Professional Documents
Culture Documents
24 Sep 04
CIMPR-FR
MEMORANDUM FOR SEE DISTRIBUTION
IZ.
DATE/TIME REPORTED: 02 AUG 2004, 0900 HRS
t -li 2
INVESTIGATED BY:
SA
SA
b76-6htiiz
b7 t
1. 111.11111111111111. CI
VICTIM:
CAPTURE: 17 JUL 04; (NF1) [CRUELTY AND LTREATME
[AGGRAVATED ASSAULT (UNFOUNDED)]
M; DATE OF
UNFO
13 )] b7t-Y./.4 - 41f/P
74-9, 41 4147
M; DATE OF
CIV
2.
(WI) [CRUELTY AND MALTREATMENT
CAPTURE: 17 JUL 04; A
2-(UNFOUNDED)] [AGGRAVATED ASSAULT (UNFOUNDED)] 4,74 -4,
INVESTIGATIVE SUMMARY:
On 02 Aug 04, this office received a Memorandum of Transmittal (MOD (0266-04-CID899)
from the 22nd Military Police Battalion (CID), Camp Cooke, Tali Iraq (IZ) wherein MINIM 67 el. 6- Y
11111111111111111111111.11 (NFI) related two unknown Iraqi National Guard (ING) Soldiers 1.3 7Z-1644 -4/
and two unknown U.S. Soldiers, in separate instances, had physically abused him.
1111111111111=11111111 (NFI) reported he had been physically abused by the ING and
01111
b7c- ,044 -V
Investigation established no credible evidence existed to substantiate Mr1.1.111 and Mr 1)1L -SidAd - V
alliclaims of aggravated assault and cruelty and maltreatment. Therefore, the listed /,7c -'bb/ -V
offenses were unfounded. Further investigation determined the injuries sustained by Mr
ad been the results from Mrellineand IVIM1111110scape attempts hic-i
11111110and
ACLU-RDI 87 p.1
1.
DODDOACID-004625
0249-04-C102.59.80283
and capjuLe by the ING. U.S. Forces were not involved in the apprehension of MilliliPt7r.44
)a.i/
and DAW
STATUTES:
Article 128, UCMJ: Aggravated Assault (Unfounded)
Pada D3, UMW: Cruelty end Maittestment (Unfounded)
EXHIBITS/SUBSTANTIATION:
Attached:
23 Sep 04, detailing the receipt of the
e trite eve of 201111111.11 records query, and
Ale-'i APE/
670,1 ,
6. Sworn Arabic Statement of Mr11111111111Pand translation, 22 Jul 04, detailing his allegations
of abuse.
471-4/)/4-1/
b7e-016 -1
hie-464-4/
11. Sworn Statement of 2L1111111111 6 Sep 04, pertaining to his knowledge of the alleged
abuse.
Not Attached:
6TH-y)4.
411-'06-V
ACLU-RDI 87 p.2
(.4
DODDOACID-004626
0249-04-CID259-80283
The original of exhibits 1,2, and 5 - 11 are forwarded with USACRC copy of this report. The
Detainee Operations,
originals of exhibits 3-4 and 12 are maintained in the detainee files of the
National Forces Iraq (114NF -I) Baghdad, Iraq.
STATUS: This is Final (C) Report. This investigation was terminated in accordance with CDR
195-1, Chapter 4-97 (a)(4), wherein the office of the staff judge advocate is of the opinion that
there is Insufficient admissible evidence aVallable to substantiate the offenses and that
additional Investigation would produce only cumulative and urineeded evidence, and that the
Thel_ of
identlfieation of additional subjects or offenses Is unlikely. Leads remaining:rIteilliew
nd bre-3;111),4-1,
i
1L.TNIIIIIIk-the interview of the ING SOICREMB that captured Mind M
of the victims. Commanders Report of Disciplinary Men Taken (DA Form
the ii-i
4833) Is not required.
Report Prepared By:
yV
Distribution:
1-DIR, USACRC, 6010, 6 th Street, Fort Belvoir, VA 22060-5506 (original)
1-Thru: CDR, 22nd MP BN (CID) (FWD), APO AE 09342
Thru: CDR, 3" MP Group (CID)
To: CDR, USACIDC, ATTN: CIOP-ZA, Fort Belvoir, VA 22060
1-PMO, INF-I (e-mail only)
b7C-3.66 . .3
1-CID LNO, MNF-I, APO AE 09335 (e-mail only)
CP11111111(email
only)
1-Office of the Staff Judge Advocate, Ill Corps, ATTN:
1-File
ACLU-RDI 87 p.3
DODDOACID-004627
oe 3
7e-mi& -V
At 1705, 12 Aug 09 the undersigned interviewed 2LT 111111.11.10who/i7t.1/2b/ 4
C Co, 3 - 153 INF BN, Fort Apache, IZ
had
been
involved they would have brought the
related if the ING
detainees to the gate and then the Officer-in-Charge (OIC) would
have received the detainees for processing. 2LTIIIIMINIMPZ -11.,./Z -4/
relatdhcoun ayjitopernsadwh
behig.tif
related
he
would
2LTWill.
the ING were involved.
available for future interview and he would attempt to locate
other soldiers that may have assisted him in the transfer of the
detainees from the ING.
At 1144, 6 Sep 04, the undersigned interviewed 2LT /11111111111111110t*g.J 1V
-4/
who provided a sworn statement concerning the capture of Mr.1111.67&1466
t4vje06.tivy.,
2LTENNIIIIII. related Mr OM and Mr0111111111es
and Mx
were captured by the ING and transported to their unit for
processing . 2L11111.111116 related the injuries to Mand 67.4 a/Ake& is
were sustained prior to arrival at their facility and iv b 6-v
Mr
incurred during their apprehension by the ING (See Sworn
Statement of 2LT1111111111.b/e4i...a&V
4- a/
4.111011. 111011111.1.
OA i
Spa
Si
otea
DA
NJ
ACLU-RDI 87 p.4
DODDOACID-004628
Page
023
under the apprehension of the ING. 2LT le. observed the INGIgelidibti
soldiers had bandages on their arms and heads from the in uries
WWII 46 'VASI
capture. 2LT
and Mr
sustained during Mr
0144
injur
es
had
been
assessed
andkitoirithi,and
Mrrelated Mr
treated by th company medics (See Sworn Statement of 2LT
SIM /1Z 4114"/ .
.45 I
.
and
Agent's Comment: During the interview both 21T
1
- related a local Mosque had been broa casting,b0 01W
a public address system located within the Mosque,
utilzng
that if they (Iraqis) are detained to claim abuse in order to
get released early. In addition they added that the word on the
street is to get captured by the Americans, claim abuse and you
will get three hot meals a day, air conditioning, fresh water
and then be let loose to fight another day.
2LT
ble-/) 660
SA
Specia Agent,
Signature
CID PoramDA
ACLU-RDI 87 p.5
DODDOACID-004629
elation 195-1
0289-04-C/D299-90283
age 3 ag 3
ACLU-RDI 87 p.6
ti
E:
DODDOACID-004630
06170i-oy-cio0757-6,2 83
Nw.......111
ROI
alIIII*IM18/:Mma,sa.*4w.
;..a.Pm.wnmil
PAGE 1 OF
.
tAGES
DETAJLI
About 1500, 21 Jul 04, tins office received notification from the 301iritadeCOatbat Team (ECTYProvost
itaq APO AR 093/$8 -*AO identified lfrough Sum*, Intiraaptian
Marshal Office (PMO), Camp coo*
Report (SIR) # 1CD-239-275044417:aird # 1CI3 7239-27544424, two detainees . fig bifida( the Brigade
Intezrogation Facility (EN), Camp CoOke.;Taji, Iraq APO A/3093/8, claimed to have been beaten by Maisie:an
.
.
soldiers Mid soldiers frotn the Iraqi National Guard prior to their arrival to the FITP.
.iimatius
saika
A
office, coordinated with 2LT
bout 4000 22 Jul 04
2X, 239 Milittay,Intelligence Company, Cano'Cooke, Taji, Iraq APO At 09',..3714.0. Aolkidigital
images
taken of th:o tWo detainee's injuries at the tune of theirenivel at
provided
/
interviewed SG ,
id
bout 1100, 22 Jul 04, SA
OK:Mary Police (MP) Company; 004 Cooke, aiit hug APO. AB 0937
zee of the detainees froM the KV .to the Charlie Company Medical,. Facility (Chailie Med) Camp Cooke,
b SOT
said he *as scram
,APO AE 093/8 at appr4o1ditiatelY 1000,18 Jul 04. SO
AE
0.9$1S.
