Affidavit of [Redacted]

DA RIM 2823, OEC 1958 OA FORM 2323. JUL 72.16 56SOLETE , WAF& y1.00
FB10000033
OIG REQ 02/18/05—PART 2(b)
PPR-14-2005 15:32
• AUTHinlITY:
PRINCIPAL PURPOSE:
2011111116 IISS:
DISCLOSURE
FB I urn= Tom, „Ita AR I 92.4s; A. toponant agenr.. „ lip SALL INFOR1ATI ON C DITTATI.DID
I-LEPE IN IS TINCLASSIFIED
I ' PRIVACY ACT STATEMENT
Title 10 USC Section 331; 'rule 5 USC Section 2961: E.O. 8397 dated November 22. 1343 NSAff.
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Disclosure of yoer social security number is voluotarY.
DATE 07-2472009 BY 65179 DIE-1/11JS
T. LOCATION .
75th MP DET (CID), Fort Belvoir, VA 22060
2. DATE (YYYYMMDOJ 1
2004108/12
3. TIME ig)
14 30
4. FILE NUMBER
S. LAST NAME. FIRST NAMF minnl F NAMF • • G. -5SN - 7. GRAOFISTATUS
GS-13 -1_ FBI
.
I I PP
8. ORGANIZATION OR ADDRESS b7C
Federal Bureau of Investigation, Washington Field Office, Washington DC 20535 ,
Per FB: ,
.
-
WANT TO MAKE THE FOLLOWING STATEMENT UNDER
,
• •
. .
to U.S. forces in AL ASAD. I
,
. . .
. '
at the AL ASAD Air Base prior to you
him at the AL ASAD Air Base
and dirty. 'f'V
at AL ASAD?
floor Ale . .
.. . '
him at the BIAP?
on a DD Form. 2708? ,
Form 2708 with "minor bruising and
DD Form 2708 "received in. good health"
when we received him or brought
when you interviewed at him at the BIAP?
.
OATH:
be Per FBI
, b 7 C Per FRI .
can't remember what unit.'
- .
. .
interviewing him?
.
on 29 Feb 04?
.
, .
.
,
"
S . .
,
. ,
S ,
scratches"? • .
and "with minor ‘•
him bank. He had no shoes
'
- . '
S , . •
at him quickly to confuse
It was a relaxed as it
" . ,
. '
he needed to, icip ,
. -
. •
•
, .
. . .
knowledge they should be
. . .
. - ,
- 1,11 I
Q: S
Q: What
A: I believe
Q: 71/here
A: We
Q: Did
A: Yes,
Q: Do
A: No.,
Q: Didl
A: Not
Q: Didl
A: No.
Q: When
A: A few
Q: Who
A: I 1 - 1.-
, . . .
,
turned over
at the BIAP?
Air Base?
abused
you interviewed
just messy
about being abused
on a hard
unit originally
he was
capture
nicked up by the ICDC and,ten
wast 'detained prior to arriving
first met him
you intervieAl
on 29 Feb 04.*0
you have any
at the AL ASAD AirBase .,4:,
. lat the AL ASAD
knowledge ofl , 'acing
have any visible injuries when
a.hUn.dred years old. He was
any complaints to you
his back was sore from sleeoina
'make
t weren
,
that t
He just said
was the next
days I._-
escorte.1
time you_ interviewed td I
. i - : iP , • -
a I - :IAP from AL ASAD?
you
sign
back on
had 113
about
use
was
food.
on
v"
-scll
around
one
interviews?
interviewed
for him
a DD
on the
injuries
abuse
him.
hi that
during
Let him.
. 'RI sit a. helicopter.
Q: Di.
A: No.
Q: Prior
A: Yes,e2
Q: Do
A: No,
bruisinhave
any visible injuries when
e was just dirty and had no shoes...TR
to interviewing'
you know why
I don't know
and sera cies"
"did you ever
was received
w y its nsted there. The writing
looks different to me. He
ought him some.-st) "
= e any complaints to you
techniques did you
and we would sit semi-circular
general questions and then. throw
we did was yell and that
so SA I.
Q: Did
A: No
Q: What
A: He
him. We
could be.
Q: How
A: He
Q: Did
A: Yes
Q: Are
A: • Not
Q: Did
A: Prior
located
Q: Who
A: SA
'''.'
kind of interrogation
sat in a chair
would ask
The ooiy thina
while interviewing' I'
We would throw
was pertinent to
the questioning to confuse
taiqe breaks and use
different questions
see if he would slipup.
him. 49
the latrine when
him?
wa.1 land treated during your
was treated pro
you ever complete
after the 29 Feb
there any more
that I've seen
you photograph
to the interview
with the original
conducted the
essiOnally. We gave.hirn
any interrogation reports
04 interview. It was
Iifter intrkrvieVing
o you
.
to or after
ou?
reports' concernin ''.''
and
the intervie Ws? "
photographed. To the best of my
_
or writ-m.11,0 •
or video tape "prior
on 29 Feb 04 he was fingerprinted
file at the MAP. 141 •
interviews o ' th
and S
10. EXHIBIT -
.
11. INITIALS OF PERSON MAKING STATEMENT "
S —tra7 . PAGE
.
.
I OF ' 2 PAGES
ADDITIONAL PAGES AWST CONTAIN THE READING 'STATEmar oF
.
THE BOTTOM Of EACH AIDOIRONAL PAGE krusr atm 17f INMALS Of THE PERSON MAKING
TAKEN AT DATED, , ,
.
rim- sr4rEmeNr, AM PAGE MOWER MUST DE DE INDICAT
.
ED.
FBIO18660CBT
17., 2 Per FBI P:02
DOJOIG012968
,b2 Per FBI
,,„,0,.,,ui.
T., PAT
T Ma AT
APR-14-2005
1.STATEMENT fecentiad) •
- -n b6 Per FBI
1 b7C Per FBI
]
Q: Is there anything else you wish. to add to this statement?
4 • 747,4_ . :,"4"..4
.
. .
•
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•
'
P . 03
Fort Belvoir V SATED 2004/08/12
•
•b6 Per FBI
• b7C; Per FBI
AFFIDAVIT
L HAVE READ OR HAVE HAD READ To ME THIS STATEMENT
WHICH BEGINS ON PAGE I, AND ENDS ON PAGE 2 ' . I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE
fIY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE.MADE THIS •
STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD. WITHOUT THREAT OF PUNISHMENT, AND WITOUT-GOERCION. UNLAWFUL2IFLUENCE, OR UNLAWFUL INDUCEMENT.
IDE Per FBI
b7C Per FBI .
[warms or realm marring o18181778Rr/
WITNESSES: Subscribed and sworn to before me, a person Authorized by few to
administer oaths, this 12 day of August ' 2004
at 75th MF DET (CID), Fort BeIvoir, VA 22060
ORGANIZATION OR AOORESS ' b6 Per FBI
b7C Per FBI
SA
tryper1AIFTe of Perm 4dmlaistedng
5 USC 303
ORGANIZATION OR ADDRESS Marna/fry To Administer Oaths!
INITIALS OF PERSON STATEMENT
TrCV PAGE 2 OF 2 PAGES
PASF 3. DA ;Ch.M. 2823, DEC 1998 USPP1
OIG REQ 02/18/05—PART 2 (b)
FB1018661CBT
FBI 0 0 0 0 0AfAL p 03
DOJOIG012969