AR 15-6 Investigation (Baqubah, Iraq, November 22, 2003) re: The capture and detention of an Iraqi target and his two sons

SWORN STATE.MENT
For use of this form,
see, AR 190-45.; the proponent agency is ODCSOPS
'PRIVACY ACT STATEMENT
AUTHORITY: Title 10 US

.-.
, C 'Section 301; Title 5 USC Section 2951; E.0
9397 dated November 2%, 194- (ssiv,
PRINCIPAL PURPOSE:

To provioe c(Lmrnanaers and law enforcement officials with means by wnicn information may oe accurately
.. . .
ROUTINE USES:
Your social security number is used as an additional/alternate means of identification to facilitate filing and retneva.. DISCLOSURE:
Disclosure of yobr social security number is voluntary.
1 LOCATION

2. DATE (YYYYMMDD) 3. TIME
- _ „ 4 FILE NUMBER
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UNDER OATH:
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10. EXHIBIT 11. INITIALS MAKING STATENIENT PAGE 1 OF PAGES
_. -
ADDITIONAL F'AGES MUST CONTAiN THE HEADING "STATEMENT TAKEN AT DATED
THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS
OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST BE BE INDICATED.
DA FORM 2823, DEC 1998 DA FORM 2822, JUL 72, IS OBSOLETE USAPA V1.00 DOD FINAL
237
DOD 57824

STATEMENT OF
TAKEN AT
DATED
9. STATEMENT (Continued)
z

z
/
.7
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENTWHICH BEGINS ON PAGE 1, AND ENDS ON PAGE . I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE
BY 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 WITHOUT COERCION, UNLAWFUL INFL
CEMENT.
(Signature Of Person Making Statement)
WITNESSES:
Subscribed and sworn to before me, a person authorized by law to administer oaths, this e2 C rilday of
istibrEfrie5e1—, 204'3 -at 466i A1-1, T.-7A 0
ORGANIZATION OR ADDRESS
mistermg 0-8117)
b-1 A 3 190
ng Oath)
,•
ORGANIZATION OR ADDRESS
fAuthority To Adintrusret Oaths)
NITIALS OF PERSON MAKING STATEMENT
I
PAGE OF
PAGES
AGE 2, DA FORM 2E23, DEC 1998
USAPA VI CIO
DOD F INAL 2 3 8

, AUTHORITY: PRINCIPAL PURPOSE: ROUTINE USES: DISCLOSURE:
1. LOCATION
•
SWORN STATEN1ENT

For use of this form, see AR 190-45; the proponent agency is ODCSOPS
_ . PRIVACY ACT STATEMENT
Title 10 USC Section 301: Title 5 USC Section 2951; E.O. 9397 dated November 22. 1943 (SSA/).
To provide cor,-imanaers and law enforcement officials witn means by which information rna‘; be accurale: ¦
Your social security number is used as an additionalialternate means of identification to facilitate filing and retrieval.
Disclosure of °Lir social sec rit __ _ _ _
12. DATE (YYYYMMDD) 3
TIME I 4. FILE NUMBER
7. GRADEISTATLIS

ORGANIZATION OR ADDRESS
_

_
-
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
'
, _ _ _
.. -.;- _ __ _
-- - -_ _ , : • :-.-•,-., _ A
.
:---. . --. _ _ . .
_

1 0.EXHIBIT. 1 1 . INITIALS OF PERSON TEMENT
PAGE 1 OF .::* PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STA T E MENT TAKEN AT DATED
i

¦ THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER . MUST BE BE INDICATED
_

DA FORM 2823, DEC 1998 DA FORM 2823, JUL 72, IS OBSOLETE USAPA V1.00 DOD FINAL 239
DOD 57826

USE THIS PAGE IF NEEDED. IF THIS PAGE IS NCT NEEDED, PLEASE PROCEED TO FINAL PAGE
OF THIS FORM.
STATEMENT OF
TAKEN AT
DATED

9 STATEMENT (Contrnued)
A

INITIALS OF PERSON MAKING STATEMENT
PAGE S­?. OF — PAGES
PAGE 2, DA FORM 2822, DEC 7998 USAPA V1.00
DOD FINAL 240

I
. STATEMENT OF
TAKEN AT
DATED

._.
1

9. STATEMENT (Continued,'
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT

WHICH BEGINS ON PAGE. 1, AND ENDS ON PAGE . I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY 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 WITHOUT COERCION, UNLAWFUL INFLUENC
(Signature of Person Making Statement) ..,-•

WITNESSES: Subscribed and.s.worn to before me, a person authorized by law to
administer oaths, this :2:‘ 'S day of 1414teieji....,‘,45ZA-,
at 7-7-,

ORGANIZATION OR ADDRESS
(Signature of Personi4dminisrering Oath)
1011:a ype erson mlnistering Oath)

ORGANIZATION OR ADDRESS (Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT
PAGE OF PAGES
PAGE 3, DA FORM 2823, DEC 7998 USAPA VI 00

DOD FINAL 2 41

SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS PRIVACY ACT STATEMENT
AUTHORITY:
Title 10:US•D Section 301: Title 5 LISC Section 2951: E.O. 9397 dated Nover—ber 19e.? ,ccAr;
PRINCIPAL PURPCSE:
ailu law enforcement officiats with means Dy wnicn Information may De accurate!y
ROUTINE USES:
Your soci-al.cleCurrity number is useci as an additionalialternate
means of identification to facilitate Nino and retrieval.
DISCLOSURE:
Disclosure of your sociai security number is voluntary_
1. LOCATION
2. DATE IYYYYMMDDI
13. TIME 4. FILE NUMBER
•1
5 LAST NAM
LE NAME 7 .GRADE'STATUS
iii.1.11.111 --•
8. ORGANIZATION:OR ADDRESS
c-;; .;
.
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
, 16,
, -••• ¦.
1:-I „. -i, - -
„ N• . • vr. -!1 ; Ler:- •e ILoczt. c.±.;
v ••• •
,_,

ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT
TAKEN AT DATED
THE BC7TOM OP EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST BE BE INDICA TE.D
DA FORM 2823, DEC 1998 DA FORM 2623, JUL 72, IS OBSOLETE
USAPA VI 00
DOD FINAL 2 42
STATEMENT OF
TAKEN AT
DATED
9 STATEMENT (Conrinueo')
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHICH BEGINS ON PAGE 1, AND ENDS ON PAGE
. I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY 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 WITHOUT COERCION, UNLAWFUL INF
atement)
WITNESSES: Subscribed and sworn to before me, a person authorized by law to admrnister oaths, thts day of at , f,jt:r7Z--"' 1-"':e^-7 !,46
4:
ORGANIZATION OR ADDRESS
111.111111.11.1
-3
ORGANIZATION OR ADDRESS (Authority To Administer Oaths)
INI N MAKING STATEMENT
PAGE OF PAGES

PAGE 3, DA FORM 2823, DEC 7998 USAPA V1.00
DOD FINAL 2 4 3
SWORN STATEMENT
.For use of this form, see AR 190-45; the proponent agency is ODCSOPS
PRIVACY ACT STATEMENT AUTHORITY:
Title 10-USC Section 301: Titie 5 LJSC Section 2951: E.0 9:397 dated Noverrber 22 1942 ,SSA/,
PRINCIPAL 7URPCSE.:

provi-Lie ...:o1;-„-:,an:.ieis and .av, eii3r-cement Jfficiais vvan means oy wnicn inidrmation may oe accJ:a.zeiy
ROUTINE USES:

Your social C:ec-unty nurnber IS
used as an additionalialternate means of identification to facilitate
anc retrieve:
DISCLOSURE: Disclosure of Vour social security number is voluntary.
1. LOCATION
2. DATE (YYYYMMDD) 3. TIME
4 FILE NUMBER ' 7. GRADE/STATUS
8. ORGANIZATION_OR ADDRESS
, '
, VVANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
tr
1 :
10. EXHIBIT 11. INITIALS OF " ING STATEMENT
PAGE 1 OF • PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT TAKEN AT DATED

THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST SE BE INDICATED.
DA FORM 2823. DEC 1998 DA FORM 2823, JUL 72, IS OBSOLETE USAPA V1.00
DOD FINAL
2 4 4
DOD 57831

STATEMENT OF
TAKE.N AT
DATED
9. STATEMENT (Continued)
N,
AFFIDAVIT
HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHICH BEGINS ON PAGE 1, AND ENDS ON PAGE
¦ I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY 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, WITHOUTI THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAvVFUL INFLU N P WF CEMENT.
(Signature of Person Making Statement)
VVITNESSES: Subscribed and sworn to before me, a person authorized by law to
administer oaths, thts • ' day of
at 4 ::54 (-1,7;4 ::_nr"-4" ,r,roicf \
OFiGANIZATION OR ADDRESS
ministering nth)
(Typed Name of Person Administering Oath)
'4. I,
f',;
ORGANIZATION OR ADDRESS (Authority To Administer OathF)
INITIALS OF PERSON MAKING STATEMENT
PAGE OF PAGES
PAGE 3, DA FORM 2823, DEC 1998 USAPA VI .00

DOD FINAL
245
SWORN STATEN1ENT
rofw,,,,,Ithr !MIR SIX AR 190:45, Ow pullionctit apeucy ODCSOPS

111C;',TION o, • ro!' 11-:0 T r GATE , TIME • SuCiAL SE.-L.Ur¦ ti ; NUiviiiEf; FILE NUMBER
figN OR ADURESS -

, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH
• — •r • . •• ' _1—e —71 "" ""1 , _ .
lc • r i •71.-_ S:t - T,7": -14, F.
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FXHIU I INITIAL. s nr PERsrm
40
1 PAGE 1 OF __,—. — PAGES
TAKEN AT DATED CONTIN.VED"
11W DO TTOAI O.' LAI:DADDDIOAMt PAW OUST RFAA' THE INITIALS OF THE PEKSiltli AMAMI.; THE STArimtwr AND BE INITIALED AS "PAGE
01

AOPITIONAi /Marc ,lios T CON TAM/ THF //f/1/ENT; ".S 7;1 TEA•1; NT OF
PAWS " 11'11LN ADM 1 ILINAZ PAGES All± Ill hIZED, Illi !TACK W PAW. 1 Will BE LINED our, Awl rHE
S TATE Ali Nr ;IN I BE CONCLUDED ON THE HEVIDSE SIVE or Nvorucp coPr Of 7111,S MDA•1.

USOPC
DA FORM 2E23, JUL 72 SUPERSEDES DA FORM 2323, I JAN fiB. WHICH WILL BE USED

DOD F INAL 246
SWORN STATEMENT
I. usi; this hum. AG 190-15: the umpolionc agency is COCSOPS
IOCATInN - DATE TIME FILE NUMBER
I .
: • . ,
ORGANi2ATION DR ADDRESS, • 111111111011M -• _ I -• ___, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH: -r . • --
,„ 4 7 k-LC -s- '
i k • ; L;-, 4 : 711 -
:
_ --s
• ¦¦•¦ •••• it
_
EXKIBIT - -OF EMENT I PAGE$OF -10/11/70N,I: PiiGtS MI.'S 7-CONTAIN THE HEADING "STATEMENT Of TAKEN AT . DATED _ CONTIA,UED." THE BOTTOm FAril AnniroNAL pAoE mos?' REAR THE iNITIAIS Or THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE IP PAGLS." HooN ADDIIIUNAL PAGtS AiHt IIII:L•tD, I Ilt BACK 01 PAGt ! WILL BE LINED DUI, ANL) rHE AirIVT to': BE CON,PiollrD ON lig .,:r!'r!?SE SIDE n F ANOMIE' COPT 01 TH1.5 FERMI DA FORIV1 2223, JUL 72 SUPERSUP, f OM 2823. 1 JAN 68. WIIICH WILL BE USED. USaPPLI PAGES !NI
DOD FINAL 247

DOD 57834

SWORN STATEMENT
-For use of this form, see AR 190-45; the or000nent agency is ODCSOPS
LOCATION , . : DATF. , TIME I FILE NUfv1BER

_, : ... i I
._ _ , ..„ _ _, .„,.., „

. GT-;;ZE,ST.:,T,.:S
ORGANI A I N OR ADDRESS
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH: .._
Q: DID YOU-FIRE A WEAPON WHILE AMERICAN SOLDIERS WERE PRESENT AT YOUR HOME ON 22
NOVEMBER 2003?

_.--_
A: :-.'
i
Q DID YOU STRUGGLE IN ANYWAY AFTER BEING DETAINED BY THE AMERICAN SOLDIERS?
A:
Q: HOW DID YOU RECEIVE YOU INJURIES?
A: -' :.--. --
_
— _
..
—
— 1:. 27 ' .4': . . _
Q: DID YOU TRY TO ESCAPF FROM AMERICAN SOLDIERS AFTER BEING DETAINED?
_ -,.
.-.--".
-
s
Q WERE THE WOMEN AND CHILDREN IN YOUR HOME HARMED IN ANY WAY?
A: -•. . -
-,
.
.
-

1i
EXHIBIT INITIALS OF PERSON MAKING STATEMENT 1 I PAGE 1 OF PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT Of TAKEN A7 DATED CONTINUED.'
THE 80770M Of EACH ADDITIONAL PAGE MUST BEAR THE INITIALS Of THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE
OF PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK Df PAGE I WILL BE LINED our, AND THE
STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE Of ANOTHER COPY Of THIS FORM.

USAPPC V2.01
DA FORM 2823, JUL 72 SUPERSEDES OA FORM 2823, 1 JAN 68, WHIGH WILL BE USED.
DOD F INAL 248
SINORN STATEMENT
Fat use el tuts ;writ see AR 1904E: the payment agency is DOCSOPS

rnr;;;Tior4 DATE TIME I FILE NUMBER
.-.
Li:yr ;.-1:,1.1

ORGANI2ATION OR ADDRESS
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH
Q: DID YO.I.TFIRE A WE.APON WHILE ANIER1CAN SOLDIERS WERE PRESENT AT YOUR HOME ON 27_ NOVEMBER 2(C3:.¦
•7
.."7"
_
3
•
Q:
DID VOL STRUGGLE IN ANYWAY AFTER BEING DETAINED BY THE ANIERICAN SOLDIERS*?

Q:
110W DID YOt RECEIVE YOU INJURIES':

z.
-
7 . DID YOU TRY TO ESCAPE FROINI ANIERIGAN SOLDIERS AFTER BEING. DET,A.INED?
•-
Q: WERE TIIE WOMEN AND CHILDREN IN YOUR HOME HARMED IN ANY WAY?
A:
INITIALS OF PERSON IVIAKING STATEMENT I PAGE i OF PAGES
EXHIBIT
. _ _ _ ________ ______ ._____
CONTiNUED"TAKEN AT DATED
THE ROTTOM Of EA CH ABM /JONA/ PAGE MUST SEAR PIE INITIALS Of THE PERSON MAKING THE ST4TEMENT AND SE INITIALED AS "PAGErHE ADDITIONAL PAGES MUST Cov-Aw THE HE.4011VI7 "STATEMENT Of
PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK Of PAGE 1 WILL BE LINED DUT AND 5 1- 4 TEMENT WILL SE CONCLUDED ON THE REVERSE SIDE Of ANOTHER COPY Of THIS FORM.
Of
usArec V2
SUPERSEDES DA FORM 2823, 1 JAN 68, WHICEI WILL BE USED.
DA FORM 21123, JUL 72
DOD F INAL 2 4 9
DOD 57836

SWORN STATENIENT
For ni thts Wm. see AR 190.45: the prittIctient atienc,..' is ODCSOPS
TIME FILE NUMBER
LOCATION e, DATE
-
-I
68ADE,S
ORGANIZATION OR ADDRESS -
_ , WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
Q: DID YO-U -FIRE A WEAPON WHILE AMERIC.AN SOLDIERS WERE PRESENT AT YOUR HOME ON 22 NOVLNII3ER 2()03..'
;
Q: DID YOl STRUGGLE IN ANYWAY AFTER BEING DETAINED BY THE AMERICAN SOLDIERS'?
„
TV.,"
30'.; , •
Q: 110W I)ID YOli RECEIVE YOU INJUIZIES7
:
Q: DID VOL TRY TO ESCAPE FROM ANIERICAN SOLDIERS AFTER BEING DETAINED'?
A :
-
0: WERE TI ILI WOMEN AND CHILDREN IN YOUR HOME HARMED IN ANY WAY'?
A: • '
. ,
' -
.
1 , 7 _7 "". -
.-
I INITIALS OF PERSON MAKING STATEMENT
EXHIBIT
1 PAGE 1 OF "" PAGES
TAKEN AT DATED CONTINUED."
ADDITIONAL PAGES MUST CONTAIN THE h'EADING "SrATEMENT Of
THE gnrrom F,Icn .lanirom PAGE' MUST REAR THE INITIAL'S Of THE PERSON MAKING THE STATEMENT AND DE INITIALED AS "PAGE
__ PAGES " wHa ADD/1701VA( PACES ARE urozED. THE BACK OF PAGE 7 NW( BE LINED OUT AND THE
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USAPPC HO
DA FORM 2823, JUL 72 . SUPERSEDES OA FORM 2623. 1 JAN 68, WRIGH WILL BE USED.