1.0
.Copipany, Camp Cooke, Taji,
9
firecelifeti
ll*'
rti4
3,14 3
:6 45
4 -17
45 riiinuteii While
at Charlie Med.for
Me
ated he and SG
have
bath
Anis/hes
'd the detainee appeared to
'es. SG
dical treatment foeseV rfaciarand torso
detainenbnek to the B1F atthe674.43.4 3; .
everely beaten. SG
nclusion of the media examination an
3,1 -3
be transported to Charlie
could not recall which of the two d
GENT'S COMMENT: SOT
*410 iit was detainee
ad: Prather investigation di
A*
642nd
coordinated with MSG
bout 1315, 22 Jul 04, SA
e
.
.
.
.
p
related
.
.
APO
AE
09378,
term= Company, Cinip tioke, ali,.1rari
sent at the IMF when the two detainees were brought into . the facility on i/ Jul 04. MSG -
ustod' "
'd he noticed the detaineeshacl bruising to the fa; and appeared to .havobeen beaten. MSG kg*. b6 -3
..
..
.
d not have any further contact with the detainees. 6.7 4. 3) ble3
642nd
coordinated with SGT
bout 1320, 22 Jul 04, S
images
of
the
detainees
aintenance Company, Camp Cothke, Taji, Iraq APO AE 09378, who provided digital'
d their injuries as well as all detention facility and medical documents pertaining to the two detainees. (See
ee intake padkets and medical documents for details) .
.744,1464
4) i
42nd
' terviewed SO
bout 1330, 22 Jul 04, S
,
w
prow
a
sworn
statement.
SOT
Iraq
APO
AE
Tajt,
aintenance Company, C tp . Coo e,
lated his knowledge of the incident and he was the Sergeant of the Guard when the two detainees ble).$6.6a
ere brought in to the INF. (See Swim Statement for Details)
TYPED a r
9,
ER
14e-61 e h2_
ORGANIZATION
SENSITIVE
ii V
ACLU-RDI 87 p.7
DODDOACID-004631
(174fii- OY-C1D.26-,-8(P.83
PAGE 2 OF
PAGES
MAILS
F. n
ktf
Ti-lo 44.9
BIF', Camp Coaze,
l
Detainee
interviewed
CAT
H
translated
by
vided a sworn statement, in Arabic and it was
Titan, Camp Cooke, Taji, Iraq APO AE 09378, detailing he was abused by
worn Statement for Details).
Charlie
' terviewed SPC
About 1500, 22 Jul 04,
on, Camp Cooke, Taji, Iraq APO AE 09378; Who prOVided a sworn
Company Medical, 39th Support B
statement detailing her examination of detainee lap on 21 Jul 04, before and after his interrogation at the
MY. (See Sworn Statement for Details)
1115
terviewed PLT
About 1510, 22 Jul o4, S
Transportation Company, 6 ,.. Cciokejaji, Iraq APO AB 378, WhaProvi.ded a in;vorn Statement detains
71f-tiA64-y
his observations when the detainees were brought into the BIF. 1L1.1111111related he was the Officer in
Charge (OIC) at the BIF at the time of intake of the detainees. (See Sworn Statement fbr Details)
-/
IF, Camp
mterviewed Mr
About 1650, 22 Jul 04, S
lated he was lopoi hts-a, 7
Mr
Cooke, Taji, Iraq APO AE i' , with the assistance
him several titaelwith their fists
apprehended by the Iraqi military and taken to a building where they
was
then
transported
by
a
green
in
color
car
with
ING on the side of it, to Adaymeia
and objects. He related he
Palace, Baghdad, Iraq where Iraqi and U.S. Forces were stationed. He stated he was beaten by the Iraqi's
re. load no U.S. soldiers struck or hit him at any dine and An Y, 66 v
several times while he was there. Mr
the first Iraqi
lated he saw
breisvp6P6
that the U.S. soldiers treated him very well.
and
telling
them
to
/13MIR
hi
.
beside
him
and
they
military building he was handcuffed to a chair
ated he believed Mr la vo.,66..
admit to doing bad things and they would stop beating them. Mr
111111111111was transported to the palace also but did not know what happened to him there.M.-4b6 - 9
-
4 .
interviewed SGT
About 0920 23 Jul 04, S
Medical, 39 Support Battalien, Cann; Cooke, Taji, Iraq APO AE 0
"
Charlie Company
g4666
. SGT
SEQUEN
NUMBER
4X-1
42
SIGNA
8
ACLU-RDI 87 p.8
DODDOACID-004632
ROINUMBER
0226-04CH3399
PAGE 3 OF S PAGES
DETAJLS
STATUS: No further investigative activity is anticipated. This case is closed in the files of this officeJ//LAST
ENTRY///
'144)614,1,
ORGANIZATION
38th Military Police Detachment CID
Camp Cooke, Taji, Iraq, APO AE 09378
DATE
EXHIBIT
23 Jul 04
ACLU-RDI 87 p.9
DODDOACID-004633
re t
U.S. CENTRAL
\MAN
7115 S(IiUTH
Y BLVD
AT
CO-6MACDILL AIR FO1 CE ASE
FLO DA 33621-5101 110
'\
ACLU-RDI 87 p.10
Page(s)
1111.0110..2.12111.111171.722,
ISMANSINID
13 -
Referred to
110S0 \ I Y MEDICAL COMMAND
7 REEI1OM OF INFORMATION/
P;11 1VACY AC? OFFICE
A 3NTION: MCFP
2050 W01:7.11 LOAD, SIJIT.-1413
FORT SAM HOUSTON, TEXAS
78234-6013
MR, JOHN PE ERSON
Johna?etersonl cen0ameddoarmyemil
(2 10) 221-7826
.
ACLU-RDI 87 p.11
DODDOACID-004635
e(s)
I s -a3
to
U.S. CENTRAL CO MA\ND
7115 S UTH BOUNDA'Y LV
ATTN: C06-DM
MACDILL AT FO CE ASE
FLO IP) D 3-3621-5101 MS. JACQUELINE SCOTT
scotti@centcom.smil.mil
(813) 827-5341/2830
ACLU-RDI 87 p.12
Page(s)
Referred t
U.S. A?P: MEDICA_, C MMAND
FREE \OM OF INFO `AT ON/
PRIVACY ACT DEPICT
AT ENT:ON: MCFP
2050 WO::TH ROAD, S J1 El 13
FORT SAM HOUSTON, TEXAS
78234-6013
MR. JOHN PETERSON
John.Peterso 1 cen...amedd.armyomil
(210) 221-7826
ACLU-RDI 87 p.13
DODDOACID-004637
(s
ACLU-RDI 87 p.14
is SPS
I
r
For use of Ibis foroe.AR 1 .9041 thepomaAgEL
-
AE77550f0TY:
030.09U06:
a FILE NULDIER
DATE rtYVYRUZODI
I LOCATION
1)17&
66-ef
7 GRAGEISTATUS
.ro.S woe.
- SC."'
tatti 4.0
brti46 -if
kityakei
wo
4405 .47
el, 4 5
liaminn 170,0
...7.4.oreu-Paiieo
e.?-eA- /710.01.J
?look
RI
per'
rooa
..
.
ira
,440 o
al%
/40
67
tFIA40,esa/
6brOg
1.19m-14
Ato
%IAN
De-7,0,:.,e0
AL ckuder- :::::floPraf
Aeoafhl
4X-e-iib1 0(1
r*,,o le il,
"Ps266,00 'Igate4,...)
TAKEN
_ Ale
milw'
T.
EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT.
bg-s0!) -q
4,6.(c.
Nt.145fitil
Ed) b . "pi-
.Z":0)/::
f',
BOTTOM OF
.....1?
TA
I 11 INITIALS OF PERSON MAKING ST
THE
wAi6
3 441/
IDael.7r .
Are- 16 .4ip
d Avibee.
1411- a-/La
_7;74700-15;5 um_6546
44/0
47E2;44 6
Goa, Abref4.
7.74,,
-7;71
kx-tlibtfei
yelleinfAM
4)
Aibetemez
A .5,40.e-7
$r1/11,7 0)&7:
.
