AR 15-6 Investigation: Investigation in to the Shooting Death of Obeed Hethere Radad (0149-03-CID469-60209)

Informal Investigation of Shooting Death of
Obeed Hethere Radad
(Iraqi National Detainee at Forward Operating
Base Packhorse, Tikrit Iraq)
Under Auspices of AR 15-6

6407

Ca LED
L_¦ 4_/ ( )/
RIGHTS WARNING PROCEDURE/WAIVERCERTIFICATE
For use of this form, see AR 190-30; the proponent agency is ODCSOPS
DATA REQUIRED BY THE PRIVACY ACT
AUTHORITY:
Title 10, United States Code, Section 3012(g) PRINCIPAL PURPOSE: To provide commanders and law enforcement officials vvith means by vvnich information may be accurately identified.
ROUTINE USES: Your Social Security Number is Used as an additional/altematerdeans DISCLOSURE: Disclosure of idenzificationto faciiitate filing and retrieval.
Socia: Security Nur-rileer is voluntary.
LOCATION
2. DATE
111111
5. .. NAME
7 °to 6-1 1(Z;
(Last, First, Mil
8.
ORGANIZATIONOIR ADDRESS
6. SSN
7. GRADE/STATUS
1/4.)
0 CO I FS13
ras2
PART I - RIGHTS WAIVER/NON-WAIVERCERTIFICATE
Section A. Rights

N. It.,
I
The inveAtiwtor whose name appears below told me that he/she is with the United States Army
..., C:77%.C. -re'-_,-A:l."-76-1 6'. --./-7 (...-t.S
-7L/34-2.-76":"7. .,./
C
i suspected/accused: /41,L-r-/ /'?) 711.17".-4 5 4,2‘..4_and wanted to question me about the following offe'nse(s) of aich I am
. A 7t=2,-,; ,rq-..z,,4- 2, _ „--.....fc," c.,,e_ 7,-...,
_ 6., 6.e.,,,,,- -,,,.,--,,,,_e-- 6.,...,- c ,/,,,,,z,.0,-,
-Before he/she asked me any questions about the off ensVls), however, he/she made it clear to me that I have the following rights:
do not have to answer any question or say anything.

\Anything I say or do can be used as evidence against ma in a criminal trial.
(For personnel subject othe UCMJ
I have the right to tall privately to a lawyer before, during, and after questioning and to have a lawyer present with me
during questioning. This lawyer can be a civilian lawyer I arrange for at no expense to the Government or a military lawyer detailed for me at no expense to me,
or both.
-Or -
(For civilians nor subject to the UCMJ) I
have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with
me during questioning.' understand-that this lavvyer can be one that I arrange for at my own expense, or if I cannot afford a lawyer and want one, a lawyer will be appointed for me before any questioning begins.
eat
I am now willing to discuss the offense(s) under investigation, with or without a lawyer present, I have a right to stop answering questions at any time, or
speak privately
with a lawyer before answering further, even if I sign the waiver belovv.
COMMENTS
. (Continue on reverse sio'e)
c
Section B. Waiver -C ¦ cr 1/4)-\-5 N( 5 -30 ckc,,,,

I understand my rights as stated above. I am now willing to discuss the offensefs) under investigation and make a statement without talking to a lawyer first and without
having a lawyer present with me.
WITNESSES (If available)
SIGNATURE OF INTERVIEWEE
1 . NAME (Type of Print

b.

RGANIZATIONOR ADDRESS AND PHONE —
4. SIGNAT
t_ \el
16147( Z
T;V.fs-t ,
2a. NAME (Type or Print)
k‘
5.
YPED NAME OF INVESTIGATOR
b.
ORGANIZATION OR ADDRESS AND PHONE
ORGANIZATIONOF INVESTIGATOR

cD'7-L.
Section C.
Non-waiver
I do not want to give up my rights
g) I want a lawyer
0 I do not want to be Questioned or say anything

2.
r \
141
ATTA c, I (DA Ft0' RM 2823)
NY SWORN STATEMENT SUBSEQUENTLYEXECLITED eY THE SUSPECT/ACCUSED
DA FORM 3881, NOV 89
EDITION OF NOV 84 IS OBSOLETE
USAPA 2.01
Ce Llo ct

DOD-044874

For use of this form, see AR 190-30; the proponent agency is ODCSOPS
DATA REQUIRED BY THE PRIVACY ACT
¦ UTHORITY: Title 10, United States Code, Section 3012(g)
'RINC1PAL PURPOSE: To provide commanders and law enforcement officials with means by vvhich information may be accurately identified.
tOUTINE USES: Your Social Security Number is used as an additional/alternate means of identification to facilitate fiiing and retrieval.
)ISCLOSURE: Disclosure of your Social Security Number is voluntary.

. LOCATION .----. 2. DATE acc)-3C-"?L-1.3. TIME 4. FILE NO.
1 ' ia,w

aq , ,, 1-,00 I
.. NAME (Lest, First, MI. .........\71 ,,,, , . ORGANIZATION OR ADDRESS

• L.----C-Q t-H=11. 1-r-r./ f-t ID
i. . SSN . GRA /ST TUS UVI-l 7.2-62'7
e-5 AID /,'- PO A E.- 0 -3 23
PART I -RIGHTS WAIVER/NON-WAIVER CERT1FIC:ATE ection A. Rights
..
. ,.(. -IA)r-lc_ , /
-2—
.he investigator whose name appears belo told me th s rt e U i at s Army 3_1, ---n k-I( 1 `Z-v-9, -_s-' jCL1 Q_
Fir'5 --ei/cf ,\A--( S C,, nd wanted to question me about the follo.ving offeve(s) of which I am .uspected/accused: --E et --Y-1-.----C C--) n C-42 V" vi-I .1 , "' e EL-1 0 F--a—i---r,-Q( c' e, ----a ,:•1--e--ki.fore he/she asked me any questions about the offense(s), however, he/she made it -clear to me that I have the following rights:
I. I do not have to answer any question or say anything.
1. Anything I say or do can be used as evidence against me in a criminal trial.
3. (For personnel subject othe UCMJ .1 have the right to talk privately to a lawyer before, during, and atter questioning and to have a lawyer present with me during questioning. This lawyer can be a civilian lawyer I arrange for at no expense to the Government or a military lawyer detailed for me at no expense to me, or both.
-Or -(For civilians not subject to the UCMJ) I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present witti me during questioning. I. understand that this lawyer can be one that I arrange for at my own expense, or if 1 cannot afford a lawyer and want one, a lawyer . will be appointed for me before any questioning begins.
I-. If I am now.willing to discuss the offense(s) under investigation, with or without a lawyer present, I have a right to stop answering questions at any time, or speak privately with a lawyer-before ansWering further, even if .1 sign the.vvaiver below. .„.
5. COMMENTS (Continue on reverie side)
OD t 7 A I,
4) ,) _c_ y ou b-e-e /1_. i'--C ci ye5 uk-TN- 1 11 b '''''.2 -Lit t P.IiLS-1--3 o pszy_c , , v iection B. Waiver
understand my rights as stated above. 1 am now willing to discuss the offense(s) under investigation and make a.statement without talking to a lawyer first and vithout having a lawyer present with me.
WITNESSES (If available) 3. SIGNATURE OF INTERVIEWEE
b 6 S
la, NAME (Type or Print)
l)c-
. ORGANIZATION OR ADDRESS AND PHONE 4. SIGNATUR
!a. NAME {Type or Print) -5. TYPED NAM F INVESTIGATOR
L5', 106-2-
ORGANIZATION OR ADDRESS AND PHONE . ORGANIZATION OF INVESTIGATOR
btiC
--E- CO H U-t F5 0 '41 ID
i
u fr,', -/Y--? a 6, 9. 7
APO AE: C4 ? 3 2.3 —21, 9 7
;ection C. Non-waiver
. I do not want to give up my rights 0 1-want a lawyer 0 I do not want to be questioned or say-anything
SIGNATURE OF INTERVIEWEE
.TTACH THIS WAIVER CERTIFICATE TO ANY SWORN STATEMENT (DA FORM 2823) SUBSEQUENTLY EXECUTED BY THE SUSPECT/ACCUSED FORM 3881, NOV 89 EDITION OF NOV 84 IS OBSOLETE
USAPA 2.01
(gc-[ D

DOD-044875

.
i:0.1
DATA REQUIRED BY THE PRIVACY ACT
kUTHORITY:
Title 10, United States Cocie, Section 3012(g) pRINCIPAL PURPOSE:
To provide commanders and law enforceme.nt officials vvith means by which information may be accurately identified.
(DUTINE USES:

Your Social Security Number is used as an aciclitional/aiternate means of icientification to facilitate filing and retrieval.
DISCLOSURE:
Disclosure of your Social Security Number is voluntary
1. LOCATION —T-7
\ .1._ r-7-- . 2. DATE ! 3.
TIME I 4. FILE NO.
i i r I L- ) L_ r '_c ii,./i0V e," ZZ05,0?1R--- I (",00 i
5. NAME La "
vsey. j` j . . 8. ORGANIZATION OR ADDRESS
,-___-
Ei= C D
e.,
L4 PEG L-I ID
"
s GRADE/STA,TUS z L-_=_--,- G 7/0tD U1/I rt• 2-6 7. (dc Po A E-0?-32-3 -PART I -RIGHTS WAIVER/NON-WAIVER CERTIFICATE ection A. Rights ..-
,
-he investigator whose name appe rs below told me that he
ted States Army
. rb cf
c--. -F7r_v .,,773 € - Crt
1------c,- 5. k-Ser -eA i---t( 5 C
-
and vvanted tat question me about the 'ollowing offense(s) of which I
am
.uspected/accused:
t iik-F01/"'"‘ Q, .Cr kl. I rte.) .Q -e.Y.E 0 f /----roc) ( De .Q.II'Le'e_
Sefore he/she asked me any questions about the offense(s), however, Ke/she made it clear to me that I have the following rights:
. I
do not have to ansvver any question or say anything. 1.. Anything I
say or do can be used as evidence against me in a criminal trial.
t. (For personnel subject °the UCMJ I
have the right to talk privately to a lawyer before, during, and after questioning and to have a lavvyer present with me
during questioning. This lawyer can be a civilian lawyer I

arrange for at no expense to the Government or a military lawyer-detailed for me at no expense to me,
or both.

-Or -
(For civilians not subject to the UCMJ) I
have the right to talk privately to a lawyer before, during, and atter questioning and to have a lawyer present with
me during questioning. f understand that this lawyer can be one that I arrange for at my own expense, or if I

cannot afford a 'lawyer and want one, a lawyer
will be appointed for me before any questioning begins.
If I

am now willing to discuss the offense(s) under investigation, with or vvithout a lawyer present,
I have a right to.stop answering questions at any time, or
speak privately with a lawyer before answering further, even if

I sign the waiver below.
COMMENTS (Continue on reverse side)
2 cif ,..-G ti --2
e- '-e PI 1"-e. 3c/ f/"C7 u f'-/e,-4 i_.(--;. -4--(. pLs-t-3C7 cloys , No 1111L ection B. Waiver
understand my rights as stated above. I am now willing to discuss the offense(s) under investigation and make a statement without talking to a lawyer first and
iithout having a lawyer present with me, ,.
WITNESSES (lf available)
SIGNATURE OF INTERVIEWEE
.
a. NAME (Type or Print) e7 IC(
•
ORGANIZATION OR ADDRESS AND PHONE
. 13/
3.. NAME (Type or Print)
5. TYPED NAME OF INVESTIGATOR
I 5C i —
ORGANIZATION OR ADDRESS AND PHONE 6. ORGANIZ N OF INVESTIGATOR'
1-/c. --z—
Co Lf h (4 IR/ 't ID IC
u 01. ¦ --7;n. ly2.:c„
fr,P0 At
2.,?-2-5?7,
!ction C. Non-waiver
I do not want to give up my rights
0 I want a lavvyer 0 I do not want to be questioned or say anything
SIGNATURE OF INTERVIEWEE
TACH THIS WAIVER CERTIFICATE TO ANY SWORN STATEMENT IDA FORM 2823) SUBSEQUENTLY EXEOUTED BY THE SUSPECT/ACCUSED
1 =r1C2ilif -,c,oi Rir-“, ,-.,-.
N NOV 84 IS OBSOLETE
USAPA 2.01
DOD-044876

PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AUTHORITY: 5 U.S.C. 301 and 10 U.S.C. 3012
PURPOSE: The purpose of this solicitation is to gather facts and malce recomrnendations to
assist the appropriate authorities in determining what action to take with regard t6 allegations of
41406 6efo2 a cie-ArieQ ofr, ( 1 St e t.L.,-2 cc)3
ROUTINE USES: Any information you provide is disclosable to members of the Department of
Defense who have a need for the information in performance of their official duties, and where
use of such information is compatible with the purpose for which the information is collected. In
addition, the information may be disclosed to Government agencies and persons outside the
Depai talent of Defense for law enforcement purposes, or if needed for Congressional or other
Government Investigations.
DISCLOSURE MANDATORY FOR INDIVIDUAL WHO MAY BE ORDERED TO TESTIFY: Providing the information is mandatory. Failure to provide inforrnation could result in disciplinary or other adverse action against you under UCMJ or applicable Army or other federal regulations.
DISCLOSURE VOLUNTARY FOR INDIVIDUAL WARNED OF HIS RIGHTS UNDER ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S,. CONSTITUTION: Providing the information is voluntary. There will be no adverse effect on you for not furnishing the information other than essential information which might not othervvise be available to the commander for his decision(s) in this matter.
ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy Act Statement above and understand its
contents.
Date 1'2 - 0 3 Signature
11111.1111111111111_.219 Printed Name and Rank

Social Security Num er
Ev, c)
't
PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AUTHORITY: 5 -U.S.C. 301 and 10 U.S.C. 3012
PURPOSE: The purpose of this solicitation is to gather facts and make recommendations to assist the appropriate authorities in determining what action to take with regard. to allegations of
acicivaneQ 2co3
ROUTINE -USES: Any information you provide is disclosable to members of the Department of Defense who have a need for the information in performance of their official duties, and where use of such inforrnation is compatible with the purpose for which the information is collected. In addition, the information may be disclosed to Government agencies and persons outside the Department of Defense for law enforcement purposes, or if needed for Congressional or other Government Investigations.
DISCLOSURE MANDA.TORY FOR INDIVIDUAL WHO MAY BE ORDERED TO TESTIFY: Providing the information is mandatory. Failure to provide inforrnation could result in disciplinary or other adverse action against you under UCMJ or applicable Army or other federal regulations.
DISCLOSURE VOLUNTARY FOR INDIVIDUAL WARNED OF HIS RIGHTS UNDER ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S. CONSTITUTION: Providing the information is voluntary. There will be no adverse effect on you for not furnishing the information other than essential information which might not otherwise be available to the commander for his decis:on(s) in this matter.
ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy Act Statement above. and understand its contents.
Date 1 scp
oce
Printed Name and Rank
Social Security Number
13
Evuil
PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AUTHORITY: 5 U.S.C. 301 and 10 U.S.C. 3012
PURPOSE: The purpose of this solicitation is to gather facts and make recommendations to
assist the appropriate authorities in determining what action to take with regard to allegations of
AltrAir—trfier,iin'A a6te-icat.02Q .ek, Se
ROUTINE USES: Any information you provide is disclosable to members of the Department of
Defense who have a need for the information in performance of their official duties, and where
use of such information is compatible with the purpose for which the information is collected. In
addition, the information may be disclosed to Government agencies and persons outside the
Depaitnient of Defense for law enforcement purposes, or if needed for Congressional or other
Government Investigations.
DISCLOSURE MANDATORY FOR INDIVIDUAL WHO MAY BE ORDERED TO TESTIFY: ProViding the information is mandatory. Failure to provide information could result in disciplinary or other adverse action against you under UCMJ or applicable Army or other federal regulations.
DISCLOSURE VOLUNTARY FOR INDIVIDUAL WARNED OF HIS RIGHTS UNDER ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S. CONSTITUTION: Providing the information is voluntary. There will be no adverse effect on you for not furnishing the information other than essential information which might not otherwise be available to the commander for his decision(s) in this inatter.
ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy Act Statement above and understand its
contents.
Date 56e,06)5.
PD Signature
S0 T-ame an
cla ecun um er
ce4-04-i

PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AUTHORITY: 5 U.S.C. 301 and 10 U.S.C. 3012
PURPOSE: The purpose of this solicitation is to gather facts and malce recommendations to
assist the appropriate authorities in determining what action to take with regard to allegations of
Aradw-erf-,t-mgrgxiop2 NciAL. a Jell.; ee o 1 Se pieot.L-2c5:Y3
ROUTINE USES: Any information you provide is disclosable to members of the Department of
Defense who have a need for the information in performance of their official duties, and where
use of such information is compatible with the purpose for which the information is collected. In
addition, the information may be disclosed to Government agencies and persons outside the
Depaitment of Defense for law enforcement purposes, or if needed for Congr, essional or other
Goverru-nent Investigations.
DISCLOSURE MANDATORY FOR INDIVIDUAL WHO MAY BE ORDERED TO TESTIFY: Providing the information is mandatory. Failure to provide information could result in. disciplinary or other adverse action against you under UCMJ or applicable Army or other federal regulations.
DISCLOSURE VOLUNTARY FOR INDIVIDUAL WARNED OF HIS RIGHTS UNDER ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S. CONSTITUTION: Providing the information is voluntary. There will be no adverse effect on you for not furnishing the information other than essential information which might not otherwise be aVailable to the commander for his decision(s) in this matter.
ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy its contents.
Date / 0 3 Signa
PF6—
Printed Name an
Social Security Number
Ev,c) C 04)5
PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AUTHORITY: 5 U.S.C. 301 and 10 U.S.C. 3012
PURPOSE: The purpose of this solicitation is to gather facts and make recommendations to assist the appropriate authorities in determining what action to take with regard to allegations of
ct6ica-eN-\ t 1 teot.L.c- c-53
-440ges-erf-41:4616'
ROUTINE USES: Any information you provide is disclosable to members of the Department of Defense who have a need for the information in performance of their official duties, and where use of such information is compatible with the purpose for which the information is collected. In addition, the information may be disclosed to Government agencies and persons outside the Depaitinent of Defense for law enforcement purposes, or if needed for Congressional or other Govemment Investigations.
DISCLOSURE MANDATORY FOR INDIVIDUAL WHO MAY BE ORDERED TO TESTIFY: Providing the information is mandatory. Failure to provide information could result in disciplinary or other adverse action against you under UCMJ or applicable Army or other federal regulations.
DISCLOSURE VOLUNTARY FOR INDIVIDUAL WAR_NED OF HIS RIGHTS UNDER
ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S. CONSTITUTION:
Providing the information is voluntary. There will be no adverse effect on you for not furnishing
the information other than essential information which might not otherwise be available to the
commander for his decision(s) in this rnatter.
ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy Act Statement above and understand its-
contents.
Date 5ei01-03
)
ignature
rm e • ame an ±15 5 /7-

1 PI I I I I
solc-q
Social Security Number
Evail

PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AUTHORITY: 5 T.J.S.C. 301 and 10 U.S.C. 3012
PUR_POSE: The purpose of this solicitation is to gather facts and make recommendations to
assist the appropriate authorities in determining what action to take with regard to allegations of
lakstaw--tri-tr.,15ingUi0k-A4Z4d &?e,Att-a cle-A-0::n eQ 0+% (1Se p 2c.)03
ROUTINE USES: Any information you provide is disclosable to members of the Department of
Defense w-ho have a need for the information in performance of their official d-aties, and where
use of such information is compatible with the purpose for which the information is collected. In
addition, the information may be disclosed to Government agencies and persons outside the
Depai talent of Defense for law enforcement purposes, or if needed for Cong-ressional or other
Government Investigations.
DISCLOSURE MANDATORY FOR INDIVIDUAL WHO MAY BE OkIDERED TO TESTIFY: Providing the information is mandatory. Failure to provide information.could result in disciplinary or other adverse action against you under UCMJ or applicable Army or other federal regulations.
DISCLOSURE VOLUNTARY FOR INDIVIDUAL WARNED OF HIS RIGHTS UNDER ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S. CONSTITUTION: Providing the information is voluntary. There will be no adverse effect on you for not furnishing the information other than essential information which might not otherwise be available to the commander for his decision(s) in this matter. ,
ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy Act Statement above and understand its contents.
Date Si
rm e ame an an
111111111111111111.
Social Security Number
Ey,c,1 644 cl

PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AUTHORITY: 5 U.S.C. 301 and 10 U.S.C. 3012
PURPOSE: The purpose of this solicitation is to gather facts and make recommendations to assist the appropriate authorities in determining what action to take with regard to allegations of
4gfirAss-ef.er,AWAA4ilfd N.4-4114-ac(ej-anee 44-¦ (1 Se ele.tko--2c."-S
ROUTINE -USES: Any information you provide is disclosable to members of the Department of Defense who have a need for the information in performance of their official duties, and where use of such information is compatible with the purpose for which the information is collected. In addition, the information may be disclosed to Government agencies and persons outside the Department of Defense for law enforcement purposes, or if needed for Congressional or other Government Investigations.
DISCLOSURE MANDATORY FOR INDIVIDUAL -WHO MAY BE ORDERED TO TESTIFY: Providing the information is mandatory. Failure to provide information could result in disciplinary or other adverse action against you under UCMJ or applicable Army or other federal regulations.
DISCLOSURE VOLUNTARY FOR INDIVLDUAL WARNED OF HIS R_IGHTS UNDER ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S. CONSTITUTION: Providing the information is voluntary. There will be no adverse effect on you for not famishing the information other than essential information which might not otherwise be available to the commander for his decision(s) in this matter.
ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy Act Statement above and understand its
contents.
Date i, , 56Po;
Signature

C Pi-
Printed Name and Rank
Social Security Number
PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AUTHORITY: 5 U.S.C. 301 and 10 U.S.C. 3012
PURPOSE: The purpose of this solicitation is to gather facts and make recommendations to assist the appropriate authorities in determining what action to take with regard to allegations of
ok¦ (1S zcx)-3
ArSigss-esr4c4M3A0k-gW5(.6 &244.. acielsu
ROUTINE USES: Any information you provide is disclosable to members of the Depai ment of Defense who have a need for the information in performance of their official duties, and where use of such information is compatible with the purpose for which the information is collected. In addition, the information may be disclosed to Government agencies and persons outside the Department of Defense for law enforcement purposes, or if needed for Congressional or other
Government Investigations.
DISCLOSURE MANDATORY FOR INDIVIDUAL WHO MAY BE ORDERED TO TESTIFY:
Providing the information is mandatory. Failure to provide information could result in
disciplinary or other adverse action against you under UCMJ or applicable Army or other federal
regulations.

DISCLOSURE VOLUNTARY FOR INDIVIDUAL WARNED OF HIS RIGHTS 'UNDER
ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S. CONSTITUTION:
Providing the information is voluntary. There will be no adverse effect on you for not furnishing
the information other than essential information which might not otherwise be available to the
commander for his decision(s) in this matter.
ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy Act Statement above and understand its
contents.
Date )3 003
11111111111P
GP7--
Printed Name an Ra
Social Securit-y Number
6 1
DOD-044884
PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AIJTHORITY: 5 IJ.S.C. 301 and 10 T.J.S.C. 3012
-PURPOSE: The purpose of this solicitation is to gather facts and make recommendations to assist the appropriate authorities in determining what action to take'with regard to allegations of
(1 Se ete,,, 2.c,o3
-tigrAw-gfrigit 01.e/3Vfee ac(e--LneQ
ROUTINE USES: Any information you provide is disclosable to members of the Department of Defense who have a need for the information in perforrnance of their official duties, and where use of such information is compatible with the purpose for which the information is collected. In addition, the information may be disclosed to Govemment agencies and Persons outside the Department of Defense for law enforcement purposes, or if needed for Congressional or other Government Investigations.
DISCLOSURE MANDATORY FOR INDIVIDUAL WHO MAY BE ORDERED TO TESTIFY:
Providing the inforrnation is mandatory. Failure to provide information could result in
disciplinary or other adverse actionagainst you under UCMJ or applicable Army or other federal
regulations.

DISCLOSURE VOLUNTARY FOR INDIVIDUAL WARNED OF HIS RIGHTS UNDER
ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S. CONSTITUTION:
Providing the information is voluntary. There will be no adverse effect on you for not fumishing
the information other than essential information which might not otherwise be available to the
commander for his decision(s) in this matter.

ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy Act Statement above and
contents.
Date g ge6-0,3
ature
b(0-,1
Printed Name and RanIc
Lic-Lf
iff=11111111_
Social Security Number
Ev

PRIVACY ACT STATEMENT (5 U.S.C. 522a)
AUTHORITY: 5 U.S.C. 301 and 10 U.S.C. 3012
PURPOSE: The purpose of this solicitation is to gather facts and make recommendations to
assist the appropriate authorities in determining what action to take with regard to allegations of
a cle--ta I e leo_k6-co3
-44rAwilf-(e4Wriak -00e-4724;e*I
ROUTINE USES: Any information you provide is disclosable to members of the Department of Defense who have a need for the information in performance of their official duties, and where use of such information is compatible with the purpose for which the information is collected. In addition, the infonnationmay be disclosed to Government agencies and persons outside the Department of Defense for law enforcement-purposes, or if needed for Congressional or other Government Investigations.
DISCLOSURE MANDATORY FOR INDIVIDUAL WHO MAY BE ORDERED TO TESTIFY: Providing the information is mandatory. Failure to provide infornxation could result in disciplinary or other adverse action against you under UCMJ or applicable Army or other federal regulations.
DISCLOSURE VOLUNTARY FOR INDIVIDUAL WARNED OF HIS RIGHTS UNDER
ARTICLE 31, UCMJ, OR THE FIFTH AMENDMENT OF THE U.S. CONSTITUTION:
Providing the information is voluntary. There will be no adverse effect on you for not furnishing
the information other than essential information which might not otherwise be available to the
commander for his decision(s) in this matter.
ACKNOWLEDGMENT
I have read and been provided a copy of the Privacy Act Statement above and understand its
contents.
Date / Sept 03
gna re

,b(0 lowiat
nnte ame and Rank
(71

M111111111111111111V
Social Security Number
Co 4 7—
DEPARTMENT OF THE ARMY
HEADQUARTERS TASK FORCE IRONHORSE
TIKRIT, IRAQ

REPLY TO
ATTENTION OF

13 September 2003AFYB-CG
MEMORANDUM FOR MAJNINIallit BBC, 720th MP Battalion 4ID(M), Tikrit, Iraq
SUBJECT: Appointment as a 15-6 Investigating Officer
1. You are hereby appointed an investigating officer pursuant to AR 15-6, paragraph 4-3, to conduct an informal investigation into the 11 September shooting death of an Iraqi detainee, Obeed Hethere Radad,1111. Specifically, you will determine the facts and circTimstances surrounding the cause of death. Additionally, you are to identify any systemic problems that the command can
address and correct, if necessary.
2. You will use informal procedures under AR 15-6, Chapter 4. You will malce specific findings and recommendations on all relevant issues you identify in the course of your investigation. If, during your investigation, you suspect that persons you intend to, interview may have violated any provision of the Uniform Code of Military Justice (UCMJ) or any other criminal law, you must advise them of their rights under the UCMJ, Article 31, or the Fifth Amendment, as appropriate. Rights warnings and waivers will be documented on DA Form 3881. All witless statements will be
sworn and recorded on DA Form 2823.
4lD DMAIN, OSJA, at3. Before proceeding with the investigation, contact CPT
534-4042 for an initial legal briefing. CP1111111will serve as your primary legal advisor.
4. Your report, together with all evidence marked as exhibits, will be subnaitted to me in memorandum format no later than ten days from the. date you receive this memorandum. Submit any requests for delay to me either orally or in writing. You will obtain a written legal review prior
to submitting the completed investigation.
FOR THE COMMANDER:
11111111.
COL, GS Chief of Staff
(c-
t(

Serious Incident Report
Subject: SIR Number (WILL BE PROVIDED BY G3 OPS)
1.
Category

2.
Type of Incident Death of Detainee

3.
Date!Time of incident 112315SEPO3 19 2-3

4.
Location BCT detainee collection point, FOB Packhorse, TIKRIT, IZ

10 z -1
5. Other information Obeed Hethere Radad was detained during a 4-42 FA raid VIC
(AD DWAR) on 31AUG03. OBEED is suspected of having ties to SADDAM'S His father-in-law is , who is the nephew of b6L1
Li
The detainee was delivered to the 1st Brigade collection point on 8 Sep 03. The detainee was instructed upon his arrival by an interpreter that he was to remain seated and to stay away from the concertina wire or he would be shot.
\o
6. Personnel Involved
a. Subject Name: SPC
1.
Pay Grade SPC/E4

2.
SSN:

3.
Race: UNK

4.
Sex: M

5.
Position: Guard Duty

6.
Security Clearance: UNK

7.
Units and Station of Assignment: 4FSB / 1BCT / 4ID

8.
Duty Status: UNK

9.
Age: UNK

b. Victim Name: Obeed Hethere Radad
1.
Pay Grade N/A

2.
SSN: Numbeillip b6"1

3.
Race: Iraqi

4.
Sex: M \dIC

5.
Position: Detainee

6.
Security Clearance: None

7.
Units and Station of Assignment: Held by 4FSB 1BCT 4ID

8.
Duty Status: N/A

9.
Age: UNK

\96 libl("-1
7. Summary of Incident: PRISONERS111,0beed Radad was in an isolation cell at the 1BCT \.5;1)sletainee collection point. He was being "held for questioning for possible connection to Hussein. The appointed guard at the isolation guard point SPC
identified the prisoner as trying to escape and fired his weapon hi ing e pnsoner in the arm and chest, killing him. Time of death is approximately 2330 hrs
Throughout the guard shift SPCMIIIMeported that the detainee was "fiddling" with his hand cuffs and attempting to speak to the other detainee in the adjacent holding cell. At
6 pproximately, 112315SEP03, SPC momentarily turned away from the detainee,
Obeed Hethere Radad. While SPC was turned away from the detainee, the detainee
stood up from a sitting position and move ximately 4-5 feet through the detainment cell
doorway. After 2-3 seconds SPC turned back to face the detainee. As SPC

turned back facing the detainee he was surprised to see the detainee standing with his upper
L4A3
194 -

e' . , -':"'-191 C
stated that he leveled his
, torso leaning over the single strand of conce na wire. SPC weapon, moved the selector switch from saf to semi and fired one un-aimed round in the direction of
SPC11111111111111011111111Voved
the detainee. The detainee was struck in th abdomen.
nto the office area and rendered first aid to the"---(92-
.
into the isolation area moved SPC
-7 - -
detainee. The detainee was evacuated to E Company, 4th FSB Medical Aid Station where medical
aid was rendered. The detainee died after all efforts to revive the him had failed.
The Chain of Command reviewed the incident and conducted an investigation. 4th
8. Remarks
FSB reviews all TTPs for use of d adl force within the Brigade Collection Facili

The current collection facility is a temporary facility that is limited in its
a iity to hold large numbers of detainees, especially detainees in isolation. The current

detainment material for the isolation cells, concertina wire, is adequate but more perrnanent facilities
should be expedited to mitigate the risk posed by the temporary nature of the facility. A contract to
establish a permanent facility has been provided to the Division Comptroller for funding. This facility
will increase the security of the detainees and improve the safety for the guards.

9.
Publicity

10.
Command Reporting

11. POC CP1111111111111111111111. BN S-3at 534111111
12. Downgrading Instructions
Approved/Released By: MA11111111111,3attalion X0
13.
BREEZE WAY
ISOLATION CbL,LS
;31F
:4,_
:4110
1r,
-glomIOW
WITERE DEI
LOCATION OF GUARD MAIN CELL WHEN HE FIRED THE SHOT KITCHEN/OFFICE
VidL

AFZC-SCA-S3
4TH FSB srR. MEMORANDUM FOR RECORD SUBJECT: Serious Incident Report
1. Information regarding a serious incident within the 4th Infantry Division follows:
a.
Name of Unit: 4Til FSB

b.
DTG Reported: 120100SEPO3

c.
Type of Incident: DEATH OF PRISONER IN DETAINEE COLLECTION POINT

d.
DTG of Incident: 122315SEPO3 (est.) at the 1BCT

e.
Summary of Incident: PRISONER., Obeed Radad was in an isolation cell detainee collection point. He was being held for questioning for Possible connection tail.

addam Hussein. The guard on duty identified the prisoner as trying to escape and Time of death is
s weapon hitting he prisoner in the arm and chest, killing hiln.
approximately 2330 hrs.

2.
The following agencies/individuals have been notified: Packhorse 6, Packhorse 5, Packhorse 3, Raider TOC.

3.
Reviewing Officer: MAJOMIllillattalion XO
BN S-3 Ve" 2—

4.
Battle Captain: CPT
(0-7c

5.POC is the 4th FSB TOC at 5341E.
Report by AR 15-6 Investigating Officer on Shooting Death of Iraqi
Detainee, FOB Packhorse, Tikrit Iraq, 11 Sep 03

Narrative: On 11 Sep 03, ILAN", SPC111.1111111111111111., and SPC
were performing guard ciuty at the rOB 17'a-R=.-F. detention facility. 1LT
the Officer of the Guard, was standing less than twenty feet away from

SPC1.1.Min the breezeway portion of the faciiificing into the facility's
, a member of the

back yard-when he heard a shot fired (Exhibit A). SPC
guard force, was standing between 1LT and SPCM11.1111111.when the
shot was fired. SPC /1111.10was s in in the hallway of the isolation

looked away from
cell portion of the facility. At some point, SPC
xhibit B). Within a

the detainees in isolation in order to speak to SPC

raised his
few seconds of turning back to see the detainees, SPC
rifle, placed the selector on fire, and shot Obeed (Exhibit C). Obeed was
Minor

handcuffed with plastic "fiexicuffs" at the time he was shot. Neither 1LT
pull the trigger. They were not in a position to see

SPCIElasaw Obeed's activity. The other etainee in the isolation cell, hoibit.,1 (Obeed'WNia saw SPC .M1E/ire his weapon, but did not see
oved to
Obeed's activity either (Exhibit D). Upon hearing the shot, 1LT
SPC to assess the situation. According to 1LT
sta "He was standing right up next to the wire." Initia y, did
if he had indeed

no see any blood on the fallen Obeed, and asked
shot the detainee. SPC111.11111.11 stated again that he had shot Obeed
because he was standing next to the wire (Exhibit A). When 1LT111111 noticed
that Obeed was bleedin he moved to the radio in the breezeway an called the

for assistance. SPAIN...who was
3 4th FSB TO guarding prisoners at a building directly across from.the deterition facility entrance, left his position to assess the situation at the nnain detention facility. Upon arriving at the scene, SPC111111.1.1asked for a combat lifesaver's bag and SPCMINent to the storage closet in the interview office to retrieve it and SPC 111.1kerformed first aid on Obeed at this
(Exhibit E). SPC
ent into the interview office and sat down. At around

time. SPC
medics, arrived. They assessed Obeed's

2320, SSG and
condition and transported him by ambulance to the aid station (Exhibit F).iiiiii
Obeed's arrival at the aid station, more life-saving steps were taken. 1LT
the physician's assistant on duty at the time, declared OlDeed dead at
approximately 2330 hrs (Exhibit G). The body was photographed by CPT
, with 1 Anglassisting, as part of the 4th FSB's initial inquiry.