DOD F INAL 2 5 0
SWORN STATEiV1ENT
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USAPPL no
SUPERSEDES OA FORM '2323, 1JAN 68. WillCli WILL BE USED.
DA FORM 2E23, JUL 72
DOD FINAL 251
DOD 57838
•
SWORN ST.4TEiVIENT
Fin tiL: SUt: 100'4E: umpoliiql1 ilqUIICV IS DOCSOPS
LOCATION
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ORGANIZATION OP, ADORE3. _
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DII FORN1 2823, Jill 7 2 SUPERS:DEL DA '823. I JAN WHICH WILL BE USED
DOD FINAL 252
SWORN STATEiVIENT
• For use of this form, see AR 190-45; the proponent agency is ODCSOPS
PRIVACY ACT STATEMENT AUTHORITY:
Title 1O-USO Section 301: Title 5 USC Section 2951; E.O. 9397 dated November 22, 1942 PRINC:PAL 7UR:DCSE:
To proviL Ldmmanders and iaw,enforcement officials with means by which information may be accurateiy ROUTINE USES:
Your soci;ileec-urity number is used as an additionallalternate means of identification to facilitate fiiing and retrieva:.
DISCLOSURE:
Disclosure of your social security number is voluntary. 1 LOCATION
2. DATE IYYYYMMDDI 3. TIME
4 FILE NUMBE.F
38S MC 710 340
7 P
AME, MIDDLE NAME
6. SSN
7 GRADE:STATUS
CPT
8 ORGANIZATION OR ADDRESS
COMMANDER, A COMPANY, 588TH ENGINEER BATTALION APO AE 09323-2610
9.
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
On 22 NOV 03 at 0400, A/588 EN conducted a raid on the home of as stated in my Operations Report,
and in sworn statement submitted for detainee processing. The purpose o e raid' was to detain or destroy personnel known to
have conducted mortar attacks on coalition and Iraqi police forces. The intelligence sources for this target were an ICDC soldier
and a local muhktar.
1/A/588 was given the mission to conduct the raid. 2/A/588 was also establishing observation posts along main roads in the city and conducting mounted/dismounted patrols at the same time. 1st PLT had previously conducted recon with source, who PIDed
the house.
LD for 1st PLT was 0345, with planned time on target of 0400. The plan was to ill
ntry team up with 1st platoon'sHMMWV (A17) to conduct entry and establish the eastern cordon, TCed by 2LT My HMMWV (A6) followed 1st PLT's
with myself, the intim" and his escort. 1SG...1.1.11MMWV (A7) established
an outer cordon with dismounts and the1st PLT PSG, SSG with a B/P mission for casevac and detainee collection. The tracks would roll up to the target area 3minutes behind the wheeled element, and after the entry has been made, to avoid alerting the target by the noise from the tracks.
This is our SOP for a platoon-sized raid.
We reached the target house at approx 0355. SEE SKETCHES AND IMAGERY FOR SITE ORIENTATION. The platoon dismounted just short and in front of the target house. I dismounted, put my interpreter and his escort (PFC.... in a safe spot near the wall to the adjacent house, as he had taken fire on the previous raid, and I wanted to keep him safe until the building was clear. It took about 15 seconds to_breach the gate and move the entry team to the front door; the entry team was thru the gate before I got there. At the front &of-, the entry team was delayed for about 45 seconds, as they had difficulty breaching the lock. The reporter caught up to the entry team and lined up at the end of their stack. Normally I do not allow anyone other than the entr team and detainee team past the gate of a house to avoid frill but he got past me while I was talking to my interpreter. 2LT
and I took_positics at the gate for C2, while SSG placed the dismounted cordon team and moved toward ourposition, and ISG11111tunied his HMMWV around to face his crew serve north.
Shortly after the entry team breached the front door and enter the first room, we began to take fire from the roof. Rounds impacted between Al7 and myself. The detainee team (in the driveway at this time), my.self, 2LTM.1 and SSG retumed fire toward the roof immediately. 1SG called over the net to have the M240 engage, but I denied this, as we a rea y had troops inside the building, and I wanted to avoid fratricide with the possibility of rounds penetrating the building.
At the same time, team, lead by SGT11111 received fire from LTG= who was in the kitchen with an AK47.They also observedIIIM walk out of the bedroom area with a rifle, but moved back into the bedroom. I was unaware of
i.
rounds fired inside until later, as the ent;y.igui,jah&busv trvinc to fire and maneuver inside the house, and we were unable to
establish FM communications with SGTMIIIM until affer Fie cleared the first floor several
s later. I could not hear therounds fired inside because of all the shooting outside. AccoWygg= the enviaiia, after LTG
had fired a few rounds, hethrew down his weapon a out of the kitchen.
2LTINIIIM, SSG =III , and mysel eac tried numerous times to get
radio contact with SGT but he' was too busy to respond, so for a few minutes we did not know what was going on
inside.
At one point, I my weapon jammediacted the p____
roblem and by then the shooting had stopped temporarily, so I continued totry to make radio contact with SSG and I called my driver and told him to relay to the battalion TOC tha
we were in contact. Roughly at the same time. the tracks rolled up and took,up their cordon positions.
10 EXHIBIT
11 INITIALS NG STATEMENT
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ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT TAKEN AT DATED

THE BOTTOM OF EAC,H ADDITIONAL PAGE MUST SEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBERMUST BE BE INDICATED
DA FORM 2823, DEC 1998 DA FORM 2823, JUL 72, IS OBSOLETE
USAPA V1.00

DOD F INAL 253
STATEMENT OF TAKEN AT DATED
..,.
9. STATEMENT (Continued) z:,''''''
LTG IIIII was passed back to'the'detainee team. who broug.ht him out to the (late where 2LT an . while theyeontinued to clear the building a:. le- bring the women outside and secured thern niiiii front door. 2LT and I told the detainee team to continue securingt,the women while we pulled security on LTG He refused to .aet down on the around. so we forced him down by grabbing the, back of his i-le continued to refuse to stay on the ground, and kept tryine to roll over and get up. I kicked him once in the ribs as .2LTEIM tried to get behind him, then put my foot/lea on his head and grabbed hi ria.ht shoulder to roll him over onto his stomach, so his hands could be zip tied behind him I asked hlm his name in Arabic, and . told me, verifying that we had the =get individual, and I had my driver call that up to the TOC. Once he was secured, we beaar to take fire from-the:roof again. I took cover behind the wall and returned fire once again. SSG , 2LTIMIIIII, and myse began to return_fire again to suppress the shooter on the roof. The shooting stopped, and was broueht out. He calmly laid down on the'efound, face down, and put his hands on his head. By this time SGT had the first floor secured, and we re-established Communications with him as he began to move upstairs to the second floor and onto the roof to secure the roof shooter. As the entry team moved onto the roof we fired arachute flares so.they would be able to see and to signal all outside elements to cease-fire. The entry team secured on the second level of the roof, and the detainee team moved him down to the ate, havine to pill and grab him by the diskasha, and they handed him off to us. SSGMIllnd I attempted , secure while 2LT moved into the building to take control of the s. l . side an . , at the building wa
secure. resisted and would not get down on the ground. Myself and SSG draaged to the ground by his diskasha, and had to force him to aet face down, but he kept trying to roll over. I lcicked hiribi in the stomach once as he tried to stand up. SSG then handedme his weapon so he could search and secure I used SSG weapon to cover him while my weapon hung down by my right iiiiiiii" 's combat sling, with e ash ight on. As S aid on to: of him, face down trying to aet control of his hands, grabbed my weapon near the flashlight/flash suppressor, and I instinctively reacted by kicking him once in the head, near e eft eye. He then pulled his arms o his chest and face. At that point I noticed my weapon was still on Semi, so I took the time to put it back on Safe. SSG then suggested that I turn off my flashlight so we woilairaw fire agam. Another person (I believe it was 1SG can't remember who exactl) then came u to assist SSG to get him zip-tied, and I called my driver to send the interpreter forward to the gate, handed off SSG eapon, and I went inside the house to assess the situation there.
As I entered the house, I passed the women, who were calm and cooperative. I went into all of the rooms on the first floor, wherl
the entry team was beginning their search. They had already found the AK47 that LTGEllhad fired, and the bolt-action rifle th Illhad. I then went upstairs, where a soldier was searching the upstairs bedroom. I then went onto the roof and ins cted both
levels. I did not find the weapon was firing, and called that over the net. The interpreter and 1SG sked
where he hid it, and he told them it was in the small shed on the roof. We looked there, and found it, sti ot from being fired several minutes before. I then went back downstairs and had the interpreter go inside to assist with the document search, having my interpreter go in and look for ID cards and other documents. I went out to my HMMWV once to call in a SITREP to my company TOC. We completed the search and found the following items:
CONTINUED NEXT PAGE
AFFIDAVIT
HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1, AND ENDS ON PAGE 2 I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY 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, WITHOU7ii THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE OR UNLAWFUL INDUCEMEN.T.
Subscribed and sworn to before me, a person authorized by law to
WITNESSES:
administer oaths, this 22,4'415 day of NOVEMBER , 03
a t ;":75 t./ le.#4 t-t , 17.• C
ORGANIZATION OR ADDRESS ignature o erson ministering Oath)
54,
(Typed Name of Person Administering Oath)
ORGANIZATION OR ADDRESS (Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT
PAGE 2 OF I PAGES
PAGE 3, DA FORM 2823, DEC 7998 USAPA V1.0

DOD F INAL 254
DOD 57841
SWORN STATENIENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
PRIVACY ACT STATEMENT AUTFIORITY: Title 10 "JqC' Section 301; Title 5 USC Section 295.1; E.O. 9397 dated November 22, 19a3 PRINCIPAL PURPOSE: To provioe Commanders and law enforcement officials witn means by which information may be accurateiy ROUTINE USES: Your social security number is used as an additional/alternate means of identification to facilitate filing and retrieval. DISCLOSURE: Disclosure of yOur social security number is voluntary.
1. LOCATION 2 DATE (YYYYMMDDI 3. TIME 4. FILE NUMBER
_
:.;
38S MC 710 340
1-•
AME, MIDDLE NAME 6 SSN 7. GRADE/STATUS
CPT
8. ORGANIZATION-OR ADDRESS
COMMANDER, A COMPANY, 588TH ENGINEER BATTALION APO AE 09323-2610
9
1, 1111111111¦111_, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
CONTINUED FROM PAGE 2
2 AK47 1 bolt-action rifle and ammunition belt 1 mortar sight (partial) 2 video tapes (588th S2 watched them later, and found no significant information) several misc ID cards, photos, and passports inside a briefcase 1 carrier and several AK.47 magazines (2LT went thru the briefcase the following day and found what was important, mostly ID cards, and sent it to the FOB Warhorse detainee collection point later that day with the detainees.)
At 0435 we began exfiltration. The reporter stopped me enroute to my HMMWV and asked me a few questions on camera. We then went back to the detainee holding area at FOB Gabe. I personally inspected for injuries, and determined that vve needed to take them to the battalion aid station for examination.
At the aid station, CPTIIII and 2r,T EN examined and cleaned their wounds. CPT determined that neither of the men needed stitches, and neither had any broken bones. I then conducted a thorough AAR with everyone who participated in the raid. After having conducted well over 100 house entries, this was the second raid in a row that we had received direct fire contact (fourth or fifth in total), and we came up with the following lessons learned:
Lessons Learned
We have currentl used the mounted crew served wea ons to rovide security on the house as the entry is conducted.
3.
In this case, we could have stunned the individuals inside before entering e bui ding. s is especia y important or ui ings with multiple access points in the first room, where the enemy can get our soldiers caug,ht in a cross fire enterin the door, as in this case.

4.
Violence of action and ROE.

In this case, CPL and SGT acted properly and did not fire when threw down his weapon, even after he had fired on them.
10 EXHIBIT I 11. INITIALS 0 G STATEMENT
PAGE.tOF PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT TAKEN AT DATED

THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST BE BE INDICATED.
DA FORM 2823, DEC 1998 DA FORM 2823, JUL 72, IS OBSOLETE USAPA VI.CX
DOD FINAL
2 5 5
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS ._ PRIVACY ACT STATEMENT
'SSAii.
301: Title 5 USC Section 2951: E.°. 9397 dated November 22. 1943
I AUTHORITY: TItle 1C-L‘SC'Sectlo VOlICII informallbn .tta; .z......,„,z,:-.-_,
To provioe c-urnmanders ana law enforcement officials witit means uy
PRINCIPAL PURPOSE:
. `:-, --
Your social se-purity number is used as an additionalialternate means of identification to facilitate fiiing and retrievaL
ROUTINE USES:
Disclosure of yc7:ur social security number is voluntary.
DISCLOSURE:
(YYYYMMDD) 3. TIME 4 FILE NUMBER
2. DATE
1 LOCATION
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THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS MUST BE BE INDICATED.
_ _ _ __. ._--!MAP/. VI f
DA FORM 2623, JU ,
DA FORM 2823, DEC 1998 DOD FINAL 2 5 6
DOD 57843

SWORN STATEMENT
Fur use of this form, see AR 19045: the proponent auencv is ODCSOPS
LOCATION
! DATE I TIME I FILE NUiv1BER
BAQUBAH.IRAQ 26 NOV 03 ! 1812
SEDURialm GRADE.S.r
2LT
ORGANIZATION OR ADDRESS
A COMPANY, 588TH ENGINEE RBATTALION

!,
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH.
Q: HOW MANY-SHOTS WERE FIRED BY IRAQIS FROM INSIDE THE HOUSE?
A: I DO NOTPRECALL HOW MANY SHOTS WERE FIRED INSIDE. AFTER DEBRIEFING MY ASSAULT TEAM I BELEIVE THEY SAID TWO (2).
Q: HOW MANY SHOTS WERE FIRED BY IRAQIS FROM THE ROOF OF THE HOUSE?
A: I DO NOT KNOW THE EXACT COUNT, MY GUSES IS ONE OR TWO MAGAZINES.
Q: HOW MANY SHOTS WERE FIRED BY US SOLDIERS?
A: I FIRED ONE MAGAZINE. AFTER OUR AAR, MOST SOLDIERS SAID THEY ALSO FIRED APPROX. ONE • MAGAZINE.
Q:
DID ANY THE IRAQIS RESIST ARREST AFTER BEING HAND CUFFED?

A.
THE FATHER WAS STILL TALKING AFTER BEING FLEX-CUFFED. WE HAD TO SEPARATE HIM FROM HIS YOUNGEST SON AFTER HE WAS DETAINED. THE SHOOTER FROM THE ROOF WAS STILL UNCOOPERATIVE AND TALKING AFTER BEING DETAINED.

Q:
WAS THERE AN INTERPRETER ALONG ON THE MISSION? IF SO, LOCATION/ACTIONS DURING RAID'?

A: WE DID HAVE AN INTERPRETER. FOR HIS SAFETY.IT IS OUR SOP TO KEEP HIM AT A SAFE DISTA_NCE SO HE DOES NOT GET HURT. I DON'T KNOW WHAT INTERPRETER WAS WORKING THAT NIGHT, IT WAS EITHER EDDIE OR ALLAH, NAMES WE GAVE THEM TO HIDE THEIR IDENTITY.
Q: HOW DID THE C.kPTURED IRAQIS RECEIVE THEIR WOUNDS?
A: THE FATHER I BELIEVE RECEIVED HIS WOUNDS WHEN HE WAS FORCEDLUL
: E DOWN. THE OLDEST SON GOT HIS WOUNDS DURING A SCUFFLE AFTER SSG AND CPTIMIM WERE TRYING TO GET HIS HANDS BEHIND HIS BACK.
Q: HOW WERE THE WOMEN IN THE HOME DEALT WITH DURING THE RAID?
A: IT IS OUR SOP TO SEPABATE ALL WOMEN AND CHILDREN FROM THE ADULT MALES. WE TRY TO KEEP
THEM INSIDE THEIR WALLED COMPOLTND. AFTER THE HOUSE IS CLEAR WE BRING OUT BLANKETS FOR THEM.
Q: DID YOU WITNESS ANY US SOLDIERS HITTING OR KICKING THE DETAINEES AFTER THEY WERE HANDCUFFED?
A: NO. NOT AFTER THEY WERE HANDCUFFED"!
Q: HOW MANY WEAPONS WERE FOUND ON THE PREMISES? LOCATION FOUND?
A: ONE AK-47 IN A STORAGE AREA ON THE ROOF: ONE AK-47 IN A BEDROOM ON THE FIRST FLOOR, LEFT SIDE OF HOUSE; AND ONE BOLT ACTION RIFLE IN A BEDROOM TOWARDS THE BACK OF THE HOUSE.
Q WAS THERE ANY OTHER MILITARY EQUIPMENT FOUND ON THE PREMISES7 A YES, A MORTAR SITE
Q: DID YOU OBSERVE ANY OF THE IRAQIS WITH WEAPONS IN THEIR HANDS'? DESCRIBE?
A: YES, THE SHOOTER ON THE ROOF POPPED UP BEHIND THE WALL AND FIRED A VOLLEY OF ROUNDS.
Q: DID YOU OBSERVE ANY OF THE IRAQIS FIRE A WEAPON AT US SOLDIERS? DESCRIBE?
A: SAME AS PREVIOUS QUESTION.
EXHIBIT
INITIALS OF. G STATEMENT PAGE 1 OF °AGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING' "STATEMENT OF
TAKEN AT DATED CONTINUED" THE BOTTOM Of EACH ADDITIONAL PAEE MUST BEAR THE INITIALS Of THE PERSON MAXINE THE STATEMENT AND BE INITIALED AS "PAGE' Of
PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK Of PAGE 1 WILL BE LINED OUT, AND THE STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE Of ANOTHER COPY Of rills FORM
-DA FORM 2823, JUL 72 SUPERSEDES OA FORM 2823, 1 JAN 68, WHICH WILL BE USED, JS,%P=C CO
DOD F INAL 257
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
.
-PRIVACY ACT STATEMENT
AUTHORITY: Title -Section 301; Title 5 USC Section 2951: E.0 9397 dated November 22, 1943 (SSW
PRINCIPAL PURPOSE: To pricviJed`Mmanders and law enforcement officiais wan means by which information may be accuralei.
ROUTINE USES: Your .:)c:131116Pdi:ity- number is used as an additional/alternate means of identification to facilitate filing and retrieval.
DISCLOSURE: Disc' of yoLir social security number is voluntary.
•-'7
1. LOCATION 12. DATE (YYYYMMDD) 3. TIME 4. FILE NUMBER Baqubah, Iraq 22 NOV 03 1115
N )DLE NAIVIE 6. SSN 7. GRADE/STATUS
0-1
8. ORGANIZATIOt OR ADDR
A Co., 588th EN
9.
1, , WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
On 22 NOV 03. ' 588 E ,nducted a raid on ho C 67348 32631. Our assault team entered the house and werc.-At the same me, s son, d o our security element outside of his froi. 1,-: rooftop. After clearing the house, we detained and his sons,
iv p.-t. ?, rii,,k-t-; c--01.)3 i..) 4rItS H0‘,16-Two informants h.:-.2 told .:t as fired mortars at MP station (Wardog) from his residence. Items seized at his residence were two AK-47s a bolt action rifle. END OF STATEMENT. NOTHING FOLLOWS.
A
-10. EXHIBIT 11 ERSON MAKING STATEMENT PAGE 1 OF 2 PAGES
ADDITIONAL PAO.: :UST C., "AIN THE HEADING "STATEMENT TAKEN AT DATED
THE BOTTOM OF MUST BE BE INS'" DA FORM 28:- -EC ", -.',4L PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER DA FORM 2823, JUL 72, IS OBSOLETE IJSAPA V1.00
DOD F INAL 2 5 8
DOD 57845