/1),6 BR-e-esti
774,111
AV" ?D /0
4es
ir
do Ail/A.PAW
1.DA6
_to 66:
nke
te.hcks 4skee
z $e 46 Atztte
r;pAr
',Is
of
.660 12101
ams,
it)1.411
6166 Askee9
GLIA5
474*eilibg- .y
Acskeo :.5e-t7644
A,1
An-in 2e-twaPsc
w as
Mew
%0A
I PAGE 1 OF
PAGES
1-JEirtP1Filq*.113Sei42.- Y
LAVPINFVRCENENrir SrcISIT
ACLU-RDI 87 p.15
EXHIBIT C
-
, r-.
DODDOACID-004639
IF
NEEDEti. THIS PAGE IS NOT NEEDED. PLEASE PROCEED TO MAL PAGE OF THIS FORO
652te,
TAKEN AT .
sT:. rEmENT OC
.
.
S. STA' EmENT Cfron..011
e.it tz-ill.foL
._.A*._ Mi : .. dele) ,
._____DiarS5
AgA4-1 //
./LA
..7: Oil A6
_ &IL g
.7* z ziAs
-rfrtV.01/
t.eiteits
NO
Zotti
ileff)&10
er
Alathell
:15tAX.e4121e-5
ek.
4IP- 40 0 / ,140-05,1 .01# #44.44 e 1 , Also .Ar.
sa
#c0
i.,19;1 t te e 4.1.0 ALS ,i-p4r
Siaiv
fee%) %
a ra
ZI____Le.f36AALA
--neaj
A,
A ar) 4Wia_tkisa
...53,e2m 55_387-47tri-ESeS (-Orb 1 . 0 li (..1.,a1.67
064e/2 11g 0
77%).3f4414 e5
ark.. 're
coelo.z. _ &. fif6g_ LIAare. PplAy d' re' ilia
In.,
tip pis,)ittlartice'SG , i5 :ra -.2, e "DDa-ot 13..3 A --re+;-. b I/4.rr obastgr.
. ..7- . .
'
AN-0_ _ _ eleild____Fria--m- 0
WA'S
DE1047.kti4 .
42169064-70,2--77-
610cir-,0
_/-k_
.^#6
___-_
147 bh6../
.46 fee,0
ce,66,1 -
77:0-0
lA
1,70,,m-/
bx.ei)b Pe./
40
1071-ci)
F &fir UgE9.`1'
LAW INFEACE:.Tifr 97-1S;Tr''
ACLU-RDI 87 p.16
AGES
1 PAGE Z OF
EXHIBIT
5-
DODDOACID-004640
TAKER Al
STATEMENT 0
..
S STATEMENT roommurrot
42- ;la?
blii."9) b6-ei
47e-ci) b 6. 4'
, AFFIDAVIT
'
Peqi)hfr
Ira ure a
emery/
mg S
ere n
WITNESS
c 7**---z
C.-PrztvR
3..)L7
7_2 -oc,
'oar ca
Socrf
'MA k
4i- /
miassissilLe`b
sissi
ORGANIZATION OR ADDRESS
CA
.
)
(Authority To
narmster Oamsi
DRDANIZA1 , DN OR ADDRESS
Aii 7 'ALS OF PERSON MAKING STATEMENT
I
AMP W601/
1
.,
PAGE
OF
PAGE 5
LAT .. ,NF.DACE.,OENT
ACLU-RDI 87 p.17
EXHIBIT
DODDOACID-004641
226 - 04-c
SWORN STATEMENT
For use of Ms form. see AR 190-45: the .roponeni agency is ODCSOPS
PRIVACY ACT STATEMENT
AUTHORITY
Mu/OPAL PURPOSE
=Ma UM
OISCI. USE
' LOCATION
Oneklause of
`TA-31
3 Tun
aii3X001
2 OAT!
coves
CAN, P
81.11:02: II
=KO .
ATI
1 Rd "4/
c
o6
2 7.2
S.
7 GRADE/STATUS
tt
k7b61
TiAl
,..tL...
Ar
i
f"
.,,
it
-..;...,
4/
_AA
4,..
g'4
,4I
EXHIBIT
ADDITIONAL PAGE 5
THE
al i
,
WA
rrl
SC
YIDS
1 h 4-a-a
v44.`01
"'
A in d
IA 1 el S P___O
'T
q i id
...
4/
7e-,
10
1A-1/ a (r .
e.
P r 0U .
.... A i
.._... ____
. S
AL .... __
_..___LA
:,....
..
SX MnA , v, d
OL
I,
:1
I i
INITIALS
42,c-v...1)s-v
EME NT
TAKEN
..
ENT
DATED
I
I PAGE 1 OF .L.-Z
PAGES
BOTTOM OF EACs ADDITIONAL PAGE MUST SEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT AND PAGE NUMBER MUST BE INDICATED
cEri4Cfff6V ,
ACLU-RDI 87 p.18
<
piewnwr
DODDOACID-004642
TAKEN AT Cc
-Ciet-".
DATED 2'2
id'red A6-y
.-jaer
--__,,----,
-----b ---
)Sty!--
kn 'el.)111Z 1"
-- --- -
--
AFFIDAVIT
2_
pe- ci,4051
amen')
SuOscriDe0 and sworn to before me a person authorized Dy law in
WITNESS
?col
JGIL-7
r.s
AjillIMmok
au
___r__46-/
Administer oaths. Ibis ZZiKday of
at
:-
--- :- /
11
.441C-00
ri
ORGANIZATION OR ADDRESS
AilimummipL246
, _
_s---/t
(Typed Name
of Person AdmInotemg a
'
OR GANZA'''ON OR ADDRESS
I
PAGE
OF
PAGE S
p5cifatiVF,e5Sn...
ACLU-RDI 87 p.19
1, 2
Er.rififr
DODDOACID-004643
SWORN STATEMENT
ft/ used Ms form. um AN 1 1 5'
isODCSOPS
' AMA=
'
Taw 1B UBC Daum XV WS up; 001014mo1i7i 0174MMINsirsor & 141100001
PROOP/4. WRVS& Tavola) commmeor ware avaammit
wmagsal Ilyolgolokombei mai IN /NM*
NOWDNEIXES:
tale loostattorsty
svoiMiFad
munchiMIONDPINBAMAIIIIMMIllowalwalt
4441THOSTIV
LocA
ce-dkr ,itaeria-ArtheA/c.coir
C,A4PAA)
ropmerproas.....
,04041
.-
UNDER OATH
rhe
31/1-ZR-AZ -A)
z--gaV.9.665
-
.rzy
le=
".". "IP"
Air--41411._dera&-c_codcwzmeeezzedencallill
Fi
......
Mi
a"ItarAmo Ar.03.'.,,etv.,t,e.A407r4r
4167_73-
.0 141.41527."-if 7MA'
.r".741111111,11Meri.f
.,e____:f_r_,
- 1111raleaLag_ertig22&42mmeg=
.7"
dr-
.4.
7,A._
Tr Arir..-J,
_r
Ir.ti
.1"
(.460(1-.4/ ,ci
AAR- 40 f
rc-
714
tx-o,p106-St
;4,2
-
gurli<filr
MIMIMA..-.61511r""'
10 EXHIBIT
st.
CASE er
.47 J A/37.1
blz3,k6'3,
11 INITIALS OF P
bif V
TAKEN
PAGE 1 OF c2 PAGES
DATED
r HE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE oARALS OF THE PERSON mars THE STATEMENT . AND PAGE NUMBER MUST BE INDICATED
LAI
ACLU-RDI 87 p.20
CE'PEir ,T.
DODDOACID-004644
60T-05?-e/D25-7-802e
LAW ar-cir.loaavr
Nar.apja.....
meta AT
STATEMENT OF
. ,
5 STATEMENT (Can:m.144
..;?
A.-4.__4:
.-?fa Mei
:Sr" el"
_ cif"
- . -0,41r-.4, 0
../r ,
.4'' ...... ..,"
or
;4-.6_,
. _,.:
-.:
....
__ ,-
.:.r. ,
....,
-.,..._.
....,*:.
Jr .
... A4-
7...._ ..--.1t.'
,....... 6.:
.....ar
.4 97Cer
4.z.,:4 .=
&Nob 6%5
,..
..- :.- - 1 le .
..
A11.67/J/410. --"C
a "rjeloor -1-21977429 7es .P415 _i
. .t...:; :1" .4 ,A;f,
41/0 _,,,.,412:2
.r: A- .-
'.., -
Anoidrigc,_,41.49Merzfr -.."-Aer
DATE;:fa;(rcri .7 2
rt"
,67/4-- 7
....r...
-.21;a,,...
,,
.......
/3343
CCS C.
