1183-1184
[15]DOCUMENT INFORMATION
[17]ORIGINATOR : USA
[18]FROM :
[19]TO :
[20]TITLE : SWORN STATEMENT
[21]DATE : 10/03/82
[22]PAGES : 2
[23]SUBJECTS : SLOVODA, VLADIMIR
[25]WHITE, JOSEPH TIMOTHY
[26].[ RESTRICTED ]
[27]AFFIDAVIT
[28]DOCUMENT TYPE : PAPER, TEXTUAL DOCUMENT
[29]CLASSIFICATION : UNCLASSIFIED
[30]RESTRICTIONS :. 3 '
[31]CURRENT STATUS : RELEASED WITH DELETIONS
[32]DATE OF LAST REVIEW : 03/20/95
[34]OPENING CRITERIA :
[35]COMMENTS - :
[37]NW 88613 Doctd:34531352 Page 1
[39]|
[41]SWORN STAT EMENT
[43][os of The Deputy pli Qf Staff for Personnel.
[44]COLY MELA LOUSSOGLE 3 OTe LZ
[45]LAST NAME, FIRST NAME, MIDOLE NAME SOCIAL SECURITY NUMBER, GRADE/STATUS A
[46]La SrEle AEM CANE : Cor |
[47]Ble MAREWCOD DL COLUM EIA flo é520/
[49]NEN Y D. Gea STB, 647 76-1070, CPLA, LEONE AT Be
[50]MAPLEWOOD DP, COLUMBIA MISSO.RE AUSHOKIZE RLECEASE Or AEE
[51]re PAUL F. £0 ZANO, 902' MI GROUP CON CEFENIVG = TOSELY FIULHY
[52]WHITE, TO Me MORVAL cw Mn) WHITE FR (fA THER OF FOSEAM THoTA
[54]ORGANIZATION OR ADDRESS
[56]1, LEWOY  ONINEC__ GLAU TEL SANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH
[57]REMRT DA foRM 341, DATED 22 SEPTEMBER 1982, SUGUNNTEO BY
[58]ware) CBD //// 11/6 6 ENO OF STRATE OEE JALECE OSS
[60]1183
[62]| Coys
[63]OF BE RSC Oe,
[64]CONTINUED.*”
[66]ADDITIONAL PAGES MUST CONTAIN THE HEADING “STATEMENT OF ___ TAKEN AT _ DATED __' TH *
[67]BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT AND
[68]BE INITIALED AS “PAGE___OF__PAGES."" WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK OF PAGE ! WILL
[70]| BE LINED OUT, AND THE STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS FORN.
[72]DA: FOP 2Q23 — surenseoss 04 ron sone, 1 san se, wich wit ex USED.
[74]NW 60613 Docid:34531352 Page 2
[76]t ‘STATEMENT (Continued)
[78]q
[80]HAVE READ
[82][MENT WHICH BEGINS ON PAGE t AND ENDS ON PAGE Ze. . | FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT
[83]MADE BY ME. THE STATEMENT IS TRUE. | HAVE INITIALEO ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE
[84]CONTAINING THE STATEMENT. | HAVE MACE THIS STATEMENT FREELY WITHO
[85]OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR U
[87]7 St 3
[88]WITNESSES: (Signature of Person Making Statement)
[90]Subscribed ond ewern to before me, o persen euthorized by |.w
[91]te administer oaths, this “3 dey AOCTDELL . wA2_
[92]Le, CSSOH
[94]at
[95]NORGANIZATION OR AOORESS 2 BAe
[96]; 7 7 LY. of 2 am q
[98]RAUL J. LOZANO, 902d MI Group
[99](Typed Name of Person Adminiatering Oath)
[100]ORGANIZATION OR ADDRESS Article 136(b), UCMJ
[103](Authority To Administer Cathe)
[105]®U.S. G.P.O. 1980- OOP IPARTT
[107]NW 60613 Docid:34531352 Page 3