DATE AND TIME Of CAPTURE
,4-)0("C'3 gerie.7(jod
4. DATE OF BIRTH
6. SERVICE NO.
7 UNfT OF EPW
1
8. CAPTURING UNIT
/I CC". -5.-E.F• , /F.:,l,
9. LOCATION OF CAPTURE !Grid coordinates)
C73Lif
10. CIRCUMSTANCES OF 11. PHYSICAL CON­CAPTURE.
12. WEAPONS, EQUIP­DMON OF EPW
MENT, DOCUMENTS
DO FORM 274S, MAY 96
REPLACES DA FORM 5976, JAN 91,
.f%
USABLE UNTIL EXHAUSTED.
4
I I,
e
DOD F INAL
DOD 57846
Full Nae.'
Caotte. # Photograph
4
Given Name
Father's.
Family Nam
Tribe
Languages DOB
Arabic 119801001 Marital Status
'Harried
'JOG DOC
IA 588 11/22/2003
Time Place
I0400 IMO 67348 32631 Approach

Reason tor Detention
SUSPECTED ATTACKS, FIRED AT US FORCES
Captured Weapons/Equipment
I2 AKS AND ONE BOLT ACT.tOtJ
2 BCT Screening Report
Remarks DETAINEE VVAS ARRESTED WITH HIS BROTHER AND FATHER. DETAINEE CLIAMS THAT A WEEK AGO. HIS COUSINS CAME BY AND SHOT AT THIEF(' HOUSE THIS TIME HIS WIFE WOKE HIM UP, AND SAID SOME ONE WAS SHOOTING IN THE HOUSE. SO DETAINEE
HARGED HIS AK. THINKING IT WAS THE THEIVES. HE VVENT TO THE ROOF AND DIDN'T SEE AMERICAN VEHICLES IN FRONT OF HiS HOUSE. IN THE DISTANCE. ABOUT 503 METERS, HE SAWAMERICAN TANKS DETIANEE CLAIMS HE WAS PLEASED, BECAUSE HE THOUGHT THERE WERE THEIVES IN HIS HOUSE. BUT THE AMERICANS VVERE NEAR, SO HE FIRED 5 SHOTS IN THE AIR IN HoPEs oF GETTING THEIR ATTENITON, SO THEY WOULD COME TO HIS AID. THEN HE WENT FROM THE ROOF DOWN TO THE SECOND FLOOR WHERE HIS WIFE WAS HE HAD HIS WEAPON. HIS WIFE VVAS YELLING AND SCREAMING AND SAID THAT IT WAS THE AmERICANS WHO WERE IN THE HOUSE DE.TAINEE BECAME FRIEGHTENED. THREW HIS WEAPON DOWN IN A TRUNK. AND wAiTED FOR THE AMERICANS TO COME UP WHEN THE AMERICANS CAME TO HIS FLOOR, DETAINEE STATED THAT THERE vVAS NO INTERPRETER. SO IN ARABIC. DETAINEE WAS SAYING HE WAS SORRY. HE DID NOT KNOW THEY WERE AMERICANS. DETAINEE CLAMS THAT HE WORKED IN THEIR CAMP JOKING WITH THE AMERICANS AND PAINTING $0METHING ON POST SO DETAINEE RECOGNIZED THE MEN. DETAINEE WAS TRYING TO TELL THEM TO RECOGNIZE HIM. HE HAD WORKED WITH THEM. BUT THERE WAS NO INTERPRETER, AND.EvERY TIME HE OPENED HIS MOUTH HE WAS BEATEN DETAINEE CLAIMS THAT THE BEATING CONTINuED ALL THE VvAY TO THEIR CAmP YESTERDAY. AND THEN ALL THE WAY uNTIL THEY WERE TURNED OVER TO OUR DETENTION PACILITY DETAINEE CLIAMS THAT THERE WERE PIVE OE THEM THAT BEAT HIM NON STOP. EVEN THOUGH AS SOON AS HE SAw THEM, HE SuRRENED, SAT ON THE GROUND WITH HIS HANDS BEHIND HIS BACK. DETAiNEE CLIAMS HE CAN RECOGNIZE THE TvvC THAT HuRT HIM THE MOST BY THIER FACES. LATER ON WHEN THE INTERPRETER ARRIVED. HE WAS ASKED VVHERE KS AK wAS, AND HE TOLD THEM. DETAINE= CLAMS AT THE TIME OF ARREST, HE WAS UNARMEDDETAINEE
CLAMS THAT HE HAS NO RELATIVE IN AH SADAH WHERE THE WEAPONS CACHE IS SUPPOSED TO BE LOCATED DETAINEE STATED THAT HE NEVER TOOK ANYTHING FROM THE OLD MILITARY BASE. DETAINEE CLIAMS HIS FAMILY,HAS NO WEAPONS THAT
vvERE STOLEN AND THEN SOLD DETAINEE STATED THERE IS A FEILD BEHIND THERE HOUSE. BUT CLIAmS THAT HE AND HIS FAmiLy HAvE NEvER ATTACKED THE AMERICANS FROM THERE. Field 1. . DETAINEE WAS COOPERATIVE: WE NEED MORE INTEL Or4 THE TARGETS ANC SWORN STATEMENT FROM THE TWO SOURCES UNTIL MORE INTEL IS GATHERED, THERE IS NOT
ENOUGH INTEL TO MAKE AN ASSESMENT
Capturing Unit Remark
ISHOT AT US FORCES DURING A RAID
DOD FINAL 260
Screener 2BCT Personnel Remarks
A
DOD FINAL 261

4 PAGES
REDACTED
IN FULL

DOD FINAL 2 62
COALITION PROVISIONAL AUTHORITY FORCES APPREHENSION FORM
0
yELLow FIELDS. MUSTSE-FILLED IN:IF APPLICABLE, UPON APPREHENSION
.
,.
III Offense against Civillit [check one] If "Other" then describe:

Arson (I.P.C. 342) . )4,..-..;„ I 'Burglary or Housebreaking (I.P.C. 428)
Solicitation of Fomication/ProstiVti.e,(1,P.C. 399) I lExtortion/Communicating Threats (I.P.C. 430)
1 'Rape/Indecent/Sexual Assaults/Acts ..(j.P.C. 393-98, 402) Theft (I.P.C. 439)

,
Murder °P.C. 405) Destruction of Property (I.P.C. 477)
Aggravated Assault/AssaultyVith Intent.To Kill (I.P.C. 410) Obstructing a Public Highway/Place (I.P.C. 487)

, .
Maiming (I.P:e. 412) Discharging Firearm/ Explosive in City/Town/Village (I.P.C. 495)
_
I 'Simple AssaiTlt (felo.C. 415) Riot or Breach of Peace (I.P.C. 495(3))
Kidnapping,(1.P:C..421) Other

gm Offense against Coalition Forces [check one] If "Other" then describe:
I 'Trespass on Military Installation or Facility
r 'Illegal Possession of Weapon Photographing/Surveilling Military Installation or Facility
.11Assault/Attack on Coalition Forces Obstructing Perforrnance of Military Mission

Theftlofoalition Force Property Other
Violation of Curfew
Apprehendii3OLInit: A co.5--zel, E kf I Location Grid: l'S S 1\-AC (2-1 3 Lvt ...3 3 1
Date of.Incident: (D/M/Y) Time of Incident: Date of Report: (D/M/Y) Time of Report:
D.D, /--1\ / 63to .z)...,/ I\ / 03 C),.-kbo hrs to "1/45.1-i. D hrs ,z), / ik / C;;s3 1 ) )5 hrs

Detainee # Key Connected Person: I 'Victim Witness
-LastName: Last Name:
.
FirstName:: Given Name: First Name: Given Name:

Ha-ir Color: Scars/Tattoos/Deformities: Hair Color. Scars/Tattoos/Deformities:
Eye-Color: Weight: lb 'Height: in Eye-Color Weight: lb Height: in
-Address: Address:
,..P.lace Of.Birth: Place of Birth:
Phone#: Ethn/Tribe/ Sex: Phone#:

•Ethri/Tribet T. Sex:
Sect: -151M DOB.D/M/Y: Mobile Sect: M DOB D/M/Y: I Mobile

I I 1 F 1 'Regular F I Regular
Passport ' I Dr. license Other (specify) Passport I IDr. license L Other (specify) Document#: Document #: I -Total:Nurrib.ers.ofPersonsinvolved-a . --(list names/identifying info-on.reverse under "Additional Helpful Information") I . . ..-
Vehicle Information Vehicle Number of Vehicle(s) !Owner:
Make: Color VIN:
•Model: Type: Plate No.: 'Number of People in Vehicle:
Year. Names of People in Vehicle:

Contraband/Weapons in Vehicle:
Property/Contraband I 'Weapon Photo Taken of Suspect with Weapon/Contraband: Yes/ No
Type: IModel: Color/Caliber:

Serial No.: 'Quantity: Make: Receipt Provided to Owner: Yes/ No
-Other Details: 'Where Found: Owner:
Name of Assisting Interpreter: Email, Phone, or Contact Info:

c-fv% C.0 .1-.(
Detaining-Soldier's Na Supennsing Officer's Name
(Print : (Pril

•
MI
Si s nature: S.. nature:
Email: Email:

I lnit Phrtnes• r...." t 'ILI ri,+.• n-, r I i /.A -2 1 Ini+ Dhesnet• "c:YVN...) c-5:.'11...n,+.• A A / I I , /3'?
.

DOD F INAL 263
DOD 57850

COALITION PROVISIONAL-AUTHORITY FORCES APPREHENSION FORM

Why was this person detainkt? tqk% ps--c "*"."5' L,."E 5.121-( ks;
c
"
Who witnes • • • reason for d,etention? Give names,,Qontact numbers, addresses.
P¦ 15IA C.Ancrr,-P miry coal
How was this person traveling (car, bus, on foot)? ItA-15-YYN
Who was with this person? \--\
What weapons was this person carrying? Ry_-'1---k1
What contraband was this person carrying? K.) C) Of'
What other weapons were seized? a-AX.-'4 , - 8 A L70 k c
What other information did you get from this person? N.) bk.)--
Additional Helpful Information: ‘-ku-E. t..A SvE -rb viT v-1.1/5

cx--5
DOD FINAL 264

SWORN STATEMENT
For.use of this forrrr, see AR 190-45; the proponent agency is ODCSOPS
.
-

•:--;
PRIVACY ACT STATEMENT AUTHORITY: Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943
ISSN).
-A-4,
pRINCIPAL PUF1POSE: To provide comManders and law enforcement officials with means by which information may be accurately
_,. ROUTINE USES: . Your social security number is used as an additional/alternate means of identification to facilitate filing and retrieval.
DISCLOSURE: Disclosure of your social security number is voluntary.
1. LOCATION 2. DATE (YYYYMMDDI 3. TIME 4 FILE NUMBER .38S MC:310 340 -;• :: 22 NOV 03 0700
-. NIAME, MIDDLE NAME 6. SSN 7. GRADE/STATUS
.,:. 7 CPT
'B. ORGANIZATION.OR ADDRESS

COMMANDER, A COMPANY, 588TH ENGINEER BATTALION APO AE 09323-2610
9.
I, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
-Operations Report
A/588 EN.: _ .
22 .04.00.!VOY„:P3 -'..
38SMC'167348;-'32631

. .. ,
conducted...raid' on home o Received small arms fire from roof as we were conducting entry. Also receiVed:fireorkeinside.the building. Detained.3 individuals; all of which had weapons; one AK47, and one bolt action 1945MatiserePrifficated misc documents, r,-id the three weapons. No friendly casualties or damaged equipment. Detainees were treated arthe..aid'station for minor injuries. . .
. ......_ , . .. :
(shooter inside and primary target)
rooftop shooter,- son..of target, Al(47 was still hot when we found it)
IIIMIIIIII(shooter inside, son of target) .
-. -

BackgrOtintitinteli ':-.
co„Tjekin;31Ciisistrict.on south side of "mortar field."
tilI.S1614,:fiii*Ortarsat'Wardo Mike from inside.his compound earlier this summer.
tri:WoikedelbeSely.ith in the. past.' _
o'Ha:s relatiAsIn AhSaciali, where..4e-tores weapons on their fanns. NEED TO INTERROGATE FURTHER ABOUT THIS. o

Stole a 'large anfount of money and equipinent from the Iraqi Army Base at Moscar Sa'ad (now FOB Gabe) at the end of the war
which he has-been selling off to support himself. -
b He is currently holding nightly meetings, tirnes vary.
OSorrsupposedly works in an atomic energy site in Baghdad. '

o House has white walls, with big red stuares as Viewed from the north.

o Information verified by 2 sources

DO.NOT BE RELF:ASE. THEY ARE ICNOWN TO CONDUCT MORTAR ATTACKS, ARE HAVING BA'ATH PARTY :ORGANIZATIONAL MEETINGS, ARE SUSPECIhD OR STORING AND DEALING ARMS, AND WERE DETAINED IN THE ACT OF Flf:ING ON COALITION SOLDIERS.
.
NOTHING FOLL )WS
.
10 EXHIBIT 11. INI STATEMENT PAGE 1 OF 2 PAGES
.
ADDITIONAL PAGES MUST CONTAIN THE HEADIAIG "STATEMENT TAKEN AT DATED
,
THE BOTTOM,OF EICH ADDITIONAL PAGE MUST BEAR ,THE INITIALS OF THE PERSON MAKING THE STATEMEAfT, AND PAGE NUMBER. :MUST-BE BE INDICATED.

DOD FINAL 265

STATEMENT OF TAKEN AT DATED
9. STATEMENT Ontitinuedl':;-:'
NOT US8D
.
4

,AFFIDAVIT_
..-
-HAVE-READ OR. HAVE.HAD READ TO
WHICH BEGINS ON •
'AGE 1, AND ENDS ON PAGE 2 . FULLY.UNDERSTAND THE CONTENTS OF THE ENTIRE STAtEMENtMADE BY ME..THE STAT .1ENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF:EACIWPAG.'" CONTAINING THE _ ';`,TEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD;.WITHOU THREAT OF PUNIS ;ENT, AND WITHOUT COERCION, UNLAWFUL INFLUEN
tenient)
WITNESSES: Subscribed and swom_.to before me, a person authorized by•law to•• administer oaths, this..22ND day of NOVF..MAER 03 at
ORGANIZATION O ADDRESS
th)
(Typed.Name of Person Adriiiriieteli4e0ktli) 4
(Authority To Administer Oat&)
INITIALS OF PERSON 7.;AKING STATEMENT
PAGE 3, DA FORM 2C23, DEC 1998
DOD FINAL 2 6 6
—
SWORN STATEMENT
. For. use of this form-, see AR 190-45; the proponent agency is ODCSOPS
_.
PRIVACY ACT STATEMENT
[AUTHORITY:
Title 10 1.4. Seection 301; Title 5 LISC Section 2951; E.O. 9397 dated November 22, 1943 (SS/VI.
PRINCIPAL PURPOSE:

To provide'cernanclers and law enforcement officials with means by which information may be accurately
ROUTINE USES: —
Your social sLtriti number is used as an additional/alternate means of identification to facilitate filing and retrieval. DISCLOSURE: 4
Disclosure of your social security number is voluntary.
1. LOCATION
2. DATE tYYYYMMDD) 13. TIME
.. 4. FILE NUMBER
Baqubah, Iraq ...„
22 NOV 03 1115
• :-.--I- NIAMF. -./IIDDLE NAME
6. SSN
7. GRADE/STATUS
•....-•
0-1
8. ORGANIZATION-OR ADDRESS
A Co., 588th EN BN
9.
I,
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATE-I:
On 22.NOV 03, 1/A/588 EN conducted a raid onlinpho
2631. Our assault team entered the
house 'anc1-were fli.,..1 at by At the same time, s son,
our security elementoutside ofhis residence from the rooftop. After clearing the house,
we detained and. his sons, TWO informants .have told us that has fired mortars at MP station (Wardog) from his residence. Items seized at his
esidence were two AK-47s and a bolt action rifle. END OF STATEMENT. NOTHING FOLLOWS.
•
...
s
-
10. EXHIBIT 11 PERSON MAKING STATEMENT
PAGE 1 OF 2 PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT TAKEN AT DATED

THE BOTTOM OF EACH ADD.'70NAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST BE BE INDICATED. _
r-r n trIoNA non, 1111 ,n IC ,00,1 171-17
DOD FINAL 267
STATEMENT OF
TAKEN AT
DATED
9. STATEMENT OT USED :tcontinu
'
Pr.
CS t(
4

AFFIDAVIT

1.11111111M_
, HAVE READ ORWHICH BEGINS ON PAGE
HAVE HAD READ TO ME THIS STATEMENT'ND ENDS ON PAGE
2 . I
BY ME. ,THE STATEMENT : FULLY UNDERSTAND THE aONTENTS'OF THE:ENTIRE STATE4ENT-MADE
I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE

CONTAINING THE STATEN
.7.
BCiTTOM OP.EACHRAGE.
THREAT OF PUNISHMENT, I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REW RD,:WITHOUT:t
WITHOUT COERCION, UNLAWFUL IN

mg atementf -
WITNESSES: Subscribed and swom to before me, a person authoiriiea,bV.law:to. administer oaths, this
22 day of November at FOB Gabe, Ira
ORGANIZATION OR ADDI
igneture of Per n Administering Oath].