I i
eoteriCee...d, /1,6"679
al.",
.....4 1,
ts% A6,10 91
44C-._
46V
-LIPZe.."'"
,_
,. .
d.--- e cco
,...4
...,
AFFIDAVIT
I.
WITHOUT THREAT OF PUNISHMENT. AND WITHOUT COERCION. UNLAWFUL INFLUENCE. OR UNLAWFUL INDUCEMENT
.
--
nature
WITNESS
9.1
alnp
al
7 Zupday or
2co X
jiil 7
C41/4-*L,r____
.X1
7C*4 , 147
ORGANIZATION OR ADDRESS
$4
MOW N
Det
Moe OS UCMJ
ORGANIZATION OR ADDRESS
INITIALS OF PE
illipo
MAKING STATEMENT
OPIJ4 6 'Y
r, A
, An V'S
1% Ma
AIM 0.
PAGE
A AI... Am
.2
OF
.2
PAGES
MIEN
L :MFG ACL:
ACLU-RDI 87 p.21
DODDOACID-004645
ri"
VeditY' 0V-edo-n",-86.83
Ltkir -.7:NFQ7I.MT -Far
8226-04-CID 99
. . .
unIcaulv.
is,
. i ..,
. ACC
.04.4
_ Onassimi al
milk '
NAINNi
ii' ""
.
,2;11C7'
1.
.. 3F
4' FILE
Mirgolti
v
14
i*
Mai
1 re IMIL
4 t
lo
1%
6*. It
aa
..ALIMPrttit14
AI 4
Ara
144 Slip
Er,
Et
ilk 1
Afil
.11i4L/
0..
aa
ve-4405-
,44r.
671,-41)66 4-/
bze**6-.5
III. a.
it
e
0 vex) ta9 0J T
.t-4e) f AreLL.10
. .AeinirL 1A.1.0 VA ..1411rueia4
Kiraon
$N CC
atti
b aitit/LA
Ab
lirgit,664
!Wi
rleMkriMPI
-
1*-
* iet
'
4.Fg-wele
IMEIMIMCAMIP,
EXHIBIT
II.
_ 4o4
.nrN.
AC
TEMENT
111A I ice!
6, (11").A.Lg,
TEMENT
P SO
kkrr,
PAGE IOP
TAKEN
DATED
SOM -31
lidcp
PAGES
'
THE 110TTOm OF EACH ADDITIONAL PAGE MUST DEAR THE INITIALS OF ME PERSON LIMAN THE STATEMENT. AND PAGE NUNDER MUST SE INDICATED
ps'arabilliii SU '"""
ACLU-RDI 87 p.22
.2 1.)
DODDOACID-004646
'317Cr lIV.ISE
bIg",11.4
6 - 04-
STATEEENT OF
_,,,_ i
4,
Q:
A:
Olt
1-14nro , 0A
71q.4 if
DATED
_V JUL
' _,
;/
etsVikae
TAMP AT
9 STATE&ZF1T idoroutuen
- - - .....--------- 1
1_
fir.
t..,
A_ *410 CIAZ
SF PO acdk
SA
It
tua :
Co I 4.z.. ..
(iusn
454:444,
&o .
of
tm. V46.9
-- -
....
.s-
,, n.eijez "V
AFFIDAVIT
4 /4"11.024' 9
I.
re
WITNESS
lemo
ilff:g14t*el
Summed me swore Is be
zoo),
-AA 7
ed,"sp e.,..t.:_- ,
-774..//
6F4
ORGANIZATION OR ADDRESS
1,
alement)
-571
6'.
4 701%60
(y
ems o
g Oae4
'
ORGANIZATION OR ADDRESS
INITIALS OF PE
.- . --
MG STATEMENT
kiell,11.36V
PAGE
- --
OF
2.
PAGES
EXHIBIT
.1
1 SE r -
" "INN'
ACLU-RDI 87 p.23
7
/
DODDOACID-004647
CV1I% 0
LOCATION
DATE
6 SePr
r3
-C 26- 7- 80 2 .83
"FILE NUMBER
414 r
1.4.#
G .A.
cp./
-/
(A)h
roa r
ReEPJAP
04-49
e71
eos f6c1/
INITIALS OF PING STATEMENT
EXHIBIT
AK-e-,...0;41-
PAGE 1 OF
PAGES
t1
STATEMENT WILL
i_____
DA FOR
2823. JUL 72
ACLU-RDI 87 p.24
orrx....e
05E __
LAW-NFORCE...',.:-LENT E7.15.T:
FOR
/0
DODDOACID-004648
bfi4-0 64
""STATEMENT OF
DATED gse, rim CONTINUE
mar
,7
-e57,1
vic
-"MAWN
es.
Aimi
Ifte,
baa)
WA^
I4e_
71-he.
jacos___
01.%
Ad'
fay._
tow
JO 0
ot ,
af
614,4
1 itid4"
p,hg*La.,.....
In
ecr6.5
SlrAee
014
C-4
II
&Jai
NO
eg
1041 6C-C"
INITIALS OF PERSON MAKING STATEMENT
PAGE ..22
USE CELY
LAN ZNFORCEF:ENT SENSiTiVE
OF
PAGES.
FOR OFFIC1.1,
ACLU-RDI 87 p.25
EA
DODDOACID-004649
USE Op ere r .
,..." j IV
STATEMENT (Continued)
)e
op"
.--
bod-05
bie't!iht-V
AFFIDAVIT
HAVE READ OR HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS
1,
RSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT IS TRUE. I
ON
HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE
THIS STATEMENT FREELY WITHOUT HOPE OR BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT,
AND WITHOUT
. ..
COERCION, UNLAWFUL INFULENCE, OR UNLAWFUL INDUCEMENT.
Statement)
11 WITNESSES:
2004
at
n_
114011.1111111wea)114-/
ORGANIZATION OR ADDRESS
ORGANIZATION OR ADDRESS
'
PAGE
U.S. Government P
Pun
LAVi
ACLU-RDI 87 p.26
r?"
OF
PAGES
3427180494
/0
DODDOACID-004650
FI
i VSMIEVAINE rr
Urgency is ODCS
For use of this form, see AR 190-45; the prep
157.8141
umnoN
C4' 44"V
FILE NUMBER
TIME
DATE
40-00-
640
GRADE/STATUS
11,4
.4)10.s_a_02 0e01
aL11.01,1..._w.
rAi
A,
The_
44x.rd
iNk,LeAai_Akt4hvye.
6.244tAb6
mr_11111111.4-rircit 46 esrrA
r4/67 *dime
rt
riklr
840
Hic .-
G ppre tierds4yi
/2,,ewk /Aid 41
ON MAKING STATEMENT
a<
fit
EXHIBIT
d_______
69e,444e,..v
PPV,3 b6-4,
4.4e
4#/eftm
PAGE 1 OF
hisva5
PAGES
DA FOIRSEM117="
USE r . '
7:11FLACE.'IENT
F.F1
ACLU-RDI 87 p.27
EX,111
I
- 5
DODDOACID-004651
C) rf CF1 1.-dUceJ 7 -
icV7 b641
"STATEMENT OF
DATED 6(e, ey CONTIN
Q. W
rn or-yr
00(05
z fe
Mt.
'
110111115-
Q
_
I _
73;_isilL1:61__nr,
/ / / erro
Ag4')A6
INITIALS OF PERSON MAKING STATEMENT
V
PAGE
OF
PAGES.
ACLU-RDI 87 p.28
snis-m"
DODDOACID-004652
Si=
7 4
AFFIDAVIT
HAVE READ OR HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS
TAND
THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT IS TRUE. I
ON P
HAVE INITI ED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE
THIS STATEMENT FREELY WITHOUT HOPE OR BENEFIT OR REWARD. WITHOUT THREAT OF PUNISHMENT, AND WITHOUT
COERCION, UNLAWFUL INFULENCE. OR UNLAWFUL INDUCEMENT.
,
zjew.06
Statement)
WITNESSES:
at
SecAeutpol
2004
ORGANIZATION OR ADDRESS
Oath)
sA 11111111111111111111A n pd
(Typed Name of Person Administering Oath)
Article 136, UCMJ
ORGANIZATION OR ADDRESS
PAGE
3
7z-viA Government PM
USE Mt',
F(71
AVt' aiNiF0AtL".::ENT S71Sirik:
OF
PAGES
-0N/130494
?f.