Facts.
a. Obeed Hethere Radad was a detainee at the FOB lronhorse Detention
Facility when he died of a gunshot wound to the abdomen on 11 Sep 01 at
approximately 2315 hours. He had turned himself at FOB Arrow on 02 Sep 03
upon learning that he was a targeted individual from Operation Arrow Sky,

, 66 'IA
conducted by TF 4-42 (Exhibit H). He and his
were in separate isolation cells at the detention facility. Obeed had been
incarcerated in the isolation cell since 8 Sep 03. Obeed had been seen by

(.,(Xce.p"\- ctS nok-erl
ad\ to 6-2 f
'1 -2(p
Report by AR 15-6 Investigating Officer on Shooting Death of Iraqi

Detainee, FOB Packhorse, Tikrit Iraq, 11 Sep 03
medics earlier in the day on 11 Sep. He had complained of oint and bac pain and couldn't sleep. The medics advised the guards, SPC included, that the detainee should be allowed to get up ana walk around in order
to reduce his back and joint pain. Furthermore, the detainees in isolation had
been told not to speak and to y away from the concertina wire or they would
be shot. According to 1LT e did not see any indication that the concertina
wire had been moved at the e of the s.h.00ting. According to INTSUM
reporting, th were alleged Saddam loyalists (Exhibit H).
b.
SPC011111111111111111111b Co., 4th FSB, shot Obeed once when he observed 0 ed standin and touching the single strand concertina wire at his cell. SPC id not give a verbal warning prior t weapon. A round ha eady been chambered in the weapon. SPC as aware that the medics had suggested that Obeed be allowed an and walk around in his cell in order relieve some of the joint and shoulder pain Obeed I-fad been experiencing while being held in the cell (Exhibits A and B).

c.
SPC equested a lawyer before any questioning could be
done. He provi e a sa ement on DA Form 2823 during 4th FSB's initial in ui
but he was nOt read his rights (Exhibit B). In that statement, SPC
stated that the detainee had been fidgeting with his handcuffs earlier in the-day.
Furthermore, the detainee had been told not to speak. According to the

tient, at about 2315 hours, Obeed said ething in Arabic. SPAN= who had been speaking with SPC urned to look at the detainee and saw him standing near the wire and touc ing it. At that instant, SPC 1111111111111raised his weapon and fired.
d.
There are conflicting accounts about the training that e uards received prior to ing their duties at the detention facility. SPC and SPC ere on their secon full day of detention guard They had receive a briefing from 1L on their duties, but SPC.did not recall any instructions with respect to graduated force IAW TF lronhorse FRAGO 422 (Exhibit C). SPC111111111believed that they coul shoot a detainee if the detainee approached the wire Without permission. 1 L-stated that he gave that order but with the understanding that verbal warnings nd other measures would first be considered before applying lethal force. No rehearsals or drills had been conducted.

e.
The guard force had wooden clubs readily available in order to deal with belligerent detainees using less than lethal force (Exhibit J). Upon initial set-up of the detention facility, the guard force did not have weapons inside of the detention facility. At some point between the initial set-up of the facility and 11 Sep 03, the lst BCT Commander instructed the 4th FSB to have guards carry weapons inside of the wire to ensure the presentation of authority (Exhibit K).

19 c(-) -"L)
U2L-1
Report by AR 15-6 Investigating Officer on Shooting Death of Iraqi Detainee, FOB Packhorse, Tikrit Iraq, 11 Sep 03
f.
The guard force has no written instructions and there is no written battalion guidance for the operation of the detention facility. Guards received their instructions verbally by the shift leader, in this case, 1LT Exhibit A).

g.
TF lronhorse FRAGO 422, Maintenance of Law and Order, dated 16 May 03, provides guidance for the use of graduated force and specifically identifies a "Shout, Show,WawitShOot, Shoot" methodology (Exhibit L).

h.
Paragraph 3-2f, Army Regulation 190-14, The Carrying of Firearms by Law Enforcement Personnel and Personnel Performing Security Duties, states that, "Deadly force is justified only under conditions of extreme necessity and as a last resort when all lesser means have failed or cannot be reasonably employed." Furthermore, paragraph 3-2g requires that personnel give an order to halt before firing (Exhibit M).

101 ( 6-- 4)
the other isolated de inee in the detention facility, state hat he received no warnings about what wou happen if he tried to escape. He stated that none of the other prisoners pro ided e information. One prisoner held in the general population cell, ated he had received a briefing on what would happen if e tned to escape (Exhibit D).
i.IFIMINIC
,j. SPC as describecija., overly aggressive b 1 L The other guards, C lirilliand PFC.., described SPC as being unnecessarily vu gar towards the detainees. Also, SP had banged wooden clubs on the cell doors unneces rily and had used vulgar language toward the prisoners on 10 Sep. 1L had corrected that behavior (Exhibits A, E, and N).
k. There is no indication that the detainee had been physically abused prior to being fatally shot. He had adequate medical attention for his aching back and joints; the guards understood that the detainees could stand up and stretch in order to relieve some of the discomfort. Adequate food and water had been given to the detainee (Exhibit G and 0).
Findings: The convergence of several conditions resulted in the shooting of Obeed Hethere Radad on the evening of 11 Sep 03.
a. Statements reveal that there is sufficient cause to believe that SPC
nowingly or not, was in violation of Army use of force policy and TF lronhorse irectives governing the use of deadly force. No verbal warning was given, and no lesser means of force was considered before applying deadly force. Furthermore, the fact that Obeed was handcuffed and his position on the floor in his cell once he was shot provide sufficient doubt about Obeed's intent to escape (Exhibits A, B, C, and V).
t) z (16n
3 vu1 (tb
Report by AR 15-6 Investigating Officer on Shooting Death of Iraqi
Detainee, FOB Packhorse, Tikrit Iraq, 11 Sep 03
b. There are insufficient instructions for guards in performing their duties. There are no written SOPs or post instructions for guards (Exhibits A and K). instructions are given verbally by the shift leader, and the guards on-duty that evening had a different understanding of their responsibilities. For example, SPC
alinalrand PFainir did not have a round chambered in their weapons prior to the shooting—even though they were guarding isolated detainees—while SPC nd SPC did. 1LT/11111id not have a round chambered in
is weapon, either. SP and PFC111111Whad an understanding of the use of force as it applied to the application of deadly force (Exhibit E and N). SPAIN/had not heard of graduated force or differing levels of force, nor did he remember receiving a briefing which covered verbal warnings prior to shooting an escaping detainee (Exhibit C).
c. The combination of loaded weapons within the confines of the detention facility, in addition to the inadequate number of guards on duty, created an environment conducive for the quick escalation to the use of deadly force. There were o use in applying less than deadly force.
b(02._ SPC had used a club efore in order to rattle the cagesLoefb.
z__3 There were uards on duty at two different building's withillidetainees on 1110 Z September. While the majority of detainees were in the general population, incarcerated in a large open room, there were who required incre urveillance.
z
b(0 -4
d. The isolation cells in which the vvere held were unkempt .and had inade u
us making it more difficult for detainees
o move or negotiate, and making it clearer for guards to determine a detainee's intent to esca e. Wifhout a witness wtio might have seen Obeed's actions which caused SPC to shoot, it is difficult to determine Obeed's intent with respect to crossing t e wire on the evening of the shooting.

e.
Based on comments by the interviewees, the detention facility had been visited on numerous occasions by leaders in the chain of command. Shift leaders were either a senior NCO or an officer. The officer in charge of detainee operations was on site daily. The battalion commander had inspected on numerous occasions. The brigade commander had inspected the facility and provided guidance in handling the detainees. Detainees were adequately fed, had plenty of water, and received adequate medical attention. Detainees were allowed to conduct hygiene and had access to latrines.

J.A501– kbfsLe)
4
Report by AR 15-6 Investigating Officer on Shooting Death of Iraqi
Detainee, FOB Packhorse, Tikrit Iraq, 11 Sep 03

Recommendations:
a. A criminal investigation should be initiated immediate! . in order to determine possible violations of the UCMiliiiPC Statements from 1LT., SPCIAMI, and PFC indicate that SPC exhibited overly aggressive behavior when vound the detainees. Obeed was handcuffed when he was shot and SPC did not apply graduated force LAW established regulations and or ers.
_ c.
iiiii t
g.
Develop a written SOP and provide guards with post instructions to ensure that guards are aware of approved procedures for the use of force, detainee handling, briefing procedures, and security of special population/isolated detainees.

h.
Train the guard force on the SOP and ensure that rehearsals and drills are conducted to deal with special situations, such as medical emergencies, attempted escapes, and fights between prisoners.

-z
MAJ, MP Investigating Officer
5 0-1
DOD-044895
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
LOCATION DATE TIME FILE NUMBER
1BCT DETENTION CENTER, TIKRIT, IRAQ 12 SEP 03 0120
ST NAME, FIRST NAME MID LE NAME I SOCIAL SE GRADE/STATUS
1 03
_
ORGANIZATION OR ADDRESS HDC, 4TH FSB, 4ID •

_ , WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
g
Detainees are held in a temporary detention cell while a permanent facility as being financed and constructed. Certaindetainees require isolated holding areas to prevent them from communicating with each other, 'Abe isolation cells consist of small rooms with concertina wire strung across the door way. The detainees are told by an interpreter not to approach the wire or they will be shot.//////////////////////////////////////////////nothing follows/////////////////////////////////////////////////////////////////
.
afa b G -2-15-7c -7_
.
,
.
-
• ,
. -
-
EXHIBIT INITIALS 0 RSON MAKING STATEMENT • PAGE 1 OF 2 PAGES
ADDITION,4L PAGES MUST COIVTAIN THE HEADING "STATEMENT OF.TAKEN AT .DATED .CONTINUED." THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMEIVT AND BE INITIALED AS "PAGE OF PAGES." WHEIV 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.
USAPPC V2.00
DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED.
U-1 31

STATEMENT (Continued)
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGFNS 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 INFLUENC
igna tement)
WITNESSES: Subscribed and sworn to before me, a person authorized by law to
administer oaths, this day of , 19
at
ORGANIZATION OR ADDRESS (Signature of Person Administering Oath)
(Typed Name of Person Administering Oath)
ORGANIZATION OR ADDRESS (Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT
PAGE 2 OF 2 PAGES
USAPPC V2.00

01 3 2_

cts to(s -z ‘1,77c A-4

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; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSA9.
PRINCIPAL PURPOSE: 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/alternatemeans of identification to facilitate filing and retrieval.
DISCLOSURE: Disclosure of your social security number is v 4. FILE NUMBER
1. LOCATION 2. DAT
FOES c'..c.14, Norse 0205-
7. GRADE/STATUS
41 d
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATHIla
.,,;,,,,c,..dz,q-44,1 Efiw17-e.-1, -Add
icul-,-/--/-51--64,4.
A-64)4' T---)ec -‘%—r-t-''''c---6-ei 63-)0701-6w,,itti-r,----2_3 fo 0--i-rit
r 1 rk 42±-zoc73„ tt„Alr-.1 ck,.44,5-414.1,.,
c,91,m4,-t.7 -6-7 -tit 4-14-j-t: -24ty4141--
cz{:i"-(41'.
-4''''S(91- 48ti—cl ,,,,T-- Woo 4/4 c-&-,t-c;,„4. 7-ill
06 CO ---,=- /1-:(.1-
11t9"14,-,-a-4 4 Ca4-c -AP" _,te%1- -cyg&F-vv,,,,, .et ---,vid.pf,„ . Lx---,,
16-a-e-M7 ,(1-ee

zn,6Z _Li 7,,,5,-d.1- z u e gz 6, , i I 4 . „ri_R_
-vtey 4i-4T--.:46, ,a,,v(
S-LG

¦a(4 15'1 -4.14T-
-0--- ;awl- . t t ' 4 4 t Ire,tezi 1,%2- '476;=9" - '1 'It/k-i'
A ,p,ts
li''-i
-
Lij,i_41
,4,,,,e. 4 404. 2—(54_ A
g/u:1-} .1,-1-&-u -'4eY' -0-44-e 417d-411.;ce -a'l ''PA
-a '611V-r-
ct4dr,u,,,y, ti-L 4; . 2.1 Ci(a.¦-1 C,-i. 4 ,,,„„),":66„,
'(L n'il'- ilt4f 444# ',C424

1700
(9-'7 -4Lfld C't-q-'e14 117a* 111111111Vd .4.
J azi,4'5„-L4 1-At‹.9iri,_
ilte,,G zkinr-,._ , ,,_cc,4-4-
cejei ,p,_ -t_ta E(tviz- 3t7CAx­
. :5:t,g-
-4,1 -(9-Gt-t
7ti'Ci ,,,,,,-,w.:1--v-- 8z,,,,c,4_t )9.( '',Jr%-
i4-
,)-e l2R ,44-
41,a-7-ILdfW Wthil -C94‘ 29'LZ
-'r6- -4.&61-14-SOtO -an-4 ic-ci:&5, 1,6fio,,- 2.-,e -Lrag-

ali 1044: 4 . 0 4,_D,,,_ , 14/-e 6,47 l'e-1,, -d),,k Al,,-A---(A4_PA44-•,-%L ----Jw6- clAt Ae-A-- -'to,- pct., Cdiec,
t--c,o- r) .
. 4.,,,,tCe,,,,t_ . TAez
ge-,i. /*-1-,,0,2-r--7, -.-: . Ar„id 'tut 4 ,a.014
alo-evet-
litdo_z_ diulfr: P, ,8z,f,() 1,,, 4-6-Kote., -rAt,, - -/Q.;,s,
, t .,9"4-v -44.ni, /A.4-{".1_1.4 -LI 6'tt -c.,c.e, -b.ta--t-,e
/16),9,,,4_,
A- ., -am4
4 1;494, J06-t c..&,,, 6,c-r-x, I, -