IIIWP
yped-Name-of Person Administering 'Oathl
.
... --
.
ORGANIZATION OR ADDr -, * INITIALS OF PERSON MAKIr
'ATEMENT
PAGE 3, DA FORM 2823, DE ,911
DOD F INAL 268
9g8Lg CIOCI
rIVNI 3a0a
52
1. DATE AND TIME OF CAPTURE
G PCX.. —
:,)•)- ,1/41(..l;01.•.7L. 3. NAME. 4. DATE OF 91.II 1.:
7. UNIT OF EPW 8. CAPTURING UNIT
AI C.c) .5-i-;i9 .E...4 .

9. LOCATION GI- CAPTURE (Grid coordinates)
A1C ‘s 7 3 Y .?..7g.rf
-.
11. PHYSICAL CON-
it,. CIRCUMSTANCES OF
DITION OF EPW
CAFIURE
/4 ril-CiC . b Ai
ew ae-47-64..
.
12. W A N , MEM', DOCUMENTS
DD FORM 2745, MAY 98 REPLACES DA FORM 5976, JAN 91, USABLE UNTIL EXHAUSTED.
6. SERVICE NO.
5. RANK
8. CAPTURING uNrr
7. UNIT OF EPW
9. Luca-nom OF CAPTURE (Grid coordinates)
10. DESCRIFTION OF WEAPONS, SPECIAL EQUIPMENT, DOCUMENTS
; •
DD FORM 2745, MAY 96 REPLACES DA FORM 5976, JAN 51, USABLE UNTIL EXHAUSTED
Isa
Full Ngri.6.:
.C-sapturE
Photooraph
"MI
Given Name
Father's NaMt
.
Family Nam
Tribe
Languages DOB
!Arabic 119831114
Marital Status
1Single
UOC DOC
IA 588 11;22/2003
Time Place

10431 IMC 67348 32631
Approach
Reason for Detention
!SUSPECTED MORTARERS AND FIRED ON US FORCES
Captured Weapons'Eouipment
f2 AKS AND BOLT ACTION
2 BCT Screening Report
Remarks
DETIAINEE CLiAMS THAT HE VVAS DETAINED WITH HIS FATHER (TARGET) AND HIS BROTHER, DETAINEE CLIAMS TAHT THERE WERE TWO AK'S AND AN OLD RIFLE (HIS GRANDF-ATHER; OFTAINEE CLIAMS THAT THE AMERICANS CAME IN SHOOTING. HIS FAMILY HAD BEEN ATTACKED LAST WEEK BY SOME COUSINS WHO CAME BY AND SHOT UP THIER HOUSE. DETAINEE CLIAMS THAT HE- AND HIS FATHER WERE SHOT AT FIRST, AND THEN HANDCUFFED THE ELDEST SON WAS UPSTAIRS, WHEN HE HEARD THE GUNSHOTS, HE LOOKED OUTSIDE AND SAw NO AmERCAN VEHICLES, SO THE ELDEST SON STARTED SHOOTING THE FATHER, WHO WAS ALREADY HANDCUFFED YELLED AT HIS SON UPSTAIRS TO NOT SHOOT, IT WAS THE AMERICANS THERE WAS NO INTERPRETER, SC.-) vVHEN THE FATHER YELLED, THE AMEICANS DID NOT KNOW WHAT HE WAS SAYING, SO THE AMF_RICANS BEGAN KICKING HIM A AND HITT.NG HiS FATHER WITH A RIFLE. AND SPLIT OPEN HIS HEAD ABOVE HIS EYE. THEN HOODS VVERE PLACED OVER THIER HEADS AND THE BEATING CONTiNUED, BUT DETAINEE DOES NOT KNOW WHO STRUCK HIM. THE BEATING CONTINUED THROuGHOUT THE RIDE TO UNIT DETAINEE CLIAMS THEY WERE BEATEN ON THE- WAY OVER TO THE DETENTION FACILITY, BUTAS SOON AS THEY ARRIvED HERE, NO ONE HAS TOuCHED THEM OR BEAT THEM DETAiNEE CLIAMS HE HAD NO BOLT ACTION IN
IHIS HAND DETAINEE. CLIAMS THAT w HILE HE CAME OUT. HIS FATHER WAS ALREADY SUBDUED. AND CANNOT SAY FOR CERTIAN
WHAT HAPPENED WITH HIS FATHER

DETIANEE CLIAMS THE AMERICANS DRAGGED HIS MOTHER DETAiNEE CLIAMS THE
AMERICANS NEVER STRUCK THE WOMAN (MOTHER ANC SISTER) WITH RIF = -Y WERE KICKING THEM. DETAINEE
DE-NIES THAT HIS FATHER AND FAMILY HAVE EVER CONDUCTED ATTACKS, (IF IT !S THE SAmE MAN) wAS ANIME
wHO tS ALREADY DETAINED HE IS A RELIGIOUS LEADER IN THEIR SECT, BUT THAT IS ALL THE RELATIONSHIP. 2 DAYS AGO HIS

FATHER LED A DEMONSTRATION AGAINST TERRORISM IN BA'OUBAH DETAINEE CLiAMS THAT HE DOES NOT HAvE RELATIVE IN
SADAH (WHERE ALLEGEDLY THERE IS A wEAPoNS cAcHE; DETAINEE CLIAmS HE AND HIS FATHER HAVE NEVER TAKEN ANY
WEAPONS AFTER THE FALL OF THE REGIME

AND HAvE NEVER SOLD WEAPONS, Fied 1. _ DETAINEE WAS COOPERATIVE A FEW
LJESTIONS ARE RAISE: IF THERE WERE THREE SHOOTERS, WHY WAS NO ONE. NOT THE AMERICANS OR DETAINEES, SHOT OR
vvOuNDEr THERE ARE SOME SE.RIOUS ALLEGF,TIONS, BUT NOT ENOUGH INTEL FOR AN ASSESMENT THEY DID HAVE AN EXTRA
AK AND HuNT1NG =

NTEL FROm•THE. uNIT ABOUT THE TARGET, AS WELL AS SWORN STATEMENTS FROm
THE TWO SOURCES

BEFORE A RECOMMENDATION CAN BE MACE
Ca.turing Unit Remark
I SHDT AT US FORCES DURINL, A RAID

DOD FINAL 27 0

DOD 57857

STATEMENT (Continued) •
Q: DID YOU SEE THE OLDEST SON GRAB CRTIIIIIWEAPON?
A: NO, BUT I DID SEE A.i3CUFFLE HAPPEN..
Q: WAS THERE A REPORT72. ALONG ON THE MISSION? NANIE, AGENCY?
A: YES THERE WAS A REP—ORTER. I THINK HE WORKED FOR REUTERS. !/////8/1//////////////////////////////////////1///////////////////NOTHING FOLLOWS//////////////1/1////////////////////iiiiiIiiiiiii.'.111//,'
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE 2 . I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY 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 WITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEAENT.
gnature o erson ng tatement)
WITNESSES: Subscribed and sworn to before me, a person authorizeci by law to administer oaths, this • day of
•
ORGANIZATION OR ADDRESS (Signature of Person Administering Oath) MAJ, EN
(Typed Name ol Person Administering Oath) ORGANIZATION OR ADDRESS (Authority To Administer Oaths) INITIALS OF PERSON MAKING STATEMENT PAGE 2 oF 2 PAGES
1.1SAPPC V2.00
DOD F INAL 271
. SWORN STATEMENT

.
For use of this form. see AR 190-45: the oroponent agency is ODCSOPS
LOCATION

i i
DATE TIME FILE NUMBEF.
BAQUBAH.IRAQ
i 26 NOV 03 1 1845II LAST NAM crfi '' A -
LE NAME ''' — . SOCIAL SECURIT' -GRADE.S7 ATUS
• 2LT
ORGANIZATION OR ADDRESS '
A COMPANY, 588TH ENGINEER BATTALION
.. :-. .-..:

_
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH-
---...
. . :,--
BELOW QUESTIONING IS IN REFERENCE TO REMOVAL OF DETAINEE
FROM THE DETENTION FACILTITY ON FOB WARHORSE, 221756CNOV03 AND RETURNED -741715CNOV03.

Q: WHO QUESTIONED THE DETAINEE DURING THIS PERIOD OF TIME?
A: I BELEIVE THE.SF ODA INTERROGATED HIM. THE DETAINEE MIGHT HAVE HAD MORE INTEL ON
FUTURE TARGETS.
.
Q: WHO ACTED AS THE IN
9
A: NOT KNOWN POSSIBLY
Q: WHICH LEADERS FRO T E WHERE NI WHEN DEALING WITH THIS DETAINEE?
A: MYSELF 2LT CPT AND SFC
Q: WHICH LEADERS KNEW WHY HE WAS TAKEN OUT AND QUESTIONED/UTILIZED AS AN INFORMANT?
A: ALL IN PREVIOUS ANSWER. I DO NOT KNOW WHO IN HIGHER HAD KNOWLEDGE OF THE INTERROGATION/RECON
Q:WHAT WAS THE MEDICAL CONDITION OF THE DETAINEE WHEN HE LEFT THE DETENTION CENTER AND UPON HIS RETURN?
A: THE DETAINEE APPEARED IN GOOD HEALTH.
_
Q:
Vv'HO HAD KNOWLEDGE OF HIS MEDICAL CONDITION WHEN HE LEFT THE DETENTION CENTER AND UPON HIS RETURN?

A.
WHEN I PICKED HIM UP AT FOB WARHORSE HE WAS NOT INJURED. THE NEXT DAY AT 0630. HE WAS NOT INJURED. I DID NOT SEE THE DETAINEE AFTER HE GOT IN CPT HMMWV.

,_ -... /////////////////////////////////////////////////////////////////NOTHING FOLLOWS//////////////////////////////1/1////////1///////////1/i////
A
. .
EXHIBIT i INIT MAKING STATEMENT 1
PAGE 1 OF 2 PAGES
ADDITIONAL PAGES MUST -CONTAIN THE HEADING "STATEMENT Of TAKEN AT DATED _ ._ CONTINCED" THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS Of THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE Of PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK Of PAGE 1 WILL BE LINED OUT, AND THE STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE Of ANOTHER COPY Of THIS FORM.
DA FORM 2823. JUL 72 SUPERSMES DA FORM 2871 1 JAN 68 WHICH WILL SE USED. USAPPC V2 OD
DOD FINAL 272
STATEMENT (Continued('
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE 2 . FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE
BY 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 INITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMEN UNLAWFUL INDUCEAENT.
gnature o erson mg tatement)
WITNESSES: Subscribed and sworn to before me, a person authorized by law to
administer oaths, this c.7-day of -

-
.--r• _1%7,
at
ORGANIZATION OR ADDRESS
(Signature of Person Administering Oath)
MAJ , EN
(Typed Name of Person Administering Oath)
ORGANIZATION OR ADDRESS (Authority To Administer Oaths(
TIALS OF PERSON MAKING STATEMENT

DOD F INAL 273
uSAPPC'42.o0
•
SWORN STATEMENT
For use of this form, see AR 19045; the proponent agency is ODCSOP.S
LOCATION

i DATE i TIME I FILE NUMBER
BAQUBAH. IRAQ
' 26 NOV (D3 : 1907
LAST NAME, E,RST NAME, MIDDLE NAME ----

. SOCIAL SECUR1T " --I--
GRACIE.STATi.E
I
: 1 SSG
ORGANIZATION OR AODRESS
A COMPANY, 588TH ENGINEER BATTALION
1 -, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
Q: HOW NIANY.SHOTS WERE FIRED BY IRAQIS FROM INSIDE THE HOUSE?
A: NOT SURt HOW MANY SHOTS WERE FIRED INSIDE OF THE HOUSE I WAS EXCHANGING FIRE WITH THE .GUN MA.N ON THE ROOF.
Q: HOW MANY SHOTS WERE FIRED BY IRAQIS FROM THE ROOF OF THE HOUSE'?
A: I DO NOT KNOW EXACTLY, HE WAS SPRAYING AUTOMATIC FIRE AT US WITH AN AK-47.
Q: HOW MANY SHOTS WERE FIRED BY US SOLDIERS?
A: APPROXIMATELY 40-60 ROUND WERE FIRED.
Q: DID ANY THE IRAQIS RESIST ARREST AFTER BEING HAND CUFFED?
A: NOT AFTER THEY WERE ZIP STRIPPED. I LEFT THE DETAINEE AREA AFTER SECURING #3 DETAINEE, AND I WENT INTO THE HOUSE TO ASSIST IN SEARCHING THE HOUSE.
Q: WAS THERE AN INTERPRETER ALONG ON THE MISSION? IF SO, LOCATION/ACTIONS DURING RAID?
A: NO THERE WAS NO INTERPRETER THERE TO MY KNOWLEDGE, DUE TO THE HOLIDAY.
Q: HOW DID THE CAPTURED IRAQIS RECEIVE THEIR WOUNDS?
A: I CAN ONLY SPEAK ABOUT THE ONE DETAINEE THAT I HAD ANY CONTACT WITH, WHILE I WAS STILL WITH HIM HE GOT KICKED ONCE BY THE COMMANDER WHEN HE GRABBED MY COMMANDER'S WEAPON.
Q: HOW WERE THE WOMEN IN THE HOME DEALT WITH DURING THE RAID?
A: THE WOMEN WERE PUT ON THE PORCH OF THE HOUSE AND WERE GIVEN BLANKETS FROM THE HOUSE TO KEEP WARM.
Q: DID YOU WITNESS ANY _US SOLDIERS HITTING OR KICKING THE DETAINEES AFTER THEY WERE
,, —...
HANDCUFFED?
A: NO, I DID NOT.
Q: HOW MANY WEAPONS WERE FOUND ON THE PREMISES? LOCATION FOUND?
A: 2 AK-47'S AND 1 OTHER RIFLE, 1 AK-47 WAS FROM THE GUN MAN ON THE ROOF, 1 AK-47 WAS FROM THE GUN MAN IN THE HOUSE.ONE RIFLE I DON'T KNOVsi MOST LIKELY IT WAS POSSESSED BY THE 3RD MALE IN THE HOUSE.
A
Q- WAS THERE ANY OTHER MILITARY EQUIPMENT FOUND ON THE PREMISES?
A: I'M NOT SURE I CANT'S REALLY REMEMBER.
Q: DID YOU OBSERVE ANY OF THE IRAQIS WITH WEAPONS IN THEIR HANDS? DESCRIBE?
A: YES, I DID I WAS SHOT AT BY THE GUN MAN ON THE ROOF WITH THE AK-47.
Q: DID YOU OBSERVE ANY OF THE IRAQIS FIRE A WEAPON AT US SOLDIERS'? DESCRIBE?
A: SEE PREVIOUS QUESTION.
:
EXHIBIT INITIALS OF PERMIATEMENT --. I
I PAGE 1 OF .-,:. , PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT OF _ TAKEN AT ___ __ DATED _____ CONTINCED." THE 80770M OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS Of THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE OF PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE SACK OF PAGE 7 WILL BE LINED OUT, AND THE STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS FORM.
usoaa: .i:ioa
DA FORM 2823. JUL 72 SUPERSEDES DA FORM 2823. i JAN 68, WHICH WILL BE USED.
.

DOD FINAL 274
ST.kTEMENT (Continued)
Q: DID YOU SEE THE OLDEST SON GRAB CRANE WEAPON?
A:
YES I DID

Q.
WAS THERE A REPORTF-D. ALONG ON THE MISSION' NANIE ACE=

A:
YES THERE WAS. I DON7T. KNOW HIS NAME OR WHICH AGENCY HE WORKS FOR.

.
Q: WHEN WERE THE THREE DETAINEES FLEX CUFFED'?
A: THEFIRST 2 DETAINEES I DID NOT SEE, I WAS CURRENTLY ENGAGED IN A FIRE FIGHT WITH THE MAN ON THE ROOF, WHEN THE MAN.:FROM THE ROOF WAS BROUGHT DOWN I ASSISTED IN CLEARING AND SECURING HiM (ZIP STRIPPING). THEN WENT INTO THE HOUSE.
P///////////1////77-/7H/i/IIM/i//8//////1/111/////////i///liii/1/NOTHI 11.11WS/////////////1,7///////////////i/t1///1//7 'ill/LW/ //i i'
AFFIDAVIT
, HAVE READ OR HAVE HAO READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE 2 I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY 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 OP BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE. OR UNLAWFUL INDUCEAENT.
(Signature ol Person Making Statement/
WITNESSES: &Inscribed and sworn to before me, a person authorized by law to administerrups, this /52" day ot
_
A if ,
a 1 OA
ORGANIZATION OR ADDRESS ignature o . ers n ministering Oath)
.EN
ype ame or Person Admitusteting Oath)
ORGANIZATION OR ADDRESS (Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT
PAGE 2 oF 2 PAGES
uSAPPC V2 00
DOD F INAL 275
SWORN :STATEMENT
. For use of this form. see AR 196-45; the Proponent agency is 00CSOPS ;
¦
LOCATION DATE TIME FILE NUMBER
'
B AQUB.A.I.IRAQ 26 NOV 03 1950
_____,
A T NAME FiRST NAME MIDDLE NAME — ' :"--. SOCIAL SECURIT ' ! GRADEISTATUS
,... I
SGT
ORGANIZATION OR ADDRESS
A COMPANY, 588TH ENGINEER BATTALION
_
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
' . Q: HOW ICMNY SHOTS WERE FIRED BY IRAQIS FROM INSIDE THE HOUSE?
A: 3 OR MORE-ROUNDS FIRED
_. Q: HOW MANY SHOTS WERE FIRED BY US SOLDIERS?
A:
50-60

3 Q: DID ANY OF THE IRAQIS RESIST ARREST AFTER BE,ING FLEX-CUFFED'?

A:
I WAS NOWHERE WHEN FLEX-CUFFED.