52
ACLU-RDI 87 p.29
DODDOACID-004653
PAGE 1 of 1 PAGES
0111111
77
Action
NVESTIGATNE STANDAR.D.S
:Nft M /141.e. ,
..----1:., ' ; N.lititra.'
svapeNeg_DEPOSITED.. r :
. . -. 1 dulY;
dliii
.
. . .
LA liEOUESTE . "..
5 dutydaya
RFA'S SENT OUT
. 5 duly .daya
MEANINGFUL INV ACTIVITY
10 day days
RF.A.FOLLOW UP
.15 duty:days
IN4W1d .S.U004 UNFOUNDED FINIALS .15 di,tydayb .
;.I. FINALS - :. . .30. work- daya..
Z.
.. .
. 3iNolvd4y.g:
Li v!.a
ACLU-RDI 87 p.30
DODDOACID-004654
AGENTSACTRiffialAARY
(CID Regulndon 195-I)
TIME, DATE, AND AGENT
0900,2 Aug 04
Agri)44-1
Control Number
0249-04-C1D2S9SUMMARYOFINVEMATTVEAatIVITY
him. Mr(NFI
PIAM4
Ake ,
reportedgrall"111111111.11
'e had been physically abused by the ING and
related U.S. Soldiers had not abused him.
OD FORM 25
I Oct BO
ACLU-RDI 87 p.31
DODDOACID-004655
Control Number
0249-04-0D259-80283
Regulation 195-I)
AGENT
0900 2 Aug 04
4V.A.66-/
1520 3
04
i,e4)14-/
Avoiran
liPOWY
Received and reviewed Summary Interrogation Reports on
dar
Marked SECRET and placed tongie,fib, (Alden Se crt), eouvi
Updated AIR and 66.
1310 6 Aug 04
Pg414,&-/
1 14201 7 446- Y
6744,41
&beiai
5-2,1 t 12 kvc-
rneeP
ittrair
fa
3-1.33
f,613/7) bee-4mA
eMA44
MEP bit6 66
glib
cep-
(2 en/Cr. 0.1
S ao
10111P ANt0A
L
Ar&c.fie"
re-I4i;...t`'""4'
-ffee- &IAA./
Pty.
e.e4 st
et4
" 401/
3P-r4
1703- rZ 4cb- of
NI* Ag-646-/
1-41-
.$ PlAce,
It>
ihe eoccuz pr
cer.ia ht. hett"/
Is%
trz4 (asefacki. M240
ity-P 3 1%
cr,
eael,
.5
ZvLrg An
Com. t 01111111.4.4.6 re.144.61 Pr Re/1,14v- w-ovs
Ajf
wr amp
3- 153/ ,/,
C Col.
*'
60- r
'b.I
24/ OA
1t3
60,..6"/ cychAt
e- Govseidozn- eic.
1Le.
#14.404.
01.314..3
l^i4 e'
g-
6i/6
1.11111111111
a..1111111111.
rc -.44
ape, 12.44-ey
uP 0 OFD
tslepow-V
ccrooki
cog /ra.
grrieur.
Petal-eV
1 30 % 1 20
(15`f
Area1-- ital.&
r
'NP"-" " 11111.0 o
Ari-
LTC-
f
1-4 3 eVietceic.- 1 ,1 LC/L,
ID A'r-Te
5 11-
. T
S A-c,
11111111.0"6114 -7/
CID FORM HI
I Oct BO
ACLU-RDI 87 p.32
DODDOACID-004656
Control Number
0249-04-C1D239-80283
1136, 26 Aug 04
biep/ik-
Coordinated with LT
ho related L
arrives back in
29th and both would be available for interview upon his return.
LT
el t e N .CDR or XO would be accompanying them on
the convoy here: 'LT
related convoys to and from his area are
difficult to organize do to the =erg combat operations in the area.
COW!
P0G-
I 7/Z 3 .5cko
6
0t
LTIONIMIR -
E
46
Car INT
UM( C06-1-
/1-
it NI
5e to
eepod 70 sue.
kimw
..,118
nap
el. OA Iva 01
09.0,
fresc.....) . 6271,..06,6- 5
erie
fisi-/
lAr-r
(1
4/14
pg, -414.6 4 V
mjung 4 Avg.,
wk.s. reAc,6,k
1-C-L.
Cit
atufr1 cc-p
4f2-
1153 61,519 0Y
re(p,61
cei466.4,,x 41
(5e-6- Aim
17156 7 5080(
Er E 241I I I
rcka
"5-ide- V'S"0.-61- 4.^ 64
fregmacrtke by Het_ 1.4..opecip, --get hi a.
/5=6 birre..41A,.
cfauta_ e. De .
65c "4- HI-- 16-' 6 ;-
4,.
&vez74.pr...4.,
pe-614-/
lb
if) p
Reu-re.;
71/414r1
444- i64449
t .Al2.,uic.,./ c.F. 21:r
C.-64 2. criminisi
oc cored env, 4 'Niel,US c c.)s kbciy .
US rcr.c)
03
d-
uatoec4
ac
anl
aria .4,
C. 4 fra
kle
Cc.1P Ivle
4,1 P4 Since
I"4 M r e. W&14-
RA.1(
fimp
if le Aepis;di
144
1 Mr.. 111111111F*4
p eAed4g41 s 4p.:--.
of Pic4 I i5 Al 4/3
VP (5 1
0-
Crrsc.Iss-.1 C F c
cc Gad kited? 6
MAMIE. 14 Wank
Sri1111111111P
Li v.
u er-( rci_v,6A
LE
ACLU-RDI 87 p.33
pie.
buil/YAM-4p y
we.414-sw OR:SM
0 `11
10G-sed kieb"
eflo pi-wit-Y.4 - co,
r,,,(4,_
06
CID FORM 25
I Oct SO
Mr
Ore- du
dust ca r ite
.1
,ScAiorol.
Bir 1
t-73b %s(pol
Nat Pnhiert-)
u 4
3
DODDOACID-004657
Control Number
1520, 10 Sep 04
fig4.0 66-4
0912/ 11 Sep 04
1?..eik56-qj
abox-0
It 6619
011111.
67g./.4
*4
I.
766
.6
5ello(
bi c e
faigirre!Vet)0 hz m eg r
Li? Ok. e 1.4Y 1 A; (
4-6
04 c5C),
141.4 a e4
NVa
/63? 8.4
440,
S',41c
-0 ,04RI
c/..
,7ac.reren ,2e-t
zs4-4 A-v11
JA
13 St-i91q
11114"/
CID FORM 28
I Oct 80
ACLU-RDI 87 p.34
DODDOACID-004658
Control Number
(CID Regulndoa
1 00, 14 Sep 04
OM 04) 6d.-/
14 Sep 04
bFe61.06I
1169t-04ClD259-80285
described he was
During a review of the statement provided by
toa
rail
the
night.
This occurred
abused by a US soldier while handcuffed
and LT imp
before being transported to the SIP. LT
related they handcuff the detainees to therail to Iteepthem separated.
to see if they maintain a guard roster, 12 Jul 04
I will contact LT
between the hours Of 0000 and 0600, so we can attempt to identify if this abuse
occurred. I request we hold off on sending the status report until I can confirm
the findings.
SAC: Rev'd and discussed with case agent. Noted/complete the following:
1. Hold off on sending stat unfounding, as a viable lead has been developed.
2. Re - coordinate with unit and determine if they maintained any type of duty
roster for the night in question. If so, obtain a copy and ID soldiers that
need to be interviewed.
3. If nothing is developed from this, re-brief SJA with the additional lead we
attempted and re-verify his opine. We will send stat at that time.
1 30, 14 Sep 04
1111110 b X%46-
1842/ 14 Sep 04
II. 76 0 -/
1845/ 14 Sep 04
67e64L --/
Contacted 3-153 INF BN, to determine the location of the 15-6 investigation. I
was informed both LTCIUMNIkuld MAJ1111111were in a meeting but
Mink 'A &MAI Ote,S.
due out shortly.
1919/14 Sep 04
67e-',4d,
Contacted MAJ
86 90 11* 1
investigation. Ail
provided their brigade legal as a POC CPT 0 0141.5
6461111147 tha
AtempdocnaCPT
gill.with
negative results.
1920/14 Sep 04
111111A /I-44 6 /
CID FORM 28
I Oct 80
$41
ACLU-RDI 87 p.35
1-1
DODDOACID-004659
14 Sep 04
Control Number
2M-04-m259-B0285
tral
SUMMARY OF INVESTIGATVE
aczTxvrry
Rev'd. Noted/complete the following:
b7e.44.4, -/
Make minor corrections a. Re-word second paragraph in summary. Mr.