,t,
./4-2:6L/
8,9-,4_ /7-1 --A-4- -ciots-L4_, 4—I -tec,444 .J ct -2.4.4441 4:„ 42044,..tR-/x-e.-ci.,54_e -r-ix -T -01-t "4-cd "t.Q ,4-.4 . ,_; . /L&r:9
° --41,-C /),C,-
Wt. pleej 'k 'd-61,-tA- -'t0- ,V,L.d rl-c9a,,,_4) -,g77-
414 4t,4( - 4 I .4."1.-IL, _v_t_ee .4

14C416.
ge,„.„_t J....,e ,b,,., -...4,4,daaiJi cy- -o-s,.-rt-,„ti AA)-(AA . 'A 4Q C&44jd
cl_ ,,

-e--4 4,t=a-c - d„ 9 6,,, 4 _, 1,-
,z,.)-e
,445arm ,i-.- x.f, 1?--e6,&-, A-c9-Atio ..r,/-..k *'a'°' /2114-`" c-ccitet 4-1,-e,ritc4"e
io_i'ci2e2tz_
Zo- Ar_. 7:7(f_ _e--ri4 cy ,,,,.,Le ,,,,4,, -._,_ ,4-ec,c
, c,-e . F--ekv- se--4- -'-,, 4)--A-A-
---e(
.t A c,Lin a.k:0-6,-zt-tz t'1, c-0.4%-tg, 49%1 -04,4 ._,-)i, 4--el -4v,--t ,,c47 A.,x
-ptor-k . -r
.1,e-t 1.)--‘x 4_ /-p ---c /1.0-(9-, ,L4)-e ,A0--1
.t.71_, xv-c•A_t -rs,-,(- - -rt-If ‘44-4 Al IC t 4.67c.,d_ cLa-
-A:i,
-27'4 P-ti.46,--,e,4 A,e,-c , c 4 1 .4. z1/4, ,scy.,,, 2., _2-J.,,,,
irall
' 4-4,a, -1-,,s., .z1,4,:t , t, a 0 - a - 4 . 4 .) , L _ -r
ki-e,4 .ts-td 4,- 1964-V-i4e -19-1- /3'9.1- Ca.44y..4),evrvt -Ve.c-1- t%`_(t..f, A"sl-r--aa ; ¦ ev,,,cr-c -2,,r.72,z-_,, ,b‘--
10. EXHIBIT 11. INITIALS OF P KING STATEMENT
PAGE 1 OF _g63_ PAGES
ADDITIONALPAGES MUST CONTAIN THE HEADING "STATEMENT .TAKEN AT .DATED .
THE BOTTOM OF EACH ADDITIONALPAGE 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
GL6 3
66817170-G0G
CO" LA Vd VSfl 8661 030 'EZ8Z. NY Od VG Z 39Vc1
S39Vd g,er do z 39Vd MI/13LA131V1S 9N DivIAI NOSIEd JO S-IVIlIN I
fs-,120/5
1-yfri9-0
(L6n,la?7 71„,
/.`1 4417,2„.1_0,
,
dr\Cr2271-Af.e_. fin-fro?.
6277 , - • ,vv-L, _q)&46L firr &rX )41 41/-9-?r‘r r7Voi dr1) "'ZE-isr.dy794-1 .;-tg:r;"'T-
t;-yrtrY 4cliv tlx-•
' Lv4.° p-wey .-Or d v-7 tt-19'
h-974 t-9r r • /Mt4 °;• z-,2_oy
`--p.?1,c/ y7,4/ ii2(%‹9-7,71,d
_rtnt,
roo-izz
DolS r=nro
r zfrt r 1 -
L:141'
r al":71-17 dVZ ),1,6/
r "-*­
-1-17D--)Prr° Ctle
p4,-4-‘``'26;71-)44;.1),-,4,7a- ?tow?' .11-1'4-ayr -1,-ar`r 74L' L'14 -Z4 1111 )y-
1WF/ 9--v it2P,‘ID PL--Yor of zLaik? -61,2'4e —)C7929 .ePQF --,-Ty Fri,Q3dd,
• I "61-
a47. -Li 0 Z. . 44:2
11.1--1;1- g

).‘dY 116; -k'''20c/l)a
"64,, Qx--01,
, Tr,,,„
• -k • ,^
d'erorliTo
44-P--n-r 7-4-01/
ircaw
Ian -
i_orr):ycL-0-67 h7,
15'4/716'117 4-r-stelkw Ct")70 Dto .er,6 _kyry 12:49 41fier \d.
r
T"P"'"'
,fray-4/
12r1' T?'" gr,
Y74. ,grcv
-)y-4-e-PyLcd-a2,/
dr4-181/.
_6,7„-(9 p.r2r, Dy)t_roya/
zr°W
--PIT I rip") ri^*9-0
047-12";'-ep- 127P,.07 41',=2" 4-*•/"-
piv3, 7277,7-.L. 77-;
w7;tarse,----, 6 /.
4,-a(1-x.
1-(7.6;-.
--k9-4t74/ )c4
"a-gf,Y
1".1 kr rf()-4r
r-11(-?° r-12,9z,cid-v
.-1G;11‘
12?-6 rY--wrY -e :oi_
" 7,r '6'2' fy D'r=r ."'cr flu,,,u0J) 1N3V431V1S '6
4-rr
\DC)..C:Ose 031V0 ,,v),t) 1V N3NV1 dO1N3W31VIS
(actl
'IN110J SI H1 JO 35Vd NU 01 C13330bld 3S113-Id 'CI3C133N 10 N SI 3DVd SIH1 JI 'CI3C133N JI 3DVd sn-u3sn
riPP

q/ e)

—2- -
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF Fo6
TAKEN AT 40(5" DATED 3•1-X-)Oct
9.. STATEMENT
4Conti:u
ArA.-0-Lef. „r„,e.ax-
n
e -124 'lc? "".4.64..ta 04ked "At A,..,,eAt----Jd 4/22_4 „2/6., _a/-0.--a P,,-,'-arpi-z-, a"-,(
/Ara& A-41
Z(.7)4^ ,9-, -., --td--c, c,.1---
.
.9e-2,./-c .. -j
a
-Al •(‘- vc-49-4-e,t- -6-1 -er,,, ,t-c,-(ct _2('---., .upe -00, -,0,-,/ ..41--- iia.c,.; ti-‘.4--cz4,J ;,, (5/A-ce . 74_ ,ee„ ,,,,e_.,-;.--4 rl-e-1A;p‹,/ -/c (LS 46.7
L-4--Ly,,,,1 _ .7e,x-Sfc ,„_ A:4. to.,4'249,tt, . s k_ ialeet,,,,( -&a,i1.,,,g-d -6,-/j k.,,i 4 44,./24
.0.Lev„)„..in. 4-ciA-Itit-ct Gli-
la-tt,46„
jea-Ce s'inimfbe.,.„,,,4
/1.0464,4,e__,,c-,9 ..e2.,_. a---77/- /0-tt 4 . . 4.--ci-,-,--f.--;
,,t c,,,,,ed . 'lle
49L--(91- ak,r_h }ip,i A}E91,, :,,_ 0.17.7d tr:-..
off .c7,4 ,(.0.1 .,.-4.,--t4:6,. ,11,;_ v_46_ -61.1w7 -a," _..-{4 1,4.,.,4 .W-„tp-z _.4,,,,170- ---)\-c P4-(.001,_g„1 -t-1.4_, EP( lift
e , , m _ i p ,
A /3_chxre-Lcl_
,,,,, "CaIP
d if9,-,/,_eor #1:'-'Lr--4
. 17
t;‹ 't?`157' /JP-zr_.c._
L'-'4
P94d6k -v",/ -4,4, of -r-le,, -A-4 4,--4::: '''''- _i_z -S-/'' -
'e48'
lo-d ' 4/1-4-211,- 1*)-16W4t4 -?'6' vf`
'teal-i-i_ , 0-63-- -44 D-/L:d_ -4°4, T.T,sliimp

.S1) . c,, ss6 -td -in' 464
'A --1`e-a-4
T6' OC!
'9" "7:::4-t rtetl,. 1,
-e2Ald "P-1'- A­
k4c,*, t744,_
C:14a Cot,Z4 Ecirry r-YVIi:,49,
C-jY_ .9' .tf-G{4, .Cg-f,
-,.?-{Jai ­
,r,,._,,, L49,,,, .z:,,,,,.
a ci_,:a 1110Z-6;11 Z'''1,
P o_a _4,_i _ 7e,,,,_.
- ' -
-p __ ,,
'Z-2S-tve,... -...1.c ,-L,,, -4, --.1_0_,..e. -cf-G-, (._,.
,,S.G
.1,4 __), 1 4,„ ,
_to --ci--‘,/ s6.-41111
1:" -.24"41' - -1 drP-9) I
X-r,k„ .4f_ A,,a.1,
r-14.4¦,_
'
;14,e
3 C . 4 ? - 1%1./iec.,­
-,1 - 0 L t ,1 -(4 .T-,4,
SPC MI& -E)-A5 41;:Le4
CAAA4:4,,,ej, 67f- ct C..(9.e.
. 13 ri .,.,_
-cP„ ,e2-ier_ii0, ' SS 41., ? '77&-4' '1.
-r1A-1
i.
--4- -0-17 a-c-7t,
0! ;41'4-1-
/4 .

1 L-7-
al p i _P .igc-
I-42-4c S 'e-¦ i'Z't 4 .d-e-
e".- ( ( ‘L
,,: r\-
-e--,---j5 a_ 114 r-i2-.-'t---Ak_. S /-00 7` ;-0 -TO /0 c-L- .
7Leii-e--41
.
cyz.z.,) 404, , ; ,z•e irs-e-dz‹A .1254-; itoco-Aot -
; 110,-d e.*„.A

: P-tz.-0-4,,,te_e€,„..., • „),_
Aec ,41-4-
9 s e 3
d.2--74.t
A :. dr
INITIALS OF PERSON MAKING STATEMENTmil PAGE2 3 OF 0 3' PAGES PAGE 2, DA FORM 2823, DEC 1998 USAPA V1.00
coA bc1-2-/oc-z_
6 (135
DOD-044900

al -2- /6

USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
r _
algsr -3
STATEMENT OF TAKEN AT etec.--r-, .• DATED 2,03?) Oct
9. STATEMENT (Con " ueo')
14-b
42.GP
Ct, ?
_A: 4 2°r-r.14A sPc 11.11111,
aimmiiii- "T
. 7rr
LA._ 7"--
-1)
e. 7`e3- c' 42 -e_ s
1---L ,--77)

A: y..64_, j„,„kt s c
1111111181-0-4 -
6Lc--'-hq MIN -r--.11111111111mvv,„A
e--y s
(_,L)as s r

c.;/-r_.=2-,5 s. e /
A: y_ta cLa_ k,0
4,174)tti„emec-off(91_ .&:kt
FAO2Z-4-ece,,40.e ,c1A.d _ I

_
dy, ,, sxer_et:
46151

-69„5. Ct AirLJ-.
4-A-riA_c -12PEd /tkeat
‘‘.1/4(
L,3„ c"..1 I
— •

— 7-
c
'
11141-ad
)-4-A.
s -3 ,t,./,1
tvt
/‘0' Imp-Ax`r-g-ePt

62: Roc-310-1.j_-Xe_c 5 571 ?
A: PJ-4' 414-pa
69: r-c-c e-
v
/44 S .74 C---7// S
(1- I.s?.
A: 11-19-) kv-c SOP 40,
ifia--11.li -9"`11-14 J 5 t S-1-7" s 7e_ 7/ e.,,e_./5 .,2,21 " -e 5r-c? L-71" 7-c.) c-( -e- c, 4,(/y c_ ?
A:
Ar2.,,
14-ve4 4-c?-k
• -(:"4 -4-02{;,./ di, ad-INITIALS OF PERSON MAKING STATEMENT PAGE Li OF /5 PAGES
PAGE 2, DA FORM 2823, DEC 1998 USAPA V .00
G (-FY0
DOD-044901
661J b6-2-/Oc-z_

USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
1.111111

n _ NMI
STATEMENT OF TAKEN AT folo rto(c-DATED ,qcr)-3 C19
9. STATEMENT (Continued) ctp.)A,r,,,_to ,
A.. J ,o,t-cbtert -6--E/-fer
-A&PT j.,6 /1-'9 itt'14';t;
zt„,t-,/ a.
44,
'9f.za--L-4 .
,k4,1 Ak.a SL 44.d 6,17 ,.
•
-11
4 y‘t4c,azz,./ P4-(.24-Fg le_frd 2r,0
t9:
-.4
L( se_ a • bive
.A: ti_u) A.464:z4.4 „..n
cs?: )3,-( ; eQ ,Z44-e Cerry,-, S-f-/14-iscpla-7z7,3,---7 e27)1--C-C .6"C:tzlecxe, 044 7'7142+177- 7-04D .es- °S11 NIP
A:
, 640.) 4,2,,,s4„1

-)16-4.fi ssTo
-r-4,1
a 5 '7—kg- A .
e C -eec S
A: -714_,It-t,1. evyk.
_Aza tvIe:ok„_,. 411110
_c
.a4"14 5
6'7eis--h; -do
k_ z e.641
643
,„o o
-e 7r-/-
A: JAA-ak-
xfah
Ht)-(-3
-e e s 7`0,47 c / '7,y (_,L) o Y-ff ./c__ 7/cc
A: w-e-4
s—o
cz_..6"--t_
1111.
71-
c-t-It I .5 A-cro I
INITIALS OF PERSON MAKING STATEMENT/1p
PAGE C OF '5' PAGES
PAGE 2, DA FORM 2823, DEC 7 998
USAPA V1.00
LI- 31

b 6 -7-/b 7c
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
EMI
STATEMENT OF DATED
TAKEN AT lob .zcr)--,oci
9. STATEMENT /Continued)
A ". KP -a4-7 .1.-h.) of--454-114-61,a /ti,a.r -i-e 164 (1..,g, _to ,i-e -41,0-cpst,, ie,4
I k¦-.6-&.-(3C--
Q1 -4-0,---) k (1-1111111111¦121c--.('-€- a -R-1-
yel,_,,L, ,"? V,
A:-2P--alliWda A-6‘thetiol,,,%-,
&,(c2', --F i J2 6Z 5-e c___A ,c_,-, Gi 2_,— a ..,27:17-4'd41 -,C5' 77421-'r-Ata . NEW
,-,--(,_,_ ,,,,,,z,„k -,1 0 4 s-r-K, .s ,.,_,_;__f_ ,, . p-C2--f-ro ,,--,,,.,_ ,.,_,a 1.,____?7,7
A: iiicali
el+fte r÷,,,
A‘-1 xj-` 414e)-lez-d leo,,, ' o fr ' Sit..
2.,-btii...,
-4-4-Y4,14,
P,i4A-, . ,i-vie„ _Lt ,, ,a, ;
A-, .6..bf,,,,,,t,.- 1'416 ,A.° -6L66A46d''''
, p 44-_44_,tiya,_ ,
a 1-- - - -'-i -4t*-t(.(-r-c,„:4,Le
f 6,-(v 4 .),,,,,i'uf . APL4rA A }L
-Z7,:),5,e6
}-` 4-,%-014,,,t" ix,x-A.,-4, ,i, 4,61 "/'-C'-*1-11t.4,-e
-ail 4fetr4a j-` "P'-ecd'1-'t,a j
-0-1,44-1P4- .-6, -_LE
C.A.9
y (V c.I de- ?

y 0-c,_ ; ,) ..___ c- x. ‘..----7e (-e.
A IX( .
,h,„..„ .t,,.,,,),, "acriv-t67-.)tt 44,0-z y_ez&„ .--A--,,J4,
'7 ,44_44 vtz,ntzt c jqej3A4_ 4,r4et, jit ,
0 .,— n
-i A
''(-.'"W n-6P-L
. V e ' ' r• 1 /?'''t.^^&A , t 7 I , { : , , , i .
i'- °i'L.64."j
v9-14,,,„,_ i,,,, jIx :4 t _ _op - 6 - c A --c,--d 41t,,,,
6 2 1 14 0- X .-[-,,z- .( -e c -
s,P_L,4' (.cz,gcc_,. ,
eft
/ 5
_s2- - - t 2 s2-,--'- u r L`j r '-
-7-.-- y,2 s _c70-e-1)0,-e ?
A: -Y)-0) /vusor ta- /r1.1.4,j, _k,,,,,,Z4e
s in(
'kt An," v&i:AJA . Ack,I. , ° i 11111111111, -1144 A-5,2-

-e-o,e4',, ,f-lta.,
/,,ar
..--,i ,e:A9.6,te-
-:2 - - -`'14A41 •O-Ptis,4-,t-..iti4.- -1,i,--il czthfia_j -a/4 ,t.,44 ,u,-67-.6tx,":,,a., ,t,,_,_ ),,,A44clessi&7 -0W 4z.75,77.-
4t-ei,4 24
(g : --""D i 0Q `7.(.,2_,- Ge..e C -e- cc s ,0_-. -e-e4 61.4.., ...'‘-P--6e-, k,,z-.1,-
47 ,/-c2_-.--/-7,7-
.. 7---- 6r" ' 11.ii?
7) .--/-2--e-0.-e --(---„:2_
c____.c7, c._,..____,,;,,,___
,Z7J2_ 7`100-.- .e__ `7-,2-- -4'
-c2 ------7 '"
77) —7"4--
1-.\-o 0 -7' / •n ,
A: 914 9., 41,x- _tp zfrig- .10,,,,,,,.._ t.,.., 4
)2. ma
INITIALS OF PERSON MAKING STATEMENT PAGE OF 15r PAGES
PAGE 2, DA FORM 2823, DEC 7998 USAPA V1.00
6438
DOD-044903
612.0 6-21
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
galla
\ Aces c
STATEMENT OF TAKEN AT 6De) DATED
\
9. STATEMENT (Continued)
77)
A :.
-.01,,,,yr .---(12 -1,--adt„T— 914.--t .-1-c /3-61-20, , , t 1 4 4 ,JAs NIL,..,)-,) s c. MSz-L,_gol.)(4-te Air) "44-, y,v---,-4 Ve,ILLIAA,17-.
_p_i 4 . .immir
-ie 14-d/,,,-0-T 14'4,, -0--td—tva-,,,,;,7 _,.. c2-,r9-,,, _,1,-,, •
A(4-,- -44---, siDc _44 1,.,}4 4_,,,,,i)x.::(1,,,,

Tpti.),,zy, ,,,,, .4,.. eft
4 1,.. t.kei /-0-q--4-L, ri,t- ,,.c

j,,, j_tz 't,,4 ,,v_,, Airz, I.,
of t_lAte _v), .idt_ezi,_,, _ite" i A-t)- "1-9-Le l-,e„ 5-4ec.e,,,la
-A'tia-'7 PstQied a--1-0_,0 jr-y- y/74 _d_ezlej ixt.t___
5,;t;e, ,I
J+1/4‘12-
4 -do ,V,:,4$ 1
,,,fr 2t4lea-}t4k1E9 -dx_Zz_4,,j_,4_
--\4 Af34 ..._,,j,'
-s A _5070,9„4 .,), , _ 4. _ _ -r-4-1-: 4, „../„._ ".---7- z)-u.,_, .,,is,
C"4-d A.,,,t,) .,,,4,.,.,_, 4, yi,„.
r/a419 -----c -,,ve-,

,, _ ,,
A I , -‘4,_ CIAc
-4,br-,t,V 27( . C-15'
,(.9.,t,4
L11-' Z: 44/ 1('1-16tL4'1-
PriA°41`1/2-,4 )":/f '/..4'- i.L.6- A-1,0--7-

•
t9',-) _64;(-__. f/ C46 )
'.4LQ-'7-1-7'9 '65
/k374'-lc--
xh,o-tt,- p,47_64a ve,,, -iit34-Ceot_z1
4.4­
' CIPII
,
It-IL A,t,,
kiP --\: is Fo kV, u,) ) ';'(4 .4-,-61,e,,
-1tXr"e .t-t". g'-'1-14 Oft
INITIALS OF PERSON MAKING STATEMENT
PAGE OF Ck‘ PAGES
USAPA V1.00
PAGE 2, DA FORM 2823, DEC 1998
(6q
-Wb
col b
STATEMENT (Continued)
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS ON P .92 ULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE
Y ME THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS A HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE THIS
TATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHM

AWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT.
o anon a tatement)
WITNESSES: Subscnbed and swom to before me, a person authorized by law to administer oaths, this day of
5c-c't ernbeC , 2CKB at . 0 R
ORGANIZATION OR ADDRESS
yper Name of eis.on
/42-/' t ic—/e .47' .0 G
ORGANIZATION DR ADDRESS
(Authority To Admindter Oaths)
ClictY0

INITIALS OF PERSON MAKING STATEMENT
PAGE OF PAGES
ncepor vl
Bates Pages 6441 depicts a photo which is nonresponsive and has not been provided based on application of the Judge's in camera rulings (tourist-type photos)
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
PRIVACY ACT STATEMENT
(SSN).
Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943
AUTHORITY: To provide commanders and law enforcement officiais with means by which information may be accurately identified.
PRINCIPAL PURPOSE: Your social security number is used as an additionalIaltemate means of identification to facilitate filing and retrieval.
ROUTINE USES: Disclosure of your social security number is voluntary.
DISCLOSURE:
3. TIME
2. DATE .(YYYYMMDD)
1. LOCATION
/
8. ORGANIZATION OR AD
10( 15' b
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
01111111.111111111/.,S2-.
90o :1_ 11,5sufref3 tOutj Afkkii9LS

ZLr, )11-
Old geP-leir126L--/-AL7L-s.:,(67,).3.2-zz=-s As a(71-zo A)24.“, •
gavtE,-.404 ascix-ieD CA2-7vt-s /54ek
7L0
Cat Or-A,0e4, 40,30. (24o---160e_A4., -fpe GIA.es
k)e,cE, 60 6e ck.,TE-b3*1 +02, PIDP-crrybs-1--
-T0e6kr---(L Alfec) S-tinop Si.c-ecx) /50-4440 weLE co+ -h)

FLU- &ut.b,) LL,„ (,0-arc, °LI cfg..6-)r}2L 13%..ecoceS
TbeAradt nic9

oAePe-Tsof,e_c .Pre,-1-Taic___.o•)e rA)
-
fac (eF 4-ce,i) SicosuPeczoost .0AA)Cor-r-S Ae_ASnie. I-40w orin p
.3)Me-4-DreS SPeacrt Ou.L,Loi0 rne. Tc,04s. int-c,,weE pLY6 Luex.os IDt.wec-E 4.116L,_e0.---b SA3_ coeue, (,)" C w4-1-erc-c(13-A-) at-A-4'1)069 6L, _,s-Ecto 4-0
-to '6,be, 14)14-ttz,)'L. ‘.10.4. XAJOSPAO
or\tf2 US:ct LeAlula ciiiJo poi
GJE-H.). )1: IS--iDe-PGT:Awc-t_ PAr_,
-10/.0 Lt4 34ra°.(A)51( .(er-)-S-Az 3o/),&DT TA) 111j_ '64 -bp J-1_1 (-T.PS
lo‘_. A ='N1110(-o,qc
POORSe)0 i3.,r-r) -40 6e_quCdr--1-t-L8u Acke`3 •:'1' 4504-et-
• Fpc_. ak_1) 4 Lp__, co(Lec__, Lt MOW 64-177
11. INITIALS OF PERSDN MAKING STATEMENT
10. EXHIBIT
PAGE 1 OF PAGES
TAKEN AT DATEDADDITIDIvAL PAGES MUST CONTAIN THE HEADING "STATEMENT OF
THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST BE BE INDICATED.
USAPA V1.00
DA FORM 2823, JUL 72, IS OBSOLETE
DA FORM 2823, DEC 1998
6 (FC2
STATEMENT OF TAKEN AT DATED
9. STATEMENT (Continued]
(AIL+
---06
(-2-4*K)..1 0L,0
kaajtj_
WAs PAs fa),De.A.,A6 1-dutwr.,0 LzLet
L'DAS Araitted-1- -\--3 me 41)44- +62,
A-6:67,,a
rX-e_oc zoan
r Dc\ /00.
trida
kiSo. 1.6c, E 2)._) S' 12e+-Pe;isoc.
—

/36 S-1-4 4Ctv,Q.A-
7--
AFFIDAVIT •
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHICH BEGINS ON PAGE 1, AND ENDS ON PAGE . I F LY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE
BY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORR AND H VE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE THIS
STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREA OF PUNISHMENT, AND VVITHOUT LAWFUL INDUCEMENT.

nature of Person Malring Statementi
Subscribed ind sworn to before me, a person authorized by law to
WITNESSES:
administer oaths, this day of
at

ORGANIZATION OR ADDRESS (Signature of Person Administering Oath)
(Typed Name of Person Admint;stering Oath)
ORGANIZATION OR ADDRESS (Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT PAGE OF PAGES
.
LISAPA VI.DD
PAGf 3, DA FORM 2323, DEC 1.998
644Z
DOD-044908
Bates Pages 6444-6445 depict photos which are nonresponsive and have not been provided based on application of the Judge's in camera rulings (tourist-type photos)
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; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 ISSNI. '
PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately identified.