4. Q: WAS THERE AN INTERPRETER ALONG ON THE MISSION? LOCATION/ACTIONS DURING RAID?
A:
YES, LOCATED BY OUTSIDE THE HOUSE_

. Q: HOW DID THE CAPTURED IRAQIS RECEIVE THEIR WOUNDS?

A:
NO IDEA HOW WOUNDED AFTER HANDOFF TO REST OF ASS. TM& DETAINEE TEAM, I DIDN'T SEE THE P.O.Ws.

6. Q: HOW WERE THE WOMEN IN THE HOME DEALT WITH DURING THE RAID?
A:
1 WAS PULLED BY HERE SLEEVE OF HER SHIRT AND THE OTHER I DEALT WITH WAS PUSHED GENTLY OUTSIDE.

7 Q: DID YOU WITNESS AN.Y US SOLDIERS HITTING OR KICKING THE DETAINEES AFTER THEY WERE HANDCUFFED?

A:
NO

8. Q: HOW MANY WEAPONS WERE FOUND ON THE PREMISES?
A: ^ 1 AK47 WAS KITCtIE, WITH 1 MALE, 1 RIFLE IN BACK BEDROOM W/ 2ND MALE, I AK47 HIDDEN ON ROOF BY THIRD MALE.
9. WAS THERE ANY OTHER MILITARY EQUIPMENT FOUND ON THE PREMISES?
A: MORTAR SIGHT.
10. Q: DID YOU OBSERVE ANY OF THE IRAQIS WITH WEAPONS IN THEIR HANDS?
A: YES, AS WE CAME THRU THE DOOR INTO THE HOUSE 1 MALE RAN INTO THE BACK BEDROOM (UNARMED) THE 2ND MALE STEPPED OUT FROM THE KITCHEN W/ AN AK47 IN HAND, STEPPED BACKJIN THE KITCHEN AND CHARGED THE WEAPON THEN FIRED.
11. Q: DID YOU OBSERVE ANY OF THE IRAQIS FIRE A WEAPON AT US SOLDIERS?
A: SEE QUESTION #10.
12. Q: WAS THERE A REPORTER ALONG ON THE MISSION?
.A: YES, REUTERS I THINK. HE WAS LOCATED AT THE END OF MY TEAM. BOUNCING FROM INSIDE THT
HOUSE TO OUTSIDE THE HOUSE.

EXHIBIT I INITIALS 0 G STATEMENT PAGE 1 OF PAGES
.
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT Of _______ TAKEN AT DATED CONTIAWED." THE 30770M Of EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAA'ING THE STATEMENT AND BE INITIALED AS "PAGE _ OF PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK DE PAGE 7 WILL BE LINED OUT, AND THE STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY Of THIS fORM.
USAPPC
DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHIN WILL BE USED.
.
DOD F INAL 276
STATEMENT (Continued;
Vi1117/1111111/11111/NOT USEDii.,71/1/11/08///111.1///7/1/7111/7/11711,///i„
AFFIDAVIT

, j ::1N .,111111111111111111111111111111111___
HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 ANO ENDS ON PAGE ) . FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY 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, A
WFUL INDUCEIIIENT.
WITNESSES Sanscrioed and sworn to before me, a person authorized by law to administer oaths, this day of -1 1-9 • at .
ORGANIZATION OR ADDRESS
!Signature oi Peii on Adminktenno Dathl
MAJ, EN
(Typed Name ol Person Administenng Oath/ ORGANIZATION DR AODRESS (Authority To Administer Oathsi INITIALS OF PERSON MAKING STATEMENT PAGE 2 OF PAGES
USAPPC V2.00
DOD F INAL
2 7 7
DOD 57864

• SWORN STATEMENT
.
For use of this form see AR 19045: the proponent agency is.ODCSOPS
i LOCATION , DATE 1 TIME FILE NUMBER
1
BAQUBAH.IRAQ -. 1 /R NOV 03 1 157 I
1
__.,._ '
' AST NAME FIRST NAME. MIDDLE NAME i SOCIAL SECURI GRADE:STATUS 1
:
i
i
1SG
ORGANIZATION OR ADDRESS
A COMPANY, 588TH ENGINEER BATTALION
..-,-

, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH.
1. Q: WHO FTR-ED THE FIRST SHOTS DURING THE RAID'?
A: THE INDIVIDUAL ON THE ROOF.
2. Q: WHERE DID THE FIRST SHOTS FROM THE IRAQIS COME FROM?
A: FROM THE ROOF
3. Q: WHERE WERE THE SHOTS AIMED THAT WERE FIRED BY THE IRAQIS?
A: AT THE ASSAULT TEAM.
. .
4. Q: WERE ANY OF THE THREE IRAQIS INJURED BEFORE BEING ESCORTED OUTSIDE THE HOUSE?
A:
NO KNOWLEDGE.

. Q: WERE ANY OF THE IRAQIS FLEX-CUFFED PRIOR TO BEING ESCORTED OUTSIDE THE HOUSE?

A:
NO KNOWLEDGE

•
6. Q: HOW WERE THE WOMEN OF THE HOME DEALT WITH DURING THE RAID?
A: THEY WERE ON THE PORCH WITH BLANKETS.
7. Q: DID YOU OBSERVE ANY IRAQIS WITH WEAPONS IN THEIR HANDS?
A: NO
8. Q: DID YOU OBSERVE ANY OF THE IRAQIS FIRE A WEAPON AT US SOLDIERS?
A: NO BUT WE RECEIVED FIRE FROM THE ROOF OF TARGET HOUSE.
9. Q: DID YOU WITNESS ONE OF THE IRAQIS GRAB CPTIM WEAPON?
A: NO
-_
10. Q: DID YOU WITNESS A -I\tY US SOLDIERS HITTING OR KICKING THE DETAINEES AFTER THEY WERE
HANDCUFFED?

A:
NO

A:
NO

11 Q: DID YOU PERSONALLY HIT OR KICK A DETAINEE AFTER THEY WERE HANDCUFFED?
12 Q: WHO TRANSPORTED THE DETAINEES FROM THE TARGET HOUSE TO FOB GABE (BOOM)? a
A: I DID, WITH PFC PFC PFC AND I OTHER SOLDIER.
13. Q: WHO HAD CONTACT WITH THE DETAINEES AT FOB GABE (BOOM)?
A: 6:52 ENGRS .
14. Q: WHO TRANSPORTED THE DETAINEES FRON1 FOB GABE TO FOB WARHORSE?
A: BEST OF MY KNOWLEDGE 1 PLT
EXHIBIT i iNITIALS OF PERSON NT •.
I ! PAGE 1 OF 2 PAGES

I
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT Of TAKEN A r _ DATED _ CONTINUED.''
THE .30770M OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS Of THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE
Of PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK Of PAGE 1 WILL BE LINED OUT, AND THE
STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE Of ANOTHER COPY Of THIS FORM.

DA FORM 2821 JUL 72 CIII,FRCMPC ria pnnm .)frrz 1 lard AR wi.firu IAIII I pc iicpn ¦ ISAPPr II7 Gt.
DOD FINAL
278
STATEMENT (Cohonuew
USED//
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHICH BEGINS ON PAGE 1 AND ENOS ON PAGE

. I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE THI; STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE. OR UNLAWFUL INDUCEAENT
ent)
WITNESSES: Subscrioed and sworn to before me, a person authorized by law to
administer oaths, this day of
at

ORGANIZATION OR ADDRESS
ignaturep arson Ministering athl
IMMOMAJ, EN
f Person Administering Oath/
ORGANIZATION OR ADDRESS ;Authority To Adminster Oaths)
INITIALS OF PERSON MAKING STATEM

US;PPC V2 00

DOD FINAL
2 7 9 DOD 57866
SWORN STATEMENT
For use of this forrn,:see AR 190-45; the proponent agency is ODCSOPS
LOCATION ; GATE • TIME ; FILE NUMBER'

BAQUBAH. IRAQ 1 18 NOv 03 1550
1 SOCIAL SECURITY N MB R i GRAOE,STATUS I CPL
I
ORGANIZATION OR ADDRESS
A COMPANY, 588TH ENGINEER BATTALION
.
-
1 • WANT TO MAKE THE FOLLOWING STATEMENT UNDEFi OATH:
1 Q: WHO FIRED THE FIRST SHOTS DURING THE RAID'?
A.: THE TARGET- MR TAHA

2. Q: WHERE DID THE FIRST SHOTS FROM THE IRAQIS COME FROM?
A: INSIDE OF A BEDROOM
3. Q: WHERE WERE THE SHOTS AIMED THAT WERE FIRED BY THE IRAQIS?
A: DON'T KNOW
.
4. Q: WERE ANY OF THE THREE IRAQIS INJURED BEFORE BEING ESCORTED OUTSIDE THE HOUSE?
A: NO
5. Q: WERE ANY OF THE IRAQIS FLEX-CUFFED PRIOR TO BEING ESCORTED OUTSIDE THE HOUSE?
A: NO
6. Q: HOW WERE THE WOMEN.OF THE HOME DEALT WITH DURING THE RAID?
A: I DON'T RECALL SEEING ANY WOMEN
7. Q: DID YOU OBSERVE ANY IRAQIS WITH N/VEAPONS IN THEIR HANDS?
A: YES, THE TARGET MR TAHA HAD AN AK-47 IN HIS HANDS WHEN WE ENTERED THE HOUSE.
8. Q: DID YOU OBSERVE ANY OF THE IRAQIS FIRE A WEAPON AT US SOLDIERS?
A: MR TARA BACKED UP INTO THE ROOM & WE HEARD 2-3 ROUNDS FIRED.FROM THE ROOM.
9. Q: DID YOU WITNESS ONE OF THE IRAQIS GRAB CPT WEAPON?
A: NO
-;

10. Q: DID YOU WITNESS -AISiY US SOLDIERS HITTING OR KICKING THE DETAINEES AFTER THEY WERE
HANDCUFFED?

A: NO
-
II. Q: DID YOU PERSONALLY HIT OR KICK A DETAINEE AFTER THEY WERE HANDCUFFED?
A: NO
12. Q: WHO TRANS DETAINEES FROM THE TARGET HOUSE TO FOB GABE (BOOM)? 0
A: A7 VEHICLE/1SG
13. Q: WHO HAD CONTACT WITH THE DETAINEES AT FOB GABE (BOOM)?
A: I DON'T KNOW .
14. Q: WHO TRANSPORTE ETAINEES FROM FOB GABE TO FOB WARHORSE?
.A: CPL PFCMIIIM& 2 OTHERS

EXHIBIT SON MAKING STATEMENT 1 PAGE 1 OF PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT Of TAKEN A7 ___ DATED CONTINUED."
THE 60770M DE EACH ADDITIONAL PAGE MUST BEAR THE INI77ALS Of THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE
OF PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK Of PAGE 7 WILL BE LINED OUT, AND THE
STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS FORM.

USAPPC 9C
DA FORM 2E23, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH_WILL BE USED.
DOD FINAL
280
DOD 57867
STATEMENT "Continued)
:
AFFIDAVIT
—7111111111.11111.11111 , HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE —7 . I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE INIT;ALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE THIS
STATEMENT FREELY WITHOUT HOPE DF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCE6ENT.
• (Signature of Person Making Statement)
Subscrided and sworn to before me, a person authorized by law to
WITNESSES:
administer oaths, this clay of F--"`

, •
at
ORGANIZATION OR ADDRESS "Signature-of Per:a/Administering Oath;
MAJ.EN
(Typed Name of Person Administering Oath)
'Authority To Administer Oaths)
ORGANIZATION OR ADDRESS
INITIALS OF PERSON MAKING STATEM
PAGE 2 oF 2 PAGES
USAP°C V2.00
DOD FINAL 281

.
.

SWORN STATEMENT
. For use of this iorrn, see AR 190.45: the.proponent apenry is ODCSOPS DATE i TIME FILE NUMBER
LOCATION
;
18 NOV 03 IA1/
BAQUB.AH. IRAQ
. SOCIAL SECURI ' GRADE/STATUSLAST NAME, FiRST NAME, MIDDLE NAME
-.
SPC
ORGANIZATION DR ADDRESS
A COMPANY, 588TH ENGINEER BATTALION
-, .,

-, WANT TO MAKE THE FOLLOVVING STATEMENT UNDER OATH
1.
1 . Q: WHO PrR-ED THE FIRST SHOTS DURING THE RAID?
A A MAN ON,THE ROOF OPEN FIRE ON US FIRST

_. Q: WHERE DID THE FIRST SHOTS FROM THE IRAQIS COME FROM?
A: THE FIRST SHOTS FROM THE IRAQIS CAME FROM THE ROOF.
3. Q: WHERE WERE THE SHOTS AIMED THAT WERE FIRED BY THE IRAQIS?
A: THE IRAQIS WERE FIRING AT COALITION PERSONNEL OUTSIDE THE GATE OF THE HOUSE..
4. Q: WERE ANY OF THE THREE IRAQIS INJURED BEFORE BEING ESCORTED OUTSIDE THE HOUSE?
A: I DID NOT OBSERVE ANY WOUNDS ON THE IRAQI PRISONERS AS THEY CAME OUT OF THE HOUSE DUE
TO THE FACT THAT THEY WERE ALL STRUGGLING AND I WAS MORE WORRIED ABOUT THEM H.AVING
WEAPONS THAN WHAT THEY LOOKED LIKE.

Q: WERE ANY OF THE IRAQIS FLEX-CUFFED PRIOR TO BEING ESCORTED OUTSIDE THE HOUSE?
.
A: NO
.
6. Q: HOW WERE THE WOMEN OF THE HOME DEALT WITH DURING THE RAID'?
IN THE COURTYARD.
A: THE WOMEN WERE ESCORTED OUTSIDE AND WATCHED BY PFC
7. Q: DID YOU OBSERVE ANY IRAQIS WITH WEAPONS IN THEIR HANDS?
A:
NO -

S.
Q: DID YOU OBSERVE ANY OF THE IRAQIS FIRE A WEAPON AT US SOLDIERS'?

A:
YES AND NO I SAW THE FIRE COMING FROM THE ROOF AND THE TIP OF AN AK BUT HAD NO GOOD VIEW OF THE SHOOTER.

,-
9 Q: DID YOU WITNESS ONE OF THE IRAQIS GRAB CPT WEAPON?

A: NO
10. Q: DID YOU WITNESS ANY US SOLDIERS HITTING OR KICKING THE DETAINEES AFTER THEY WERE HANDCUFFED?
A: NO
11. Q: DID YOU PERSONALLY HIT OR KICK A DETAINEE AFTER THEY WERE HANDCUFFED? A
A: NO
12. Q: AN PORTED THE DETAINEES FRO1v1 THE TARGET HOUSE TO FOB GABE (BOOM)?
A: 1SG MYSELF, PFC: HIS DRIVER (I CAN'T REMEMBER WHO WAS DRIVING THAT NIGHT) AND HIS GUNNER WHO I ALSO CAN'T REMEMBER IN A7
3. Q: Vv'HO HAD CONTACT WITH THE DETAINEES AT FOB GABE (BOOM)?
A: NO
14. Q: WHO TRANSPORTED THE DETAINEES FROM FOB GABE TO FOB WARHORSE?
A: 1ST PLT A CO 588TH _
I INITIALS OF ING STATEMENT PAGE 1 OF PAGES
EXHIBIT
AT DATED ___ CONTINLIED."
ADDITIONAL PAGES MUS7' CONTAIN THE HEADING "STATEMENT OF _. __TAKEN
THE BOTTOM OF EACh' ADDITIONAL PAGE MUST BEAR THE INITIALS Df THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE
OE PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK Of PAGE 1 WILL BE LINED OUT, AND THE

STATEN1ENT WILL'BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY Of THIS' FORM.
osAeec '..2 CO
DA FORM 2823, JUL 72 SUPERSEDES OA FORM 2823, 1 JAN 68, WHIN WILL BE USED.
DOD F INAL 282
STATEMENT (Continued)
3. "
AFFIDAVIT
HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHICH BEGINS ON PAGE I AND ENOS ON PAGE

. I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY 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. ANO WITHOUT COERCION. UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEAENT.
(Signature of Person Making Statement)
Subscribed and sworn to before me, a person authorized by law to
WITNESSES:
administer oaths, this day of

_
(Signature of Person Adthinistenng Oath)
ORGANIZATION OR ADDRESS
MAJ, EN
(Typed Name of Person Administering Oath) (Authority To Administer Oaths)
ORGANIZATION OR ADDRESS
INITALS OF PERSON MAKING STATEMENT

PAGE 2 DF PAGES
USAPP: V2 OC
DOD F INAL 283 DOD 57870
• SWORN STATEMENT
For use of this farm, see AR .190-15; the or000nent agency is ODCSOPS : OATE I TIME FILE NUMBERLOCATION :-. !
. .
BAQUBAH. IR.AQ 18 NOV 03 1635
.
: SOCIAL SECURI -i GRADESTATUS ,, , .
' 7 — -• ' ODLE NAME' • ' "--
PFC
ORGANIZATION OR ADDRESS
A COMPANY, 588TH ENGINEER BATTALION
_. _

.
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
1,
1 . Q: WHO FIRED THE FIRST SHOTS DURING THE RAID?
A THE SHOOTER ON THE ROOF.

2. Q: WHERE DID THE FIRST SHOTS FROM THE IRAQIS COME FROM?
A: FROM ON THE ROOF.
". Q: WHERE WERE THE SHOTS AIMED THAT WERE FIRED BY THE IRAQIS?
A: THE ROUNDS WERE IMPACTING BEHIND I DON'T KNOW EXACTLY WHERE. .
4. Q: WERE ANY OF THE THREE IRAQIS INJURED BEFORE BEING ESCORTED OUTSIDE THE HOUSE?
A: PERSONALLY I DIDN'T NOTICE ANY INJURED BEFORE ESCORTING THEM OUTSIDE.
Q: WERE ANY OF THE IRAQIS FLEX-CUFFED PRIOR TO BEING ESCORTED OUTSIDE THE HOUSE?
A NONE WERE FLEX-CUFFED BEFORE BEING BROUGHT OUT OF THE HOUSE.