OftAk$1,110did not make allegation against CF.
b.
date to all exhibit lines. See
correction of draft final.
2. Also, make a note in AAS why we are not
interviewing LT
big s,66-3,
SL
AC:
r3 Selo 0.1
69764,06e._/
101c E )vi
A effC&"
Dutz,,r gtot
H4-tiff To
Atme.
,,. 4
CPT
C-
ifeacka/014f0
WIV.44., ) 4 lz
hayL eetediA
4'4, -04"
A4'4' .
44.46111411L r ....10,erc.4
-tgl" w21:70ebe
t:
C4.10
VC " 494
1- i/imilC44
6 ,fit-tiOt
25 -
04
6w.646
CID FORM 28
a Oct 80
ACLU-RDI 87 p.36
I) hm,bb
111.614 Gerrolerria.,A
IS- artra.,L1-40
p,
::
,..46
2"d
US cus
1-64'
A nilla0
"44- ,v4P yo
DODDOACID-004660
Control Numbe r
0249-04-C1D259-80283
SUM= Of
massaarilm =min
CID FORM 28
1 Oct 80
ACLU-RDI 87 p.37
ki
DODDOACID-004661
CID FORM 66
1. DATE
2. TIME RECEIVED
7. CASE NUMBER
0900
2 Aug 04
0249-04-CID259-80283
3. OFFENSE
8. ASSIGNED TO
. TYPE OF ACTION
GC
Unknown
REPORTS
COMP
tAn CY-j
iqk
70104iily
d4
SA C
ACTION
RQRD
COMPL
DATE -
1 to .S,
k)
AMOUNT
ACLU-RDI 87 p.38
L. 9
DODDOACID-004662
CIRF-CHD
24 Jul 04
MEMORANDUM FOR Special Agent in Charge, 78 th Military Police Detachment (CID), Camp
Victory, Baghdad, Iraq APO AE 09342
SUBJECT: Memorandum of Transmittal (0226-04-CID899)
1. On 21 Jul 04, this office received notification from the 39 th Brigade Combat Team (BCT)
Provost Marshal Office (PMO), Camp Cooke, Taji, Iraq APO AE 09378, who identified through
Summary Interrogation Report (SIR) #1 CD-239-275-04-0217 and # ICD-239-275-04-0218, two
detainees being held at the Brigade Interrogation Facility (BIF), Camp Cooke, Taji, Iraq APO AE
09378, claimed to have been beaten by American soldiers and soldiers from the Iraqi National
Guard prior to their arrival to the BIF.
2. On 22-23 Jul 04, Intake and medical personnel working at the detention facility were
interviewed as well as the detainees who claimed to have been abused. Statements were
collected and documented from all involved parties. Further, detainee intake records and medical
documents were also collected.
3. This investigation is being transferred to your office for action you deem necessary.
bito 4,01., -/
a 7001. 4-1
4. POC is SA
ikll
1 cd.a m
Ends (1 8)
70.4,01-/
1. AIR of SA
23 Jul 04
W01, MP
2. Sworn Statement of
Special Agent in Charge
SGT1111111111M 22 Jul 04. M-94441
3. Sworn Statement of
SPCIINIII.22 Jul 04. 6n BL-S/
4. Sworn Statement of
1 LT
Jul 04. 67r4641- V
5. Sworn Statement and
translation of Mr
22 Jul 04. lin-iv,b4-
6. Sworn Statement of
SO!
23 Jul 04. 67t -y,.64 -V
7. Detainee Information Log of
I0
ACLU-RDI 87 p.39
DODDOACID-004663
imp
Mr
7 Jul 04. A7C-Vib4 -41
8 I1anee Information Lo of
.#44Mr
, 17Ju1O4. 1
9. ati .Form 44 of SGT
r4-4344-4
10. CID Form 44 of MR'
r
64- r
11.CID Form 44 of MR
7444.461- 9
12.CID Form 44 of SGT
13.CID Form 44 of MS
744.44-,
14.CID Form 44 of SPC.
AX-1144
15.CID Form 44 of 2L
71,Yabd -4/
on-eg,A4-y
16.Cl]) Form 44 of SGT
17.CID Form 44 of SOT
X-3,7h6
18. Compact Disk 040226.919 containing
images of detainee injuries.
ACLU-RDI 87 p.40
DODDOACID-004664
Page(s)
to - 13
Referred t
U.S. CENTRAL C MMA
7115 SOUTH B UNDARY BLV
ATTN: CCJ6-D
M A CDILL AIR F RCE BASE
FL
DA 33621-5101 MS. J CQUELINE SCOTT
scat centcom.smil.mil
(813) 827-5341/2830
ACLU-RDI 87 p.41
DODDOACID-004665
hrAak
-*
1:
I-
"
PRINCIPAL PURPOSE
SEQUENCE NUMBER
DATE SUBMITTED
YEAR
il
...:A,....
ici,....,
DISCLOSURE:
REL TO CASE
i
,1111.NrilatUNIISMINglINEM
7:17-.3*M3.1
0 TI? / RANK
MID
'-
0 (
lizrrc1,1
ER
OTHER 10 ri
t1.-::.....-1:,:::.,444,",,,,,
COLOR
6MAIR4w
WEIGHT
HEIGHT
IJ -
t
ORD
ED UCA ION
'
.
o.
MAIDEN NAME
ALIAS-NICKNAME
mc.
MACOM
fr.
/
-UNIT / ORGAN
401',44-51
...F98 CPY
-- ,.' -
'
- YSICAL MARKS / A OS
MOS
Your Milli moot, ru bet and Olhor poriono1 late Mtn ao veal B3 on
oadificood I oitionote wa d EINOSotioso to Icalto Erg cnctrovioval
ROI NUMBER
UNIT
1.11111/11101111111SEVEMINg
ROUTINE USES:
SEC
TTY
ADDRESS
INDUSTRY
PCS IDE' OS
SASD
ETS
i.
TION
3 /A
- 1
5-'''A 8cT
INSTALLATION
--60BAL ADDRESS
''
SPONSORS LAST NAME
6D
' CO
HOME OF RECORD ADDRESS
;i-' '
. ...' .
COUNTRY
TATE
COUNTRY
CODE 1 APO
CO
COD /
fic
STATE
ITV
PHONE NUMBER
. .
STATE
:,filT27;.C_01'WeigMatailigglEtainlinil
-7',Z74,4.-;:;141E5
":4;44..2tiliTh7.77
ADOTINAL INFORMATION
SPONSORS IDOLS NAME
SPONSORS FIRST NAM
FAMILY RELATION
SPONSOR'S MAGMA
PRIOR ECORD
JUVENILE
SPONSORS INSTALLATION
STATE
COUNTRY
SPONSORS CITY
STATE
COUNTRY
ADDITIONAL INFORMATION
. ..- . ::
: ' : - i .: :"OFFENSE CODE
DESCRIPTION
OFFENSE CODE
DESCRIPTION
. ...
. ' ! . :: . , : .
...:,11:.
.... j474 _ t. .
":.'.
.
MAKE
- .: . :
".
.' ':'::....-
OFFENSE CODE
WW1! .
, , Mintallinigi : ,
...
: .'!
..
PHOTO TAKEN
FINGERPRINTS TAKEN
. `1' ':
! :.:.
1:: '''- '.'1- ...-g.gir;!2:
:: .1:P":7-:'i7.:Cr.'i1:: .
...
:i
ACLU-RDI 87 p.42
CORPORATION NUMBER
UFC
. ,
UFC
CORPORATION NAME
. :
DESCRIPTION
.: --.::
MODEL
CORPORATION ADDRESS
..
'Z':!_;:r. ....; ;''..: .
T1172;: : -.;54:011ir': : ,":;`n.40iir.4
OFFENSE CODE
DESCRIPTION
UFC
YEAR OF VEHICLE
CITY
STATE
.. i: : - -. .. . ,
..
PHONE NUMBER
COUNTRY
, .F.,:isriv. IV!
, stmoisit-E!..,,thifiRt. VIREri.W,.ii -1 .`...- . ..;:.'
' "- 1,-- tiVail0E:Api...11ir
`` " .i, ...,..i.IE:0-.1q1.3.'
7 :' :.
DODDOACID-004666
v4y.r7-u.1
AUTHORITY.