ROUTINE USES: Your social security number is used as an additionallaltemate means of identification to facilitate filing and retrieval.
DISCLOSURE: Disclosure of your social security number is voluntary.

1. LOCATION 2. DATE MTYMMDDI 3. TIME 4. FILE NUMBER
-C- 6 0 -67 7- / A r, IL 4 / FF-fc et P7-(-063 /09/ I I .(7(1( Z313-
5. 6. SSN 7. GRADE/STATUS
_ V
8. ORGANIZATION R ADDRESS
r0 ce L/14 1---ir? %-i0
. -_
____2_00iimiiii.LL_
1 , WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
'
On -714e ni_jtit of--srri- ti ,03 or o a6 A-) -f ,Q-F i 3--SP' S 1)0 -1" G._ r, ( ,„c _. c -I-tia+ LJAS fry(i) fd e,c64pe - /7Y `-6' '1;7-a-7--Ill-Prelor, _5-76.(f- ka ,c-IL" 1c3 'Go dor,,f _Ili fi .1_ ( 4-1 6 ri.,),-, pr, 50, ,yx - / 4 4 76
t?"-'2 St°614111111111110 1,)cK6 Go,4zi, 2 (1-441- 1,Jer6 (,-, Soi(lar-z-0--cr--. '''''') Su-5P/6/6()5 du(i,-) ooi tjG.,ote s-,if----it-,. by -/ryiA? toCh,,,,,ii,-)0,11 ,4 7t_,
-
' td f {4-, e4ct, p it, cir-tj e +o Q, -f 1-,,,., ree IL-ed I y
not co,,,,,
7L() , ,,,, c,/, I, i._ ,
da r - - - i ci 60-2,0c, ,3-, 15 I .t,..1.4„; g f-4-/7 -1 1, A y f"4 c
'''t,)ot / Lf tten 4, IL_ + /1 G 7 5
e .5 4,/,-, 6 f (,,, c s-f-,z_ marialisir
4\ il 4) c.t.- /
a • rt.-4 i y r,06-7 f e,r
Pa' 1 d
.14 c L, F-t c-eZ 0 i" i-inc fr, i--/joc, r-../_ Li ,, , f
, (r-6 , , , e r r( 0,, cr e i ,_ 5
Lo i f.,-, j__ _3-4, j t.,,,,,, , 7--; 1 6,- y (,/ 6 x•
0,,,L . ble -1-1,Jo s If 71..ff-

' - . " -pvff '/7 e-r)-: -
71-f1(41 J " C( C
G.Li-1-0 U '' ()f 4) / It,
`oirt,e-1/47 4 . , P Lil— 4.,. Li 2 r17574
. c_
c 0 rr6:614S7141 'tit \ 6
-ac/-c., ,... 5( /C. i 1110je
Lj r-i".:
1.4.7,-­
/7 0° /7:_f--/7 .1:3
P1;611111111Naw-
c4
b / 147Z/, f-4"-IrCr
1 4-PARre, (pi-, 4 / G 4C
71-fp4 ...
cLa ID6-2- /1/41D7c --___
.
10. EXHIBIT
11. INITIALS OF PERSON MAKING STATEMENT ' PAGE 1 OF PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING 'STATEMENT OF TAKEN AT • DATED
, THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF rHE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST BE BE INDICATED.
i I
DA FORM 2823, DEC 1998 DA FORM 2823, JUL 72, IS OBSOLETE USAPA V1.00
6„/„.1.6„
DOD-044910

s L4e) ke-z lc-- z-
SWORN STATEMENT
For use of this form, see AR 190-45; the pro o gency is ODCSOPS
LOCATION DATE TIME IIIIIILE NUMBER
FOB PACICHORSE, TIKRIT, IRAQ 03 1 23 45 0 350
" T NAME I NA E SOCIAL ECURI Y N .8 : GRADEISTATUS
03
ORGANIZATION OR ADDRESS
HDC, 4TH FSB, 4ID
1, , WANT TO MAKE THE FOLLOWING STATENIENT UNDER OATH:
On 11 SEP 03 at approximately 2330 I was woken up by the TOC NCO and informed that a detainee was shot while trying to escape. I immediately dressed and drove out to the Detention Center to find ou happened. By the time I arrived the body of detainee was removed and talcen to the aid station. First I asked 1LTriwhat happened and he told me he was standing in the archway looking at the latrine at the time of the shooting. He did not hear any warning prior to the shot being fired.
I next pulled aside and questioned SPC M. He told me the detainee stood up (which he is allowed to do). He said
the detainee was attempting to escape from his isolation cell and he shot him. I asked him why he did this and what lead up to
this. He told me the two detainee empting to communicate with each other in Arabic. He next moved to the wire
and at this time was shot by SPC I asked if he was sure if he was trying to escape; if he had his hands on the wire
and was trying to move i e ought a ' or about 30 seconcLs'and told me "yes." •
After tallcing to SPC pulled SPC aside and asked him what happened. He told me he was outside the
building smoking a ,jailiraigawhile th -hooting appened. At this time I realized the. only two people who knew exactly what
happened were SPCIMIand Ob" Ra6d (the detainee). I then left and drove to the aid station to check on the detainee.
I arrived at the aid station to find the detainee had expired.
My next stop was the TOC to conduct a 15-6 investigation and SIR with the Battalion XO and S3. This was completed
around 0400 on the 12 SEP.
My role as the Battalion S2 is to supervise the operation, construction, and administration of the detention facility. We are
currently using a temporary facility while a permanent facility is being financed and built. There are no true isolation cells
yet so we are using bathrooms and horse stalls with c ' wire across the doorways. Obeed Radad and ere
being held for questioning relating to the location of . They were isolated to prevent them from collaborating
a story and talking with other detainees. Both were told by mterpreter that if they attempted to remove the ties from their
wrists or leave the cell they would be shot.
V: q /.19-k, - Li
& : /4/7 ,q.T.

/1-- 1 --/.7 7—
pe41/7 -71-c2...--- ..--,--t- i -2 e----7"/ ' c›.--k---7-4-74-• . dr-12-74" / '-'-cP-5

6:2 ' Lc) AZ f'7A-Gt-‘;---/-e-----r--/-'2-----
...a.---,..-,./ C.,---r/o.,--c)c., c/...L..1
77;. h. ._/,,74--/' , - / --X- e / c'-'74-, 6-
z„.0-,2-7,-
6,-c., l ./--e

C-,----- 7, '""1 ,ff--
-74--"K2-C.-C2-7-rammor r
TVEA' -C6.1-5. iliej-
fil--".-----.-I F 7-1/E be7-14-ftE5 ,f7T-f-IPT:50 7F) s7rir
-111.111410.16C-4r c_ocza .gb- _57/07-... Ty/fs 17,fs-& f K pect57o4, j55.6-04--i-171--cea---,--7- hoo6----.4180
. ,i
_e_.,-(0' To .x;-1,-- -7----ke,-,--c.e._./i_s .‘ friyt_e_ -e---- --1- S 6-e___) A " -7Z/-
&. V------701-
7Ps c.k//c/ ?
.72-e-1 ' .
• cEGL kr i ritioc/T-Per'f'f(C.C/691'; 6)(--/Pfdt,f/C.) '7-/Y6-Li, /46F /
ic ,- rk Ary i* 77E"frip-/-)--c. L._5•,-(k 7-77L 14,1-4 - ' /' if/.air
0-0 /_.(0-0 v--A' v/t.pb--,foe 4 eac--0 d"; 6-0(4/6-7-/i/eac'a- /74 7 - W6-
1.I c.-_,--.7, s 7i.,-,...,..,_,,,,5; .,...-._ .
..,/ e_.....,_.a .---,.c_cz,—
A,a____,_,-.e.. ,_._ 6-_,..),--, ,
62' Do y0 c---c_,,,,,F....,_,,_ ,::.zi6....,....„,-__ ,._....,_. .______,,,,74_ ,,c,,,_.e e--?/---(--7 (-'(--c--------4 `-'.
/
?
e___c___,-/-a--
A - : /frz 1 , .ALL /4/5-r-te/ctioA,5 4-gt— 1/4)6'Aft.: cwr(L i-tz--&-5r7fp-(sH ry12-5, 6;Ao 1"*.----
EXHIBIT INITIALS OF PERSON MAKING STATEMENT
PAGE 1 OF i PAGES

011111. ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT Of TAKEN AT .DATED .CONTINUED." 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 fOl?M.
USAPPC V2.00
DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED..
044-7
DOD-044911
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
abh
S-'1" TAKEN AT • DATED
9 STATEMENT (Conunuedi
OP ER'1-7-10,1," 0 F. 7-He 07-/I--7P/r-,.

7-/t/r5 is 11--a,f,c---io/ea,losi-r-,
0: /2-a-4 s
r‘ /-L4_ 5
G(5z_ o
)1
t.
4: x/GyvE, 07-il 777/44-ee/LF F,foxi. 7-F THE p 57:4' ( -5E--_2.G 4VO--1111111
1-7/ s
271-y
rtibTE.term_ or 5- so 4)/ ,e5 0-f/.0.11.

A4,, /61
z
4-- /fr° I.-11
OF S-VAT-- /AZ--
:NITIALS nr.--PERSON MAKING STATEMENT PAGE 2, DA FORM 2823, DEC 1998 PAGE 2 OF 3 PAGES USA=-A
6(/(0

02,0 6 6-2-/h7c--L_

1STATEMENTOF 111111111111.11111111111_ TAKEN AT _EQ__P.____3__
3,.c r____
DATED 94)0309
9. STATEMENT (Continued)
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENTWHICH BEGINS ON PAGE 1, AND ENDS ON PAGE ULLY UNDERSTANDTHE CONTENTS OF THE ENTIRE STATEMENT MADE
BY ME.
THE STATEMENT IS TRUE. I HAVE INITIAL LL CORRECTIONSAND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE THIS STATEMENTFREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUTTHREAT OF PUNISHMENT,AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT.
WITNESSES:
Subscribed and sworn to before me, a person authorized by law to
11111111111111111111111111111_ administer-oaths, this at 3 day of , 2 w3
s 05
tio / 5 --`140. r-,_3
ORGANIZATIONOR ADDRESS
ad)/

ype ame
/47--/'z-7L /3
ORGANIZATIONOR ADDRESS
(Authority To Ao'mirmsterOaths)
INITIALS OF PERSON MAKING STATEMENT
PAGE 3 OF PAGES
3
/'AGE 3, DA FORM 2823, DEC 7 998
LISAPA V1.00
OKI

ebu66-2-
Table of Contents
Enclosures
I. Appointment Order
II. Serious Incident Report (TF IH)
III.
Privacy Act Statements

a.
1LT (02), 1111.11111, D. Co. 4th FSB, MOS-92A

b.
SPC (E4), MEM D. Co. 4th FSB, MOS-63S

c.
, SGT (E5), E. Co. 4th FSB, MOS-91W

PFC, A. Co. 299 Eng., 1st BCT, MOS-12B
e.
SSG (E6), E. Co. 4th FSB, 4th ID, MOS-91W

f.
, 1LT, E. Co. 4th FSB, 4th ID, MOS-91G

9. CPT (03), , HDC, 4th FSB, MOS-9higraraniragallinagliarg CPT (03), HDC, 4th FSB, MOS-91B
, SPC (E4), , A. Co. 299 Eng., 1st BCT, MOS-12B
j. SGT (E5),..111111, E. Co. 4th FSB, MOS-91W
IV. List of Witnesses Interviewed
a.111111MMIMI 1LT (02),111111.111111D. Co. 4th FSB, MOS­92A
b. .1111.111111111, SPC (E4)11.1111110.D. Co. 4th FSB, MOS-63S c.-1111111111111111111111 SGT (E5), IIIIMME. Co. 4th FSB, MOS­91W
d.fallafairiNiPFCIMM. A. Co. 299 Eng., 1st BCT, MOS-12B
1114
e.
SSG (E6), E. Co. 4th FSB, 4th ID, MOS-91.W

f.
., 1LT, E. Co. 4.th FSB, 4th ID, MOS-91G

g.
, CPT (0 talinge HDC, 4th FSB, MOS-91B

h.allanalialONNIff, CPT (03),fflanligH DC, 4th FSB MOS-91B _ i. , SPC (E4),annar A. Co. 299 Eng., 1st BCT, MOS-12B
6itoo
j.
GT (E5), E. Co. 4th FSB, MOS-91W
k