6. Q: HOW WERE THE WOMEN OF THE HOME DEALT WITH DURING THE RAID?
A:
THEY WERE SAT DOWN AT THE FRONT DOOR. KEPT TELLING THEM TO BE QUIET. LET THEM SPEAK
TO THE TRANSLATOR.

.. Q: DID YOU OBSERVE ANY IRAQIS WITH WEAPONS IN THEIR HANDS?

A:
I DID NOT ACTUALLY SEE THE IRAQIS WITH WEAPONS IN THEIR HANDS.

S.
Q. DID YOU OBSERVE ANY OF THE IRAQIS FIRE A WEAPON AT US SOLDIERS?

A:
YES THE SHOOTER ON THE ROOF FIRED AT US.

9.
Q. DID YOU WITNESS ONE OF THE IRAQIS GRAB CP WEAPON?
.k NO

.: ,.1.

10.
Q: DID YOU WITNESS ANY US SOLDIERS HITTING OR KICKING THE DETAINEES AFTER THEY WERE
HANDCUFFED?

A: NO
11. Q: DID YOU PERSONALLY HIT OR KICK A DETAINEE AFTER THEY WERE HANDCUFFED?
A: NO
0
12. Q: WHO TRANSPORTED THE DETAINEES FROM THE T H USE TO FOB GABE (BOOM)?
A: THE DET.AINEES WERE IN THE BACK OF A7 WITH SPC THE REPORTER AND ME.
13. Q: WHO HAD CONTACT WITH.THE DETAINEES AT FOB GABE (BOOM)?
A: I TOOK ONE DETAINEE TO THE GUARDS AT CAMP BOOM. THEN WE TOOK 2 DETAINEES TO THE MEDIC STATION.
14. Q: WHO TRANSPORTED THE DETAINEES FROM FOB GABE TO FOB WARHORSE?
A: I WAS PART OF THE CONVOY AND PV2IWAS WITH THE DETAINEES.
EXHIBIT 1 INITIALAMMAKING STATEMENT
i n
i PAGE 1 OF PAGES
!
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT Of __ TAKEN AT DATED CONTINUED." THE BOTTDM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS Of THE PERSON NIAKING THE STATEMENT AND BE INITIALED AS "PAGE Of PAGES." WHEN ADDITIONAL ?AGES ARE UTILIZED, THE BACK Of PAGE I WILL BE LINED OUT, AND THE !STA TEMENT WILL BE CONCLUDED ON THE REVERSE SIDE Of ANOTHER COPY OF THIS FORM.
LISAPK: Vi.00
DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, i JAN 68, WHICHSVILL BE USED.

DOD FINAL 284

STATEMENT (Contirwedl
:11////////////2/7-i/i1NOT USED////////////////////////////////////7/1/////i1//,',: '
1
AFFIDAVIT HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHICH BEGINS ON PAGE 1 AND E.NEIS ON PAGE :2 I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE
•
BY 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 WITHOUT COERCION. UNLAWFUL INFLUENCE, OR UNLAWFUL INDLICEtIENT.
" (Signature of Person Making Statement)
Subscribed and sworn to bef ore me, a person authorized by law to administer oaths, this — day ot -• at , —
WITNESSES:
ORGANIZATION OR ADDRESS (Signature of Person Administering Oath)
(Typed Name of Person Admimstenng Oath)
ORGANIZATION OR ADDRESS (Authority To Administer Oaths)
INITIALS OF PERS ' TEMENT
PAGE 2 OF PAGES
USAPPC V2.00

DOD F INAL 285

DOD 57872

SWORN STATEMENT
PM tins luim. see AR 190.4E: ihe wooneni agencv is 00CSOPS
DATE

TIrviE FILE NUM6F,
I ClrATI111.1
, "
ff • • rt. r r .7 • • ^ F r!::1 T NI I i'.1BFR GRAuESI
ORGANIZATION DR ADDRESS
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH.
! 7L2— 174 7,1-;;.; ,C;;•="—
; • •_ ;

— 774 tz,
s-aa— Jer-
.,-
.•
s•
c3'N.
—... • ,
€:
‘1,;!;., 5 •••
.03..P
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SUPERSEDES OA FORM 2823. I JAN 68,
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DOD F INAL 287
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OA Form 2823, JUL 72
DOD F INAL 288
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SUPERSEDES OA FORM 2823. 1 JAN 68. WHICH WILL BE USE0
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DOD FINAL 289
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SUPERSEDES DA FORM 2323, 1 JAN 68, WHICH WILL BE USED.
DA FORM 2823, JUL 72
DOD FINAL 29 0
DOD 57877
SWORN STATEMENT
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DATE
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DOD FINAL 2 91
DOD 57878
SWORP! STATEMENT :tot use of this term. see AR 190-45: the proponent agency is ODCSOPS DATE , TIME FILE NUMBER
7
LOCATION
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USArr.
. DA FORNi 2823, JUL 72 SUPERSEDES OA FORM 2823. 1 JAN 68, WHICH WILL BE USED
DOD FINAL 292
DOD 57879
•SWORN STATEMENT
For use of this form, see AR 19045: the proponent agency is ODCSOPS
TIME FILE I'VLIMEER
I DATE / 41-1 ty3 /410
LOCATION
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ORGANIZATION DR AiluRESS
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OF PAGES." WHEN ADDITIONAL PACES ARE UTILIZED, THE BACK OF PAGE WILL BE LINED OUT, AND THE

• ST4TEMEN T SE 4.?ONCLUDEO ON THE REVERSE SIDE OF ANOTHER COPY Of THIS FORM. OA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823. I JAN 58. WHICH WILL BE USED ,•.
DOD FINAL 2 9 3
DOD 57880

SWORN STATEMENT
For use ol this iorm. see AR 190,45: the proponent agen* is ODCSOPS
TIME FILE NUMBER
DATE /
tOC1.TION
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. DA FORM 2823, j1.11. 72 :3UPERSEDES DA FORM 2823. 1 JAN 68. WHICH WILL BE USED USAPI.0 1/2

DOD FINAL 294
DOD 57881
SWORN. STATEMENT
For use of this form„see AR 190-45; the proponent agency is ()ESOPS
• DATE TIME FILE NUi•:IBEF.
LOCAI,I9N
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DOD F INAL 295
DOD 57882

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For use of this forrn see AR 190.46: the proponent agent. is ODCSOPE
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DOD F INAL 2 9 6
DATE : TIME -SWORN STATEMENT For use ot this torrh, see AR 190-45; the pronnent aoen:v is ODCSOPS FILE NUMBER
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;
US:¦ PP: V?
FTTM 7_822, JUL 72 SUPERSEDES DA FORM 2623, 1 68. WHICH WILL BE USED
DOD FINAL 297

SWORN STATEMENT
For use cf this form, see AR 190-45; the proponent agency ts ONSOPS , TIME.
I FILE NUMBER "t, LOCATION °ATE
" -
r ' SOCIAL qu'll Tv n;
it ORGANIZATION OR ADDRESS
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH
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1ST.;TEMENT VIIILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY Of THIS FORM.

— USAFTts. V^ •
Si,?ERSEDES OA FORM 2823. 1 JAN 68, WHICH WILL BE USED_
DA FORM 2823, JUL 72
DOD FINAL 2 9 8
DOD 57885

SWORN STATEMENT
Ent usti hi this fnim .sce AR 190-45; the. proniiiittnt 1% °NSW'S TIME E NIULT,Er,
DATE
LOCATION
r
ORGANIZATION OR ADO ,
. WANT TO MAKE ThE FOLLOWING STATEMENT UNDER OATH:
! A". t fit.rY
y . C Ekt,
CIA 7,44 7,11+.1ent
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I INITIALS 0 ' AKING STATEMi NT
EXHIBIT
;"'"-- PAGES
I PAU I OF
1 _ _ __ _. ._ _. __ _ ____ _ __ . __ _
a
__ TA...PN IIT ____ __, DA7111 CONTINOPD."
ADDITIONAL PAGES MOST CONTAIN THE HE.i0ING "STATEMENT Of THE BOTTOM OF EACH ADOITioNA1 PAGE MOST SEAR THE INITIALS OF THE PERSON MAKIN6 THE STATEMENT:IND BE INITIALED AS "PAGE OF
PAGES." WHi N ADDITIONAL PAGES ARE UTILIZED, THE BACK Of PAGE I MIL RE LINED OUT, AND !111-STATEMENT WILL OE CONGLUO:.7,0 ON THE REVE, ;SE SIOE Of ANOTHER COPY OF TH,,S FORM.
USAF(' r.
BE USED.
7ORM 2S2.1, jUl. 72 SUPERSEDE; DA FORM, 2823,. I JAN 68.
DOD FINAL 2 9 9
STATEMENT (Conrumpfli
• 4 ,e,,ales- • • 6:: .;; ;"
_ ; .1;d " • "-•• • • •
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.
ooL
ifse
AFFIDAVIT
HAVE READ OR HAVE HAD READ TO ME THI: STATEMENTct-I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STAlEMENT MADE
WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE BY ME THE STATEMENT IS TRUE I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINIOG 11IE STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION. UNLAWF ;II INFL UENCE. OR UNLAWFUL INDUCEMErt
ignattne of Pe, „In A,',4kw,,, Statement?
a OP1,1111 authntired by law II,Subscribed and :,NOM tn before me.
WITNESSES admmisi oains. Ihs d.I '61
:1L4
ORGANIZATION OR ADDRESS
ORGANIZATION OR ADDRESS Arlintruster Oa.t.hs!
INITIALS OE PERSON MAKING STATEMENT ;GE USAFFr. PAGES
DOD F INAL 300

DOD 57887

•
-
SVV.ORN S.TATEMENT
For use of this form, ,no. AR 190-45; the proponent ageory ODCSOPS
11: E NUNICER
_
TIME
DATE
'
i LOCATION _
-72 ,_ . • ...----7r"....:;:!..,:. ,,. ‘ I 5 ••,.` F. 1
.2. , . --- _: ..-
i _
1 LAST NAME FIRST NAME MIOUI E NAME .
I
_1
ORGANIZATION OR AUDRESS
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH
•1 '1
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;
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KING STATEMI.NT
INITI
EXHIBIT PAGES
PAGE I OF
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CONTINUED."
TA F. 9,1 AT _ DA7.'"D
ADDITIONAL PALTS MUST CONTAIN THE HEADING "STATEMENT Of
11 AODITIONAL PAGE MUST BEAR THE INITiALS DF THE PERSON MAKING THE SrATEMENT AND BE INITIALED AS -PACE

THE BOrrom of EA
_ PAGES_" WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK Of PAGE I L17/1 BE LINED OUT, AND la
Of STATEMENT witt tri.-CONCLUDED ON THE REVERSE SIDE Of ANOTHER COPY Of THIS FORM.
USAPPC
SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH Will RE.USED
DA FORM 2822. JUL 72.
DOD F INAL 3 01
DOD 57888

STATEMENT (Continue/0
/
7--
NN
N‘
V N...
X
NN
AFFIDAVIT , HAVE READ OR HAVE HAD READ TO ME THri STATEMENT I FULLY UNDERSTAND TliE CONTENTS OF TliE ENTIRE STA TEMENT MADE
WHICH BEGINS ON PAGE 1 AND ENOS ON PAGE
or EACH PAGE CONTAINING TIIE STATEMENT. I HAVE MADE THIS
BY ME. THE STATEMENT IS TRUE I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD. WITHOUT THREAT OF PUNISHMENT, ANO WITHOUT COERCION, UNLAWFUL INFLUENCE. OR UNLAWFUL INDUCEMEA
.
1111.1rgnatine of Per..on Mahon) Statenreht'
WITNESSES- Subschhed anti sworn to before me. a admIntstor oaths, Iths at A per,im at:thou/et' by law tn da of e, 2.0m1 _-
ORGANIZATION OR ADDRESS iSqllature of PeKon Atlatonstettog arhl "A -t , ; (Typed Name o son untatering ath,
ORGANIZATION OR ADDRESS — (Authority 7, Athnausler Oaths)

'INITIALS OFIMING STATEMENT PAGES
r-
I ¦ tGE —"r:—.— OF
U S APP
.
DOD F INAL 3 02
DOD 57889
SWORN STATEMENT
Fnr US. nl ths Irmo, 50 AR 190.45: the proponent noprr,y OOGSOPS i4UMBEF
GATE '71 .7
LOCATION
I SOCio.41. SECURIT1
ORGANIZATION OR ADDRESS
?
rt-it —
WANT TO MAKE Tr,. FOLLOWING STATEMENT UNDER IIATFi
....V V
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EXHIBIT INITIALS OF P STATEMENT _ PAGE 1 OF ADDITIONAL PAGES MUST CONTAIN THE HE. THE B0770M Of EACH ADDITIONAL PAGE MUST _ Of PAGES " WH. STATEMENT WILL OE CONCLUDED ON THE REVE !DING "STATEMENT Of TAAEN A r DATFI7 _ CONTINUF0 " 8EAR THE INITIALS Of THE PERSON MAKING THE STATEMEN r AND DE INITIA1CD AS "PAGE N ADDITIONAL PAGES ARE UTILIZE°, THE BACK Of PAGE I 11111 DE LINED OUT, AND 1'SE SIDE Of ANOTHER COPY Of THIS FORM. SUPERSEDES OA ronm 2823, 1 JAN 68, ‘11,11 I BF USEDDA FORM 2823, JUL 72 PAGES IIShoPr
DOD FINAL 3 03

/Con-ill/fin')
'-- STATEMENT
•
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AFFIDAVIT
HAVE READ OR HAVE HAD READ TO ME THI!; STATEMENT

-17-M1.111111
4..)-!FULLY UNDERSTAND TIIE CONTENTS OF THE ENTIRE STATEMENT MADE
WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE BY ME. THE STATEMENT IS TRUE I HAVE INITli,LED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING TIIE STATEMENT I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD. WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUI INFLUENCE, OR UNLAWFUL INDUCEME0
•_
Per.,to Mahan' Statement)
Subscribed arid swain In liblore me. a periinn ailihnitred by law in /ad- 4".:7 WITNESSES
atInunistrir oaths. this
*IV
al P•4 Z A 0
Oath)
ORGANIZATION OR ADDRESS
1111MMIN "4.1 Ds'
Me mint eftng Oath)
010C 0 1,7.T60 _
(Authority Tr Administer Oarlisl
ORGANIZATION OR ADDRESS
LNITIALS 01101111 STATEMENT
PACE OF PAGES
4:-"'
USAPPC
DOD FINAL 3 04
DOD 57891
3 WARNING PROCEDURE/WAIVER CERTIFICATE
;0! USE or this rorm. sea AR 190-31); the proponent agency is 00CSOPS DATA REQUIRED BY THE PRIVACY ACT
.rtiTHDRITY: ;Or r...tiotec-i ¦ iateis Code. Section 30 12igi 2URPOSE. ',OW/AM
aniuicement 0; ,vrin means ov wnicn iniormation mav oe accurately loentioec POLITINE USES: Socal Securvy f-Ciuinbei is used as an additional/alternate. means of identification tc facilitate iiiing and retrieval. CLOSURE: D!sciosura oi your S3C.I31 SECuritY %mut iS voluntary.
2 DATE TrIM E FILE NC
2,7A t.,) \;,3v 493 ;
;.•1 8 OP,GANIZATION OR AGGRESS
?3,
PART I RIGHTS WAIVERINON.WAIVER CERTIFICATE
Section A Rights
investinator whose name appears belay,: told me that helshe is with ine UnitreC States Army • imv 77 6 Ario.-'4
OF-0,,„Zist(,1-: and value to auestion me about the following ofiensels) of which I am

.
..ikireciari , F A:L.1° 12-, .5" al4-4 0 i=7 Zit/ Az or ore lie!sne asireri me any iltieStiOns about the ottenseis,. however. nelSne maae clear to me that I have the iollowing rights
Pc not nav€ to answer anv guesuon or sov anything
rovtning I Sav or dO Can De used as evidence against me in a criminal trial
;Frit aorsofine! NtEbiocr (MEC UCA4.1 have the right to talk Privately ta a rawver before. during. and atter Questioning and to have a lawyer present with me
Purinn Questioning Inc lavvvni can ne a civilian la,vver I arrange for at no.eypense Ine Government or a military lawyer detailed for me at no expense to me.