PRINCIPAL PURPOSE:
DATE SUBMITTED
Yew mad sooily nt, it and ofhor wand War olion am used as al
addBonai Memel ears of Idandootan to (Dadra Sirtg and fathom'
DISCLOSURE:
ROI NUMBER
UNIT
YEAR
ROUTINE USES:
REL TO CASE
utora?,7 1 . 4vifsf
HEIGHT
6 'i
WEIGHT
HAIR COLOR
2o5"
g2A
irf
b7L
DEC.
EMAIL ADDRESS
PCS/DEROS
MOS
4/--A /3 4
UNIT! ORGANIZATION
ADDTINAL UNIT INFORMATION
INSTALLATION
LOCAL ADDRESS
A" 1- 15-3
COUNTRY
N" I- 6-D
PHONE NUMBER
km//ota -
/N
474ikl
SPONSORS LAST NAME
RI MIDDLE NAME
SPONSORS FAACOM
ADOTINAL INFORMATION
FAMILY RELATION
JUVENILE
PRIOR RECORD
SPONSORS INSTALLATION
STATE COUNTRY
SPONSOR'S CITY
STATE COUNTRY
ADDITIONAL INFORMATION
air: IV
OFFENSE CODE
DESCRIPTION
UFC
OFFENSE CODE
DESCRIPTION
UFC
OFFENSE CODE
DESCRIPTION
UFC
OFFENSE CODE
DESCRIPTION
UFC
YEAR OF VEHICLE
MODEL
CORPORATION NAME
COLOR
a -
NATI
CORPORATION ADDRESS
CORPORATION NUMBER
'-
. ......... .!
. a
PHOTO TAKEN
DISPOSITION I REMARKS
:;0417.
crry
PHONE NUMBER
STATE COUNTRY
:1!
15
ACLU-RDI 87 p.43
DODDOACID-004667
60213
tinuni sag;01
ecda. soca= wog.
T 10,
AUTEOPZIT:
ACTION OME
A4
3 641E SUMMED
la us
21
ixV4,4'Y
-3
- INDIVIFIAL DATA
. 4-li
11
is
14 SCOW -- tt- lika ,-,,,,. '.":" :
bx-Y.,44-5"
31 6103
wish/lis
ERAI31
/0 3
c 17 1.2
tkit
35 801
37 ALIAS-310361/AES)
sussm ..sr
u sace
65"
Is
1411,b6- '
MARITAL
23 FM
/R =
UJA
13.
1 31 PHYSICAL MAFOIS
11/
m
81.9.8-810:71AME
22 I 38 AUAS-il
20 I
4,1
40 OFGVRATION
41 IF CICIFIRACMI. X.ifFRIC7 /
44FORT/GT(
.
rA4
. 11
3 r/licr.
43 SART
42 IIIUTIJIY SW
48 ACCl/g2
iii
6 die_
18
4X"1.44 Y
I 49 ON
9
_I:II_ 2 1 0 93 78
I f.7 '
i 1 8.
2 1 1. 0111.11Atip' A
is I
I 5k FAMILY RE. I 15 SF:
1I
USTNAME
I 93 5R4I
',*
via,
kkirm66"
I 87 SP:41Sial MiCELS :WA
1! 1
211
13
48 =MY 1 47 ZIP CZCE,AP: AC
45 STATE
EMBED DATA
53 AN
18 palm
149ty
'
TS MA WA
31 PCSMON
32 MCC
mom i
18
24 MEW
I M Miff
;,
13 OTHER IC 1118488
'
8 913.10 CSE
7 R P RIMS
8 Mr
5 WM
14 RR =OR
1S
S SMN PACE
2
82 SFCFL C:if
2
64 SON C71
at MX Si
18
DENSE'
56 CFR:142' CITE
67 UFC
ea a .R.lisz CCCE
73 CF70:.4.MCE
71
un T2 C."'.43E OCE
1
ADMINISTRATIVE DATA
Try C1`46
6x.c51$4-di
Yr:
R.Aa 7
START
lot
GATE IKEA?
37 plc,' CT6c)
Faft616
n ig INTEV
STAN T I
I DK 311E-1V
I RAM.
mei DATA
Bo
0 sztEr
OF ilireoallEN
I FINCEPPINT
3 QIP CO (17:0
OM3a1X3
CORPORATION DATA
74 c17mTRAC:C41 RUmEta
2
77 Mfl, AMFESS
75 F7 Sc11/FACO /
art
18
82 [WRAC 311/468
73 MRP ST
83 CORP Crf
81 CORP PP CCCE
13
CIO FORM
44 R
-
re: 67
ACLU-RDI 87 p.44
DODDOACID-004668
257-
go 83
AUTBORLTY:
Psir/Acz ACT
mom d
cox
1,
A4
. aZ3NILM
1cV*44,/
14 =AL
13 OMER 10 NUMBER
31
23 HERR
mac
72
21 RAGE
'7 z
32
MINER
8 Iii. 10 CM
-3
1
22 F95R10N
MCC
-a
,-
'i -
4//4'/
1 5,/7i1C
21
I M 41434400iM1E
38 AUAS4GOINAME
41 IF CUITRAC73. MNTRACT 41
40 CeleY2AriON
A.I
74- ..,
45 STATE
FOITI7GTe
43 50611741T
"
42 MIUTARY VC
fo7Cif,41
49
tI
cm,
53 STATE
ea
1 5.2 MN GRACE
/476441,10,/
9.
13 I
11
MN LiCAC
zI
84 MN CT i 1 MR Z.? :=CEAM
SN ST
C.7
22 I
1 55 WAWA MT NAME
47 ZIPMCE.:AP3
7.
!MURRY NUMBER
1 4 ClaTTRY
11
18 I
s sr.ti.
2
2
39 kOsfer
1. "'
NEM
IS PMKTY
35 Krum M?
x soam
SI RIMY
113 ME
8 FOB- ST
.674.4ve $ xie.404 -
A,
`4,14-4,
..,
25 MIR ... .
24 WE
yurgtf. , .
37 AU-NICOAME(5)
53 JUV
9 CCtEFO. i
!.
10 LIST NAME
20
1f
1 WE
5 IVR
I
MAWS
2 =CR COLE 3 RATE !MIM24 583
11I I
2I
9I
ORENSE
CRI
CF:arc CCM
S
TE-et IE4
47
un 5a aFea CCCE
1
Phut?
b 714644
0475 INTE-W
E40
START
MIME DATA
I s um pa c7:.4.sz
5I
1I
ADMINISTRATIVE DATA
FCS, CSCS
aka gra'
5I
PI.
ER0
ENO
1I
"1"1%:
70.15 iMlcV
I START
TIME 9TE.34
71 UF: I 72 CF
:711.5E =GE
START
CF 3477011Eif
FINGE-7EINT
CISP0.531CN
CORPORATION DATA
74 CONTRACTE NUMBER
TT CCRP ACCREi3
75
a savtimo
12
79 CCP? 57 I
11
82 ..0101.4C7 NI.11418a
NarEs
re ..
/17//-7
I M.': 87
- 1 7
eNC /
ACLU-RDI 87 p.45
DODDOACID-004669
63 283
ocl-e i D255-
rzvacr Acr
sr 1
DATA 9321:2013280
rarzsbaradtother
anam=g
ROUT201 132321\4is iodol nosairy
loixosados and au am
mow
Wog
and salon&
hiszalkobs m keno
AVIITORITT:
3 GATE SMARTED
A4
or
5 MR
4 5E0 MAUR
DATA
1a
10
13 MALE
4.41/
13
15
,. , , zw;,-, ' , I,
15 OTIS
21 ME
7-77 1 1
31 MP
22 VIINIC
'
1i
33 POSTER
REM
.C.40 / c., ed , ,/ A
33 MARITAL
is
139 AUAS-RIMNAME
38 AWS-NEXIIAME
. .
37 ALM-MOM/MS)
134 11510TITT
Pam
2
' "" ' ,
5r V z i 70 : edreA 1 int..4.)(J s
1
32 MCC
5
25 HAM 0.2.M
24 YfrafT
I 23 REEK
19
8 6013-ST
Ille
18
s sm1
Air
3."4TAP""i9 " .
10 MU
S CIRRI /
8 BEL 10 CASE
21
a1
20
41 IF CCHTROCCR.
413 OfraMIZATCR
=ma I
13
42 FALITARt SW
43 SAM
45 STATE
44 FORUM
4$14j..
Arel.gde V
48 ACORES
18
2I
151 STATE
45
2
52 0,014 CiY
al
53 VOW MT NAME
2
57 !415G8 W031 !ONE
I!
21
93 SP:ti ST
111
Ed Val Z11'
64 SrTil Cr
OFENSE
GTE
2I
I SI =NM, I 52 EP CZE/ARI
2.