DT
-rn ,11,11,115 ExElle'"I ro fin; UfA4.;' ; iiiivE the right to ;all, privately to a lawyer itetore. [luring. and atter Questioning and to have a lawyer present with
me riming Questiarunc unnerstann MAI this lawvei can tie one that arrange ter at my own expense oi il I :anno; afford A lawyer and want one, a lavvver
kid; apooiniec in; me benne All': questioning Deoins

rovii wiliir.0 to 111.iLLI:a !IIE ultenseis, ;inter investigation. with o; without a lawvei present 'nave s pont to stop answering auesuons at any OM,. or
;i11,10 0•IVAle!,' with ; heinie aniviering turtner. even i' sign the waiver oelov,
7,01,41".;IENT;2; ..6:1111,111/1, ,t7P,
-=tpution E VVaiver
,1,1erstun in rionts staled abOve AM NIA, willing to uiscuss tne olfenseisl uncier investigation and make a statement without taikino to a lawyer first and without having a lawyer present with me
NTNESSES (1/ dvaflable, SIGNATURE OF INTERVIEWEE
- • _
'Type 0, PPPi,
llEn7,NiZA !I08: Of; AOGRI. aNiT; PHONE
Tyllk Of
Pf-A\
¦•¦
ORGANIZATION OF INVESTIGATOR
774
E ; , i
_ 1`.;!;11n, C Non-waiver
po ..viant uivo un
; oo not want ho De Questioned or say anything
triiirthf uSE orTE=viit,E,
7ORM 3581, NOV 89 13.; ;:fIR114 282:: SUBSEQUENTLY EXECUTEC BY THE SLISPECTiACCUSED • EDITION OF NOV 84 IS OBSOLETE OSsa,,
DOD FINAL 3 05

DOD 57892

S WARNING PROCEDUREIWAIVER CERTIFICATE
FCF L.L.SE of inis form, see AS 190-30: Ine proponent agency is DOCSOPS
DATA REQUIRED BY THE PRIVACY ACT
AUTHORITY: Title IC. Uintetc.S.tat,ss Code. Section 3012(g)
PURPOSE i/I0ViUe cow.Fanaers d110 enioiceinent 1:1111CialS WIII1 means ov yJnicn ITlaY De accurately identified. ROUTIWE USES: 'lour Social SecurAy Number is used as an additional'Alternate means oi identification to facilitate filing and retrieval. 2ISCLOSURE: Oisciosure ot your So6al Security Number is voluntary.
I O N 2 DATE rimE F!LE NO
A 4ei.e 4. A 4'1
NA 5 ORGANIZATION OR ADDRESS
13 /Li
STT` GRADEISTATUS
5
PART I • RIGHTS WAIVERINON-WAIVER CERTIFICATE
Section A Rights
711, Invi?SlItjalOr whose name :mums below loth me that he/She Ls vsith the 1.1nrled Slates Arms .11‘i V '....5"7"./‘14-1-/A,C ZtleAkirf
and wanted to question me about the following offense(sl of which i am
_ .a-Z2-4,)"" 6 3
4,"' A !IC-
.asuectertincoused
,ITIOIene!sne asken me any Questions about the ollenseisi, however, helshe made it clear to me that I have the following rights
do net have re answer any PlIeStiOn, or sav anything
thing i say do can oe useo evrdence against me in a criminal trial
vky.comfer vuolect au& UCM.1 I !MVP tlie right to talk privately to a lawyer herore, (luring, and atter Questioning and to have a lawyer present with me
onnng Questioning This lawyer can ne a Civilian laWVec I arrange fur at neexoense To the Government or a military lawyer detailed for me at no expense to me,
holir
• or -
,irrirr,rwhans riot surifi.,e; ri,irt/CM../) I have the right to talk privately to a lawyer beim, curing, and atter Questioning and to have a lawyer present with
me. during questioning I unoerstand that tilts lawyer can be one that I arrange for at my own expense, or if I cannot afford a lawyer and want one. a lawyer
ric appointed for mo beicie ark questioning oegms
v I aai new te oilenseisi under investigation. with or without a lawyer present, have a right to stop answering questions at any time. Or
snemi nrivaleiv with a ,awyet berme answering further, even if I sign the waiver below
T.LAIME NT S i"Conimm; on ,..verss. 1,11,
Soctior. E. Waiver
aS SIaten auuve %ivy willing to oiscuss the ottensaisi unaer investigation and make a statement without talking to a tawver first and without having a lawyer uresent min me
•V!TNESSES 81 SIGNATURE OF INTERVIEWEE
is.tr t h , Tylle 01 .rrril
!!;!"i4Ni2;iTION .s0DiTES,h, AND PHONE
'71'110 01
jiTTT;iT;I:V;TIOril OE ADDRESS ANC FHONE ANI A
I ;
4._ ,4,40
-3octinri Non-vvaiver
co not tvant to give .11:¦ ins Norm
wanl a raw";ei oo not want to te oueshoneo or saw anything

8lONATURE OF INTERVIEL!!!iS
TTT!L: T'AIVER C:fiTIFIT:TiTE TO 41,.'T SWORN STATEMEN.1 (OA FORIvf 2523) SuBSEaLlEi-lTILr EXECUTED BY THE SUSRECTIACCOSED VS`Pi,
---OP,f1;13881, NOV 2.C: ED:TION OF 1:0T: 84 IS OBSOLETE
DOD F INAL 3 0 6
DOD 57893
3 WARNING PROCF.DUREIWAIVER CERTIFICATE
'isr use at :nis form. 3E2 AR 190-30: the proponent agency is 00CSOPS
DATA REQUIRED BY THE PRIVACY ACT
AUTHORITY: Title 10. Linnef'Staiu Code, Section 3012lgr ;•"Ifilf..1ClEAL PURPOSE: q plovide COin7;,4illiptS anC lavv entorcernent orticiats min means ov when intormation maxi be accuratetv Mentmed ROUTINE USES: YOUr SOcial SecuTu,y Numper.is used as an additiOnahalternate MEanS of identification to facilitate filing and retrieval
z
DISCLOSURE: Disclosure nt your Social Security Number is voluntary
"ION DAU TIME F ILE NO
4../rtia 19
OU-6 AL-1 717-iff4r
ORGANIZATION OR ADDRESS
5—",e al-J"1 /5")
"
PART I • RIGHTS WAIVERINON-WAIVER CERTIFICATE
Section A. Rights
rmestinator whose name appears below tolo me that heishe mut the United States grmV vEcii 4 AT ,A.Z
OF 2:2— raav a 3 _ anponted question rne about the tollswing oftensels) of which I am
,snecierl.riocuseo rid/ =, SA t v 14,0 s 01-L./ Ake-
neishe asxed me any uuestions about the oftense,si, however, heishe made it clear to me that I have the Iolloywng rightS:
do not have to answer any Question or say anything.

;¦ nvitling I say or Co can be used as evidence against me in a criminal trial
w perslltincl stiOret! MN" LICNIJ I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me
questioning Tors lawrrro can ne :Ivikati lawyer arrange for at nc exuense to the Government or a military lawyer detailed for me at no expense 10 me.
huth

Or
II S Li(7,1J) I ;rave the ;TN to talk oriyateiy io a lawye: before. during, ano elle, Questioning and to have a lawyer present with
normg uuestion;ng ; understand that this lawyei can oe one Mat I arrange tor at rnv own expense, or rf cannot afford a lawyer and want one. a lawyer
',I, lie appointee for Ito Oetole am' questioning bentriS

ain nOw willifig to elscoss oriensets. unoer investigation. with or wino a lawyer oreseni nave a nen: to stop answering questiOns at any time. 0,
.110,11, 11-rVaielV With a r,r,v,, e. neture ansvilering tui titer even I sugn tee waiver below

ENTS or, Due'
Sectior. B. Waiver
„.1r,erry.81111 [nu nonts as Slater] arum. I am now wIlling to oiscuss the offensetsi under InveStigation ano make a slat
WITNESSES availablej
A (Tyne
OR ADDRESS AV; PHONE
Typr? Or Pfurr.
.1V ..ODR:SS 4.'HO PHCN:
,r I ea..
.
""'" 2/L1C
Non-waiver
' not want io give opal., nynt
I want a 011...P:i”
I co not want 10 be questioned or say anything
r,::;N:.TtIRE OF ll.iTFT:iflEviiEr
-•
THIS wen:FRCP"' ,• ¦••:%. SWORN STATEMEW: it3.44/ 2823.: Sj8SEOUENTLY EXECUTED BY THE SLISRECTIACCUSED
'Lt FORM 3881, NOV 89 EDITION DS NOV KIS OBSOLETE US.'n4
DOD FINAL 3 07
DOD 57894

S WARNING PROCEDUREIWAIVER CERTIFICATE
Far use or tnis tom, see AR 190 30; me proponent agencv is 00CSORS
DATA REQUIRED BY THE PRIVACY ACT
PURPOSE. Cit.ITiNE USES: NSCLOSURE: • TitI2 10 Uniiac:'Statf!,s Code. Section 3012Ig; olovide COriilr:01412‘rtS eniorcemeni .odlin means T.' Your Social Disclosura Securatv.Numbet is used as an additiongalternate means ol Your Sccial Security Number is voluntary. ,:vnicn lormation may ue accurateiv mammal oi identification to facilitate filing and retrieval.

' 7,TI ON! DATE T PEE NG
23^/./Ae
.6?
NAME ' ORGANIZATION OR ADDRESS
A c ..Cre 15%0
SSN GRAOEISTATUS
/St Cr / eg
PART I RIGHTS WAIVERHION-WAIVER CERTIFICATE
;action A. Rights
inyi!stintor wn.ose name appears oeio,:v raw tnal neishe is with the United States Arrny
VF—ST 6 A-rid-I Te14;7_ YEA,rs
0)-la,„vevo:5 and wanted to Question me about theilowing °tinsels) ot which I arr. :tsueciedtaccused %/AA-0..:JE/11.
L6-01eit 5 0", .7,74-1 e¦ Icire netshe asked me any utiestions about the attensetsl. however, hetsne made n clear to me that I have the following rights' do nor have to answer any question or sav anything
Anyining I say or do can oe used as evidence against me in a criminal trial
•.‘ or uersololel sithluct who UCMI have the right to talk privately to a lawyer belore, during, and atter Questioning and to have a lawyer present with me
oupsimmno This lawyr car he a civilian lawyer I arrange lot al nc ekpense to the Government or a military lawyer detailed tor me at no expense to me. iintn
• Or irr • wrird,r.O Ina swim, to Mr.. 1.1L'41.1, I have the nght to talk emately to a iawyer Opiate [luring an° atter Questioning and lo have a lawyer present with
awing dues:inning unaerstano that this Lawyer can ne one that I arrange tor al my own exoerse, or cannot afford a lawyer and want one. a lawyer vvill aouomtEo D: me oniore any Questioning begins
kill no. wdling to mscuss Me ottensetsi under investigatioci, with or wahout lawye, presen! nave a tight to stop answering oueStions at any time. or arlyately 2 lkwoPi DelOrP answerlrq turther. even it I sign the waiver below
r.OmMENTS iConlooe of, ruvryse voe.,
w.
,ection B. Waiver
,IrK!rstanO
rignts aS staten nova I am now wilting to discuss the otienselslunaer investigation and make a statement without talking to a lawyer first and without having a lawyer present with me
wITNESSES
3
NAmE :"Typc of Print!
nFRANCATION OR iIiGORESS AND PHONE
.
v1F Type 0; !-':,;;;
-• •-
ONLii'iNNTAT!CA; ,-.00Ati.SS AND PHONE
ostion C Non.waiver
not Aant to owe 1.:! qv,
Lvant a ta,
I oo not want to bc questioned or say anythino
SIGNATURE OF INTERVIEW.:
77 ACH 7H; ttIOIVEP CEPTliCTC TO ANY SWORN STATEMEN; ;DA ',:ORM 2823' SUBSEQUENTLY EXECUTED BY THE SLISPECTIACCUSED
7 FORM :3881, NMI BS EDITION OF NOV 84 IS OBSOLETE r
DOD FINAL 3 08
DOD 57895

.
3 WAIVVING PROCEDUREIWAIVER Z2RTIFiCATE
For use of tnts lorm. see .;F: 1E0-30. ine oroponent acencv Is 00CSORS
DATA REQUIRED BY THE PRIVACY ACT
.
:AUTHORITY:
Code. Section 3012igl
PURFOSE.
,u Lime con-,n.;nbe!s alio law entorcernem otriciars ,..v1tn means by ....min information mav De accurateht mantled
ROUTINE USES:
YOur Social Set:orgy Number is used as an additionallalternate means cf ioentification to facilitate Hine and retrieval.
DISCLOSURE:
Disclosure oi vour Social•Securitv Numaer is voluntary.
I DCATION 2 DATE TIME
fa'y FILE NO
!
O ORGANIZATION OR ADDRESS
7 GRADEIS1ATUS
443 ""sic' •
PART I • RIGHTS WAIVERMION.WAIVER CERTIFICATE
Section A. Rights

Ilko investmator wnose name appears heiow loin me Mat neisne ts yoth the Untied States Army
;NI VES-ri 4 A79,-(.' 7)Itti." 5...V 4-.D4,T S
._ of.. 7.-2....voy.9:,; •
and wanted to Question me akour the following offensets) of which I am
,;;Ispectedlaccused
;I.:7./4i L'6igZ ire) 7 it.'-tt." Cic.//304-10 k:e1V(S14"6 '‘). riziSeuv-zg. I cs 1,,,,A it
•
:toloro hetshe asked me any iluesuons shout :he affensets), however. he/she made it ciear to me that
I have tne following tigrits'
nol have to answer any duestion or say anything
Anything I say or ds [an he use° as evinence against me rn a criminal trial
Imrsuruto suorecr whe di:Ali naye the right to talk privately to a lawyer before. during. anti

atter questtomng and to have a lawyer present watt me
mo•ng opeslioning T1115 lawyel can he a civilian lawyer I arrange tor at no expense to tne Government or a military lawyer
detailed tor me at no expense to me.
nr opth,
Of -
,FW SUG/L, / TO th,

have the tight to tale privately to a lawyef hetort aur:nd. and ale: Questiontng and to nave a lawyer present with
tit?. wiring gueStionint;. unoersiann Ina: :Ins lawyer can ne one inat arrange tot a; rny own manse, or

I cannot atlord a lawyer and want one. a lawyer
vtill fie appointed for me uerwe anv nuestioning oegins

^ow w,Iting la MSCUSS
UttenSES' unaer inyestipahot:r. with or vothoui a lawyer [:(esenl nave a nem lc stoo answering Questions at any lime. or
,near orivatetv mot A lAwvel halal enswenng turthei. even i sign tne waiver (lelOw

iSMMENT S iY:inirrnriri on rr, wi n yine
Section B. VVaiver
ontiestano my rights as stated above t arn now wiihng to discuss the oftensets, unner investigation and, maxe a statement without lalkIng to a lawyer first and without haying a lawyer present with the
wITNESSES avallatile; i 3
NAME iTypf Poll!!

ittiGANI2ATION OR A DOR:SS AND PHONE
,,,;.r..1E ;Type or Prmi;
er.17"/
¦Mr;Ai•:12ATION ntlEIR:St; ANC E'HONE — -
5
, _
•_ ; """
J.. Le
;ec;ion Non•yvatyer
(te nut wan: ¦ o give de
,ant a lat....ire,

nc not wan; to tdc Questioned or say anything
INTBOIEV:::
..¦ t›.
wAivER CERTIFICATE TO ANY SWORN ST, TEMEN.:
=ORM 28231 SUBSEQUENTLY EXECUTED BY THE SUSPECTIACCUSEE
701:1M 3381, NOV 89
EDITION OF NOV 84 IS OBSOLETE
DOD FINAL 309
DOD 57896

3 WARNING PROCEDUREIWAIVER CERTIFICATE
FOr uSe of !his torm, see AR 190-30: tne proponent agency is ODOSOPS
DATA REQUIRED BY THE PRIVACY ACT
-LUTHDRIPI: Tide 10. Unitec:!State.s Code. Section 3012(91
.=i-IINCIEAL PURPOSE. corilry.!anoer.s alio law enforcement °moats wan means /3V wnicrt iroartn2ttric may be accurateiv :-10UTINE USES: .i'our Social Secutv N_umpet is used as an additionalialternate means of identification to facilitate filing and retrieval DISCLOSURE: Disclosure of your Social Security Nurnoei is voluntary.
LOCATION 4.7 DATE TIME FILE
33, 4 14; 'C.)/ -2—gA14V67 i
N A ORGANIZATION OR ADDRESS
fr5.14.-1PG 11,)0
SS; GRAOE1STATUS
PART I • RIGHTS WAIVERIAION-WAIVER CERTIFICATE
Suction A Rtghts
Iue igvestivator whose nante Booms below low me thatMefshe is with the United States Army d'Ai= and tamed to question meout the following offenselsI of which I am
3
i---fALL_AE. SAr -e.c;a44-0 413/9"%,/, KA/5pi."--ex_s air
uu:she asked me anv ihieshons atm; me oilensels: however, heishe made it clear to me tnai I have Ira, hollowing rights'
lic not nave to answer any question or say anything.

Anything I sa ¦,, or do can be useC as evidence against me in a gunnel trial
¦ If persumiel subject othe LICIVU I have the right to talk privately to a tawyer before, during, aria after questioning and to have a lawyer present with rne
nuhng Questioning Trus lawyer can be a civilian lawyer I arrange fdr al no expense to the Government or a military iawyer detailed tor me at no expense to me.
nr 11-.