11
53 API
67 UF:
69 UFC '
TO
1 71 UFG
CZCE
7: UP':
11
TE...446 1 611,,ye
Pliant 6 3
ble'talkie
ie+ PAI
START
YEilCLE DATA
ADMINISTRATIVE DATA
CATS
MiGEIGS
ilME ;6117"-.4
I START
DATE ItfrE-:V
TIME INTEN
ea]
ENO
1 START
FiNGE.:PPJ/fT
RAM Cf
PKTO
CIVCSMCR
I
CORPORATION DATA
MIMI= NUMBER
75 M
12
17 CCRP ;PRESS
111;11E0
75 cDFORATION
NAME
41
75 CORP CITY
82 =MC; Num8E1
75 PRP ST
8
03 CORP GTY
81 PRP MP LCE
e_..
-18
e"./e.c.
DODDOACID-004670
ACLU-RDI 87 p.46
v , 40 -. )4-ciD899
(07/1 -?0 -cif:W-80283 )
INVESTIGATIVE WORKSHEET
accurately identified
I REC Code
2 Action Code
3 Date Submitted
4 SEQ Number
5 Year
6 Unit
I 7 ROI Number
8 Rel to Case
9 Control N
A4
INDIVIDUAL DATA
15 Other ID Number
intc
BCC
Height
OS
32 IvICAC
eig t
-41V
t"
tur
men
ye
due
erd
I la)
33'Position
Martial
fb1 4-41/14,47
34 Industry
36 Physical Marks
,Y.2)
Store.
37 Alias- Nickname1s)
"Worganizat ion
A--)0
4/Military SVC
Address
38 Alias- Nicknames)
41 If Contractor Contract if
46 Country
ER DATA lasei,g-v
45 State
47 Zip Code/APO
FAMI
54 Family Rel
53 JUV
39 Alias- Nicknames)
52 Zi Code
ilia 4 akv
Ai. ,y
62 SPON City
66 Offense Code
67 UFC
63 SPON ST
64 SPON CTY
OFFENSE
68 Offense Code
69 UFC
70 Offense Code
71 UFC
72 Offense Code
73 UK
ADMINISTRATIVE DATA
Telephone
ETS
PCS/DEROS
Fingerprint
Vehicle Data
Photo
Disposition
CORPORATION DATA
74 Contractor Number
77 Corp Address
75 FED SERV/PROD I
178 Corp City
76 Corporation Name
79 Corp State
BO Corp CTY
82 Contract Number
NOTES
Cellular
Phone
Number:
19
6v4 Crz
ACLU-RDI 87 p.47
DODDOACID-004671
ON?
_0D25-s. 602E3 )
INVESTIGATIVE WORKSHEET
DATA REQUIRED BY PRIVACY ACT
AUTHORITY: Title 10. United Stales Code. Section 3012 (g)
accurately identified
I REC Code
2 Action Code 3 Date Submitted 4 SEQ Number
5 Year
7 ROI Number
6 Unit
9 Control P
8 Rd to Case
A4
INDIVIDUAL DATA
23 Height
24 Weis
Security
37 Alias- Nickname(s}
39 Alias- Nickname(S)
38 Alias- Nickname(s)
//bll rkganization
1
41 If Contractor. Contract N
LI.
e C.
IfY\ eD -5q 1
42 Military SVC
arNi
43 Subunit
44 Fort/ City
53 JU V
Ai if
FA
59 SPON Grade
' '
Code
Ir771111
._ , 11 51 Country
A
57 Sponsor Middle Name
60 SPON MCAC
47 Zip Code/APO
46 Country
45 State
1p,W14,11Nlir fid-.
AU
36 Physical Marks
CI
/
62 SPON City
63 SPON ST
64 SPON CTY
OFFENSE
66 Offense Code
67 UFC
68 Offense Code
69 UFC
71 UFC
70 Offense Code
73 UFC
72 Offense Code
ADMINISTRATIVE DATA
Telephone P
ETS
PCS/DEROS
Vehicle Data
Disposition
Fingerprint
...
CORPORATION DATA
74 Contractor Number
77 Corp Address
.
76 Corporation Name
75 FED SERV/PROD 4
78 Corp City
Photo
79 Corp S ate
80 Corp CTY
82 Contract Number
NOTES
-.20
FORCFFIC:N
ACLU-RDI 87 p.48
(JI LY
r-Ake
IY
DODDOACID-004672
uz z b
( 02
-04-CID899'
to *.roc,(
80283 )
INVESTIGATIVE WORKSHEET
DATA REQUIRED BY PRIVACY ACT
AUTHORITY: Title 10, United Slates Code, Section 3012 (g) ROUTINE USES: Your social security number and other
personal information are used as an addidonaliakanate
means of identification to facilitate filing and retrieval.
PRINCIPAL PURPOSE: To provide commanders and law
enforcement officials with means by which information may be
accurately identified
1 REC Code
5 Year
2 Action Code
3 Dale Submitted
4 SEQ Number
16
Unit
7 ROI Number
8 Re! to Case
9 Control
A4
INDIVIDUAL DATA
12-Eihnie 'Heigh t
/Max
//
MOS
Fa.V. :I" Or PO
. B.
her
Positro n
rnert i' '
32 MCAC
ieight.
i(e5Ihs Ido
13(
qiu3
37 Alias- Niekname(s)
ye
POB-ST 19 POB-CTY
2'7Cilrzr
r - Er 11111rfterd . .31rManial
airen,
Security
34 Industry
36 Physical
none
38 Alias- Nicknamets)
e.,00 Organization
rn
VareS
39 Alias- Nicknamets)
41 If Contractor. Contract H
Sq
42 Military SVC
43 Subunit
44 Fort/ City
46 Country
45 State
47 Zip Code/APU
78 Address
FAM
53 JUV
54 Family Rel
ATA
59 SPON Grade
i
62 SPON City
63 SPON ST
64 SPON CTY
OFFENSE
66 Offense Code
67 UFC
68 Offense Code
69 UFC
70 Offense Code
71 UFC
72 Offense Code
73 UFC
ADMINISTRATIVE DATA
Telephone H
ETS
Date INTER V
End
PCS/DEROS
Fingerprint
Vehicle Data
Photo
Disposition
CORPORATION DATA
74 Contractor Number
75 FED SERV/PROD 0
78 Corp City
77 Corp Address
76 Corporation Name
79 Corp State
80 Corp CTY
82 Contract Number
NOTES
Aferv= E --C1" ,41-70r-3
nSoLS )
- 21
ACLU-RDI 87 p.49
DODDOACID-004673
(02409( -c1D2s7-0o783 )
INVESTIGATIVE WORKSHEET
DATA REQUIRED BY PRIVACY ACT
AUTHORITY: Title 10, United Stares Code, Section 3012 (g) ROUTINE USES: Your social security number and other
personal information arc used as an additional/alternate
5 Year 16 Unit
7 ROI Number
A4
8 Rd to Case 9 Control N
INDIVIDUAL DATA
..ust Name i:C'9/46PY
,/
Ad
15 Other ID
21 Race
Ethnic
32 MCAC
Height
'Organization _t
Eye 27 C uzen
.2 fir El
134 Industry
Position
37 Alias- Nickname(s)
_if C
).('Weight
ecurity
Rad
Ye":S
-
39 Alias- Nickname(s)
41 If Contractor. Contract N
43 Subunit
45 State
46 Country
47 Zip Code/AN)
"Ili Code
51 Country
FA
53 JUV 54 Family Rel
59 SPON Grade
62 SPON City
AMY
BER DAT
Pri Martial
36 Physical Marks
4reg5J.
38 Alias- Nickname(s)
_err 0.1 7
42 Military SVC
Educ
60 SPON MCAC
63 SPON ST
64 SPON CTY
OFFENSE
66 Offense Code
67 UFC
68 Offense Code
71 UFC
72 Offense Code
73 UFC
ADMINISTRATI
Telephone a
ETS
PCS/DEROS
Fingerprint
Vehicle Data
74 Contractor Number
77 Corp Address
Photo
Disposition
CORPORATION DATA
75 FED SERV/PROD N
78 Corp City
76 Corporation Name
79 Corp State
80 Corp CTY
82 Contract Number
NOTES
OFF:CiAL
ACLU-RDI 87 p.50
- --22
en , C
17
DODDOACID-004674
Page(s)
3 - 3G
Referred to C
O)
ACLU-RDI 87 p.51