CIO tIV81,111} OD! SI101n1:11U the LICMJ,I I nave tne right to talk unvately to a lawyer petore, during, and atter Quesligning and to have a lawyer present with
iue owing ouestlop,ne unoerstami that this tawyer can be one that I arrange for at my own eapense. or if I Cannot afford a lawyer and want one. a lawyer
apngunte0 for me betore any nuesPoning begins

lip now wuling to u ¦ scuss ottenseis: unoer investigation won or without a lawyer presen nave a right to Step answenng questions al any time. Or
Noeax mivately with a lawyel betthe answermo former. even if Sugn The waiver PelOw

COWEN'S :Cent.", on,
_
-,m7tion E. Waiver
aim my rigrAs AS s:alec I nnw mliing ntscuss ine orlensete. under investigation and make a statemerp without talking to a lawyer first and without hemp a lawyer present with nte
wIRESSES (ft available., SIGNATURE OF INTERVIEWEE
Ni.ME rrype Prwr
.:ii ¦ GANi2ATION OR '.:00RESS AND PHONF
,Type
5
/4 A /LAI
n;GANiZ::lidr OF, ADOR'.SS ..+ND °HONE ORGANIZATION OF INVESTIGATOR
I • ; •
H A.;11 4:".• • ection C Non-waiver
;Ct not wan: lo givc uc iny rionh;
! wart a la,VE,
_ do not want to he questioneo or say anything
CO.!;TEIRE OF INTERVIEViEE
. _ ¦
yts CE,S1HCC C EVI3R% ST ATEMEAV :TAM 2522; SUBSECUENTLY EXECUTED BY THE SUSPECT/ACCUSED
3881. NOV 89, FOITION OF NOV 84 IS OBSOLETE

DOD FINAL 3 1 0
DOD 57897

S WARNING PROCEDURE/WAIVER CERTiFiCATE
F-er use a; frhs form..ste AR 19030. Ina pr000nent agenE% is 003,30FS
DATA REQUIRED BY THE PRIVACY ACT
,
:1JTHORITY: TINE 10 Lift:eff"Stale; Code. Section 30124 --•RINCIPAL PURPOSE: in Tome comr^77nders ono la.A. entorcement otticiats with mean7 ov o.mich Tfnrrriptinn may bh 2n.7,2r.?1Pik, !dentifi9d ROUTINE USES: Your Social SeCurgy Nurriber.:s used zs an additionaltalternate means oi identification to facilitate fiiing and retrieval. DISCLOSURE: Disciosure ot your Social Security Nurrioer is voluntary
DATE TIME FiLE
; 7 r-
Qt: SA SZaAr..04767, i
ORGANIZATION OR ADDRESS
A L.° TO
PART I RIGHTS WAIVERINON.WAIVER CERTIFICATE
:Seotion A Rights
invest,,,;:to, whose env, nopears heiop. toqt me that ne,she ,s wtth :me United States Arm, J,INI Ire Arrie•"' 'r,44Z-; (4: AZA,r5
jjou 6.3
. and wanteo toAestion me about the following ofienseis) of whtc am
..,,tiecied:qccusec 'FAL _SAM-7,_ t_27,1",tPinvd rZt 4304e Pt/ zed g-nershe asked me ai“ Questions the oNensels,. however. nelsne made it clear to me that nave the tollowing rights*
• :in have to any,: an,. uuestion sav anyin,no
'heitoirit; say a' 0C CAI) usec as evidence against me in a criminal ina,
personnel suoiect otho UCM„, I nave the right to talk privately 10 a lawyer before. during, and after quesuomng ana to nave a lawyer present with me
memo queshorung This lawyer can be a civican lawyer I arrange tor at no expense to the Government or a military lawyer detailed for me at no exoense to me,

tt,
"(Jr suoic,7 iu the UCM„, !nave tne Hunt to tail, privately to a lawyer before. during, and after Questioning and to have a lawyer present with
,ne owing Questioning i unnerstano Ina! this lawyer Can be one that I arrange for 31 my own expense. ii I cannot afford a lawyer and want one, a lawyer
auneintec im me betoie any questioning begins

It : now wilony :c SCLIS; ;be nttensetsi unoe, elves:motion. with or without a iawye• cresent. I have a right tc stao answering QuestionS at any time. or
,,,iya lee; won 3 lawvti 1121012 answering iurtilei, even 11 sign the Wa ¦ Ver

S V.ME r S :Cirritrarrii Orr rir
7;ection E Waiver
inv 0ohts as sinte.a annve ar, no,. lu nisouss tne offense;si unner invesupalion and Make 2 statement without talking 10 a lawyer first and wahout haying a lawyer present wolf me
wrrNESSE3 1/1Avadabie, 7 '
•
Toff or:Runt
nR v.)0P;..F.S AND
-•_
.7yil& or
.CIDAtv ET ANC PHU::: ORGANIZATION OF INVESTIGATOR
-4"
C Non-vvaiver
'11): 'Nan.: to give un ponis
i wan: a law ier oo not want to be Questioned or say anything
SIS.If AT iiRE OE IISTSHVIEV:EE
_
_
Hs tYAIYEIS o • C 37f;EEk.4Eff :,ORafr2E2.7; SUSSEDUEIf:TLY EXECUTED BY THE SUSPECTIACCUSED
_ . .
FORM 3881, NOV 89 ED710::: GE NOV IS OSSaETE
DOD FINAL 311
DOD 57898

S WARNING PROCEDUREIWAIVER CERTIFICATE
t-or use ot rnis form. see AS lg0-30: tne proponent apenev COMPS
DATA REQUIRED BY THE PRIVACY ACT
•
EUTHORITY: I.,iet,.:^,-7Statectt Code. Sectrnr. 3012rg!
PURPOSE. 7., etd...trie 8110 I8tV ant UrCeMBIll 01 !W.laiS min MEiattS man in tormatton may oe ar.ouratery identified ROUTINE USES: r out Social Secuti.t.y Numher Is used as an adOttronaLaiternate means of identification to facretate tiling and retrieval. 2ISCLOSURE: Disclosure nt nor Sc:ral ,Secuntv Number is voluntary.
LOC.ATION DATE TIME FILE NC _:r : ,
:Fr.; .aeo-.:%1 ' •
ORGANIZATION OR ADDRESS A
"'At
GRA0EiS"FATUS
•
.r—
PART I • RIGHTS WAIVERINON.WAIVER CERTIFICATE
Section A. Rights
8..... ,.. , !he investigator whose namo :wears heiow !old me Mal lie:she rS with the United States Army i Ojli 4 rf 4ii1.7.46.A.' A.' 74,-'Cr... ..--.

_,'..,,,,7_.
Ii.,...4._
..., .---. :.,...... .,. i,,,...,-. .1 `—'1.,
r.,„... :,--niA....“. -",-,' -..'''

, ...-' and wantedjAquestion me about‘the following offenselsl of which I am ... e
4.-
-.:r.-...I •
.i,snected,occusecii __ , ,..4.1 : i........,.,.-......i.". -., .--'5=-44.-1;-- 2:-.,...;,,,'..1,.-:-.1 ,tZ,,,,.:.:=.:14.2,,,, f...,,,e_.;:,-,.;,)4.,...:0,....;.7 .1:7•44 l',...,,, AGA ,--,,,4 A—. ;' "`" '... ..... trl

,...-Alule heishe asked me any questions annul the orlensers:. hOwever. hersne made it cleat to me that I have the following rights i no not nave to answer any ouestion or say anything
Anyvong I say or do can te used as evioence against me in a criminal trial
.1"-IIT :W1101110 5111IlL,C1 Oink UC44.! I have the 'VI to talk privately to a lawyer before. during, and atter questioning and to have a lawyer present with me
arnmg ouesnorong Tnni lawyni can he

A a, vii,an lawyer I arrange tor al nO expenSe le Ihe Govefnment or a military lawyer detailed for me at no expense to me.
,,t nu!,

or
mr, urri UCr11.1,' have Ine IV! 10 lalh orivatelY to a lawyer Wore. durmg. anc atter ouestioning and to have a lawyer present with
rnE uohno questioning unuersiand that this lawyer can Oa onc thal I arrange tor at rm own expense. or ! cannot afford 8 lawyer and want one. a lawyer
aSpoinIeS lar belDie any Questioning begins

in now willing :o tit tenseis, unaer inveshpatior . with or without a lawyer ;Nasal,: nave a right to sloe answering ouestions at any time. Or
hnorti, niivaleic with a lavvvEl hetoie answennr¦ Ramer. even if sign Me waiver below

:nikiER175 (.:ownino - nu
„
;action E. Waiver
a-ac's:arta m ¦ • r,orts as staled atiove nov, willing oiscuss the of lensetsi unoer investigation ana make a statement without talking to a lawyer first and wahout having a lawyer present wttn
r NESSES available! SIGNATURE OF INTERVIEWEE
^1:=.ME ,,TVile Or Priol'
,n;;;AZATION OR ADDRESS AND PHONE
tE TV1). 1)1 `"(1111;
- •
- • • _
a,:!::.7[S% .L:LIFISS °HON'.
ORGANIZATION OF INVESTIGATOR
•i•`^
; 4.7
entton C Non-waive,
:to; ;o hive uo noni..;
L‘en: lav
dc nol want 10 oe questioneo or say anything
.
. 'URE
TH'S ,a;AIVEF. FORIvl 3881, NOV 89 ST;,TEMEivi FORM 2523" SLESEOUENTL: EXECUTED BY THE SuSPEGT,'ACCUSED EDITION OF NOV 84 IS OBSOLETE uS,ai, •
DOD FINAL 312
DOD 57899

S WARNING PROCEDUREIVVAIVER CERTIFICATE
For use of this form. see AR 190•30; th.e proponent agency is ODDSORS
DATA REQUIRED BY THE PRIVACY AC7
-y•
•:UTHORITY: Title 10, Urpte.Stat.es Code, Section 3012ig)
.,R1rUCIPr:CL PURPOSE: Tu provide cumr.eanbers and law enforcement orriciais wan means ov writcn intormation Ma,/ oe accurately identified.
'r•iOUTINE USES: Your Social Secupty..Number is used as an addttronallalternate means of lbentifiCallOn to facilitate tiling and retrieval.
Tr!SCLOSURE: Disc:osure of your Social.ecurity Number is voluntary.

.a• • ' •77.• N 2 CATE INF • N C
ORGANIZATION OR AODRESS ,•1/4 . ;ff.; .0, a...,
GRALIESTATUS

PART I • RIGHTS WAIVERINON-WAIVER CERTIFICATE
Sectinn A. Rights
inytfslinator whose name appears below tow me that netihe with the United States Arm,. F '-`,71:.Siar."¦••;;;• acta._
and wanted t;_guestion me about the follawmg:2fienseis) of which i am lyn..icrusek .PT . : s. txf
M
ne:she asked me an, ituesttons about the otlensetsl. hOwever, helshe maoe it clear to me that i have the following rights' I do nal have to answer any Question or say anythtng Anymmg I say or do can he used as evidence against me in a crimtnal trial :Fur oeffsonnel subject rube LICMJ I have tne right to talk privately to a lawyer before, during, and alter questioning and to have a lawyer present with me
awing nuestiontng This lawyer can he a cryikan lawyer I arrange for at no.expense to the Government or a military lawyer detailed for me at no manse to me. tir both
-Of
roguirans nut suurert ru UC41.); I have tne rtght to talk privately to a lawyer before, during, and atter questioning and to have a lawyer present wtth uurtng uttestioning understand lhal Ohs lavvvei can be one that I arrange tor at my own expense. or 111 cannot afforo a lawyer and want one, a lawyer
he appointed fru me neid,e any Questioning pews :• am now wiliinc to uiscuss oitensetst uncle, investigation, with ot without a lawyer present I nave a pght to stop answering questions at any time. or fatealt ui ivately with a tawyei betore answeitng further. even ir I sign the wander help,
.:jkIMENTS
::ention E. Waiver
rinnts as staten annve I ani now willinb to discuss the ottensets: unuef investigatron and make a statement witnoui talking to a lawyer first and without having a lawyer present with me
,giTNESSES. available)
(Type or Prm,
ION on ;t0OF.EF.1- AND PHONE
,
J:"6:.t]:•,TATICN Jr, AMR:SS AN!E PHUNE ORGANIZATION OF INVESTIGATOR
:,eution C Non•vvaiver
no! want ID give tio MY rignts
want a iatnve•
co not wan, to bo questioner] or say anything
SI•,;44,1•111x1E OE INTEINIEWEL
• TH:G
'C SWORN ST LTEMEN•I ,73.91.4 2623, SUBSECUENTtY EXECUTED BY THE SUSPECTIACC'JSED 3381, NOV 89 EOIT•0: OF NOV Sz:IG 05301.FE
.
DOD F INAL 3 13
DOD 57900

•
S WARNING PRNEDUREIWAIVER CERTIFICATL
-Cr JSe. Ol tni; totm, see AR 190-30: the ist000nest agenc‘,, is ODCSOPS
DATA REQUIRED BY THE PRIVACY ACT
.
r:WTHORITY: iir!tr Utu:c.-States Cooe, Section 3r.:i2ip
PURPOSE. us lilt Lot:lijkahae!D 6116 ntea;f5 ak ,n;ormation Me., accurait,y ibentitied F1CUTINE USES: Yaw Secwi.ty Tflumber is use° as an abdrtionai:aiternate MeanS 01 Ident[Lsation to fa:iiitate filing and retrieval. DISCLOSURE: DIsticoure YOUr 50C.ial ;Security Number is volunfary.
2 DATE 3 TIM E FIL E
8 ORGANIZATION OR ADDRESS
e-h7.
7 GRADE!STATUS
_rrr. v
— — _
PART I RIGHTS WAIVERINON.WAIVER CERTIFICATE
SeCtion A. Rights
',112 elveStojator whose name auuears beim, tom me that heibhe is with the linnet; Stales Arm', "" : -7:,.'-' --
••-• :I:--- "I-7 -7: _z.._.. -^-, —

• • , • ::"7 ..•:
.„• s....,
..---.,-,.. . -...and wanted to queVen me about the following oftenseisl of which I arr.
_
. . .._.
---;... ..... -,...-„,,,
-"-._, k. , 7h-,...- - . k,-.... ,..., .:-^ " ,f., ..._ _
Idsootiermiccused ___
-.
ne:sne asked me any wiestions about the c;tensets.. however. nefshe made it clea, 10 me that I have the fol.owing rights:
I no not nave ID answer any Question of Say anythlng
Anything I say or do can ne uSed as evfdenCe againat me in a criminal trial
;For dersannol subiect ilrhel I have the rigni to talk privately to a lawyer nelore, during. arc atter Questioning and to have a lawyer present with me
dining Questioning This lawye: can ne civilian lawyer arrange 'or at no.eauensE to tne Government or a military tawyer detailed for me al no expense to me.

boir.
' 1.1,1S OW 1,151,'; 11, 1111' UCIVU, :,,VP the wort to talk orivsten, tc a awye, lerCrE Oxto; and atter Questioning and to have a lawyer present with
;no oLetfab Quesbon ¦ no onoerslana that this rawver can ue unE that arrange tc a: rm Ovvn erpense. ff ; cannot afford a lawyer and want one, a lawyer

nc aunaintec !fp me Del ore any Du.DSlicuong begole
2,1 110od ¦...orring r.0 rr1221,2; ofienseie. untie; inveSlibabore Min Or wrIllOul a ,awyer °resent, I have e right tc stop answering questions at any time. Or
plivatelv m1112 lort,er IletrIrrr an:weNng Winner even if I SOO, waive' DelDvr..
DOMMEtCS ;Cimprovt, revRise P.M
Sectibri E Waiver
.mr,r;tiwn rigms as Dialed above am now waimo to rliscuSs tne olfensets uncle, investigation and make a statement without talking to a lawyer lust and without having a lawyer present with me
w[rNESSES avadaprel
N;;m: : Type or P17,11'
DRGANIZS:TION OP ADDRESS AND PHONE
P1111"'
I
1P.'.;:',NiZ A TIOY DDPII PHUN ORGANIZATION OF INVESTIGATOR
7,ent;nn C. Non-waiver
cr noi ...yam te nive r ¦ cr.t:
..vani a laky.re, i no not want to be Questioned or Say anything
' OF ry'rEi.;v1EtyEi
7InIS WAIVER CSBTIFICATE 7L1 ANY SWORN SL.,TErytElf: -fa': FORM' 2523! SUBSEQUENTLY EXECUTED SY THE SUSPEOT1ADDUSES
' '
-FE:RN/13881, NOV 39 EDITION OF NOV 34 IS OBSCLETE
DOD FINAL 314
DOD 57901

:1 I. .t:ITY
,.I.: ..•..-L PLJHPid:. . 1111 ell. USES: ! ISI ISURE:
31iTS VVAAlitlt. PROCEDjREIWAIVER CER1-1:1(
OOL:::OPSIdnv, ; • AR 196 311. we proponent sosncy
1111 ul
t!ATA R. WIRED BY 1HE PRIVACY ACT
_ —
',',,, '. \ T.H.: 1...f..11inthr,I.`diates Conn. Suction S'0 I :g; . . . ... ..., L,, .-.!...........;:.,..::13)::::: ;: ..., be ab"7.1.11:11t1', 1.1C11111.....1
...,..... . ....L. ..nernale ...Jails nr Ittuillitit:Liti011 lu tatdittate Ming Snit retriev...
... 0..,,,a;;.e.....idlia.uudts and .a.. ni.......d..,

ail ir.ditiOti.
:",.:: .

Yuut Sncia!,.Sec.urity fatunite is used as
!Adult ..., ;
Disr.losure ot yutu Social Security Minnie
FILE NO
fp!
DATE t—to
e Var.-Z.15
13A av5,4 6-1 -;L144"
OMANI/Al-ION OR ADDRESS

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MIN, IGRAItE '. .; f US 4.420.v
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PART I RIGH1 WAIVE II1NON-WAIVER CERTIFICA
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. holm, 101;1 hoodit, is with the Ikeind
imatio who,
2:2_/vpted and wanted to goes me about the follnytung offenses) ol which VI
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1_6:1_1.1am
..zcuseit FA' 4_4,0e-E _54 r":"E_Eic,A
slie asked Ilk OtleSIlit ntlikli the ultensetse hos..eyet

heiske ;kalif 11 I led; ;8 me II, . have thd luttowing rightS
nut harr el any tmostion ul say anything
, tiling I say ill an be

evinencii against tiro in a onminal mat alto ntikitiOning and 10 have a lawye. present with
nes-our/0.st, whe 1 '11, I have the right to 1.41. piivately In A lawyet dotal .A1(1 me
8,111181y lawyer detailed for nu: dt no eapense to thu.

..111 km.dian lawt, artrnge 10, at no eat.: Is.. ., the 1Sti intnent
hnth

...nu nuestwoo. kis law, d
••-fl 1/.;; the torn in talk privately to a iao,yo, ieture, on,. anti sllet nuesturrung arta to have 8 las'. yet present with
,;annot ern a lawyer and tturnt one. a lawyet

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.., onue...toott that Ilk_ lawyer kaii he one ttitt atrange lot o. owil
aouointen me balk... ono ilue,tiownij beryls'
MOD iVISIVelIng nuestuuts al any tune. tt,

... during ones...
. Anna,' iliscuss utiEllSe(S; uncle. ulvostulatunt. woc u. ...hon. a .t hay, d HAM
,• laWyr•

AIISWef 'nu Immo even If :Am the WiIkol;• 111.•
id.I ME NIS .1 too on 1,•
Waivei lawyer lust awl w.thout having 8 lawyer luesent with tue.
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