, SPC (E4), D. Co. 4th No stafel-rient, only FA Form 3881), Detainee 7 1
, Detainee D 06,-q/b7c.. -1
V. Investigating Officer's Timeline

VI. DA Form 1574, Report of Proceedings by Investigating Officer
Exhibits
A. DA Form 2823, 1LT 1111111(Guard 01C)
B. Initial Inquiry Package (DA Form 1574, diagram, statements for witnesses, h
including statement by SPC ithout rights advisement) bc-s7b 7c--s—

C. DA Form 2823, SPC Guard at Detention Facility)
D. Statement Transcript of (Detainee Witness) b6-91/0, q
E. DA Form 2823, SPC1111.1(Guard at Separate Isolation Cell Holding
Area)

F. DA Form 2823, SSGIIL(Responding Medic)
G. DA Form 2823, 1LT (Attending Physician)
-H. Excerpt, 1BCT INTSUM 031800DSEPO3 (Classified—included under separate cover)
I. DA Form 2823, SGT.. (Sick Call Medic)
J. Photo of Wooden Clubs
K. DA Form 2823, CPT 411111111(4th FSB S3)
L. TF lronhorse FRAGO 422 (Classi led--included under separate cover)
M. Excerpt, AR 190-14, The Carrying of Firearms by Law Enforcement
Personnel and Personnel Performing Security Duties

N. DA Form 2823, PFC Guard at Se arate Isolation Cell Holding Area)
O. Statement Transcript of (Detainee Witness) b(t b.Li
P. DA Form 2823, SSG Res onding Medic)
Q. DA Form 3881, SPC
Non-waiver of Rights, Request for 64 -5-7b7c, Lawyer)
R. DA Form 2823, CPT n S2, 'Detention Facility 01C)
S. Selected Photos of De ention acility
T. Selected Photos of Incident Scene
U. Selected Photos of Deceased, Obeed Hethere Radad
V. Diagram of Facility
6t k.-) 6-2 /67c- Z.
Bates Pages 6452-6457 depicts photos which are nonresponsive and have not been provided based on application of the Judge's in camera rulings (tourist-type photos)
REPORT OF PROCEEDINGS BY INVESTIGATING OFFICER/BOARD OF OFFICERS For use of this form, see AR 15-6; the proponent agency is OTJAG.
IF PiORE SPACE IS REOUIRED IN FILLING OEIT ANY PORTION OF THIS FORM, ATTACH ADDITIO.NAL SHEETS
SECTION I -APPOINTMENT
j e2 tic 2--
LTC Commander, 4th Forward Support Battalion
Appointed b1,
(APpointing authority)
.
on 11 September, 2003 (Attach enclosure 1: Leiter of appointment or summary of oral appointment data.) (See para 3-15, AR 15-6.) (Daze).
-
SECTION II -SESSIONS
.
co=enced at Forward Operatmg Base Packhorse, Tilcrit, Iraq . at.1215 hours
The (investigation) (board) (Place). (Time)
on 12 SEP 03 (If a formal board met for more than one session, check here O . Indicate in an inclosure the time each session began and
(Daze)
ended, the place, persons present and absent, and explanation of absences, if any.) The following persons (members, respondents, counsel) were present: (After each name, indicate capacity, e.g., Presideru, Recorder, Member, Legal Advisor.)
The following persons (members, respondents, counsel) were ahsent: (Include brief explanation of each absence.) (See paras 5-2 and 5-8a, AR 15-6.)
.
.
.
0220 12 Sep 03
The (investigating.officer) (board) fmished gathering/hearing evidence at OD. .
(Time) . (Date)

0300 on 12 Sep 03
and completed findings and recommendations at
(Time) . (Date).• ..
SECTION III -CHECKLIST FOR PROCEEDINGS
. YES NO1/.1 NA
A. COMPLETE IN ALL CASES
Inclosures (para 3-15, AR 15 -6)
Are the following inclosed and numbered consecutively with 12.oman numerals: (Attached in order listed) ,

a.
The letter of api,ointment or a summary of oral appointment data? X

b.
Copy of nofice to respondent., if any? (See item 9, below) X

c.
Other correspondence with respondent or counsel, if any? X

d.
All other written communications to or irom the appointing authority? X

e. Privacy Act Statements (Certificate, if statement provided orally)?. X
f Explanation by the investigating Officer or board of any unusual delays, difficulties, irregularities, or other problems
X
encountered (e.g.,. absence of material witnesses)? •
g.
Information as CO sessions of a formal board not included on page 1 of this report? X

h.
Any ocher significant papers (other than evidence)-relating to administrative aspects of the investigation or board? X

OOTNOTES: .11 apiain all negative answers on an attached sheet. 11 Use of the IV/A column constitutes a positive representation that the .irczunstances described in the question did not occur in tiiis investigation .
.
or board_
Page I of 4 pages USAPA V1.20
IA FORM 1574, MAR 83 EDITION OF NOV 77 IS OBSOLETE.
Exhibits (pare 3-16, AR 15-6).
I YES I NO JI NAl2i
a. Are all items offered (whether or not received) or considered as evidence individually munbered or lettered as 1
I
exhibits and attached to [his report? ;
1
b. Is an incjex of all exhibits offered to or considered by investigating officer or board attached before the first exhibit?
X I
c. Has the testimony/statement of each witness been recorded verbatim or been reduced to written form and attached as
an exhibit? X I

d. Are copies, descriptions, or depictions (if substituted for real or documentary evidence) properly authenticated and is
the location of the original evidence indicated?

e. Are descriptions or diagrams included of locations visited by Ihff :11V."..'Slia2tillR officer or boarci (para .3 -6.;), AR j5-6)?
X ¦
f.
Is each written stipulation attached as an exhibit and is each oral stipulation either reduced to writing and made an
exhibit or recorded in a verbatim record?

g.
If official notice of any matter was taken over the objection of a respondent or counsel, is a statement of the matter
of which official notice was taken attached as an exhibit (para 3-16d, AR 15-6)?

Was a quorum present when the board voted on findings and recommendations (paras 4-1 and 5-21), AR 25-6)?
I
COMPLETE ONLY FOR FORMAL BOARD PROCEEDINGS (Chapter 5, AR 15-6)
At the initial session, did the recorder read, or determine that all participants had read, the letter of appointment (para 5-36, AR 15-6)?
Was a quorum present at every session of the board (para 5-2b, AR 15-6)?
Was each absence of any member properly excused (para 5-2a, AR 15-6)?

Were members, witnesses, reporter, and interpreter sworn, if required (para 3-1, AR 15-6)?
If any members who voted on findings or recommendations were not present when the board received some evidence,
does the inclosure describe how they familiarized themselves with that evidence (para 5-2d, AR 15-6)?

. COMPLETE ONLY IF RESPONDENT WAS DESIGNATED (Section II, Cha ter 5, AR 15 -6) Notice to respondents (pare 5-5, AR 15-6):. . lc . :g-:.., :t,
a.
Is-the method and date of delivery to the respondent indicated on each letter of notification?

b.
Was [he date of delivery at least five working days prior to the first session of the board?
c.Does each letter of notification indicate —

(1)
the date, hour, and place of the first session of the board concerning that respondent?

(2)
the matter to be investigated, including specific allegations against the respondent, if any?
(3). the respondent's rights with rezard to counsel?

(4)
the name and address of each witness expected to be called by the recorder?

(5)
the respondent's rights to be present, present evidence, and call witnesses?

N
d.
Was the respondent provided a copy of all unclassified documents in the case file?

e.
If there were relevant classified materials, were the respondent and his counsel given access and an opportunity to examine them? ) If any respondent was designated after the proceedings began (or othenvtse was absent during part of the proceedings):

--d4:4:,::.:;,1 1,
a. Was he properly notified (para 5-5, AR 15-6)?
I
b. Was record of proceedings and evidence received in his absence made available for examination by him and his counsel (para 5-4c„,IR 15-6)?
Counsel ;.(21-a 5-6, AR 15-6): -.!-:

St:1''
a. Was each respondent represented by counsel?
Name and business address of counsel: -,: 7 ''''

iot
(If counsel is a lawyer, check here IN )
b.
Was respondent's counsel present at all open sessions of the board relating to that respondent?

c.
If military counsel was requested but not made available, is a copy (or, if oral, a surrunary) of the request and the
action taken on it included in the report @ara 5-6b, AR 15-6)?

'
. If the respondent challenged the legal advisor or any voting member for lack of impartiality (para 5-7, AR 15-6):
,\:.. :::. Si,t. :k.
a. Was the challenge properly denied and by the appropriate officer?
b.Did each member successfully challenged cease to participate in the proceedings?
Was the respondent given an opportunity to (para 5-8a, AR 15-6):

: i&11 '' '
a.
Be present with his counsel at all open sessions of the board which deal with any matter which concerns that respondent?

b.
Examme and object to the introduction of seal and documentary evidence, including written statements?

c.
Object to the testimony of witnesses and cross-examine witnesses other than his own?

d.
Call -witnesses and otherwise introduce evidence? , .'s-k

e.
Testify as a witness? • .. .,

f.
Make or have his counsel make a final statement or argument (pare 5-9, AR 15-6)? „

.
If requested, did the recorder assist the respondent in obtaining evidence in possession of the Government and m
arranging for the presence of witnesses (para 5-8b, AR 15-6)7

Are all of the respondent's requests and objections which were denied indicated in the report of proceedings or in an
inclosure or exhibit to it (para 5-11, AR 15-6)?

)0TNOTES: It Explain all negative answers on an attached sheet. 21 Use of the N/A column constitutes a positive representation chat the circumstances described in the que.stion did not occur in this investigation or board. .
s,e 2 of 4 pages, DA Form 1574, Mar 83 USAPA V1.20
'5 ?
SECTION IV - FINDINGS (para 3-10, AR 15,-6)
(inveszigaring ojj5cer) (board), having carefully considered the evidence, finds: e incidents surrounding the shooting of detainee, Obeed Hethere Radad at the 1st Brigade Collection Facility was a result of the detainee playing., intent to breech the concertina barrier of the isolation cell. The collection facility consists of a single detention cell with a fifty ainee. capacity and limited isolation rooms/cells. The detainee was delivered to the 1st Brig..ade collection point on 8 Sep 03. He wasained by 4-42FA in. the vicinity of Ad Dwar. The detainee was instructed upon his arrival by an interpreter that he was to remain seatec
i to stay away froth the concertina wire or he would be shot. Throughout the guard shift SPCM111.1.1.111eported that the detainees "fiddling" with his hand cuffs and &tem tine, to s eak to the other detainee in the adjacent holding cell. At approximately,231:)SEP03, SPC the appointed guard at the isolation. guard point momentarily turned 2W2y from theainee, Obeed He ere a a as turned away from the detainee, the d.eta. ee stood u rom a sitting
;ition and moved approximately 4-5 feet through the de_tainment cell doorway. After 2-3 seconds SPC turned back to
e the detamee. As SPC med back f____,__
acino. the detainee he was surprised to see the detainee standing with his upper torsoning over thesingle strand o concertina wire. SPCIMINIEratated that he leveled his weapon, Moved the selector switch from
6 to semi nd fire-11 one un-aimed round in the direction of the detainee. The detainee was struck in the abdomen. SP 104- 2-moved into the isolation area moved SPCqIIIIIIIIIPinto the office area and rendered first aid to the detainee. The -(9.7amee was evacuated to E Company, 4th FSB Medical Aid Station where medical aid was rendered. The detainee died after all efforts tc
ive the him had failed.
kdai
SECTION V - RECOMMENDATIONS (para 3-11, AR 15-6) liew of the above findings, the (investigating officer) (board) recommends: FSB reviews all TTPs for use of deadly force within the Brig de C llection Facility. Limit the number of detainees held in isolation to
). • • t there were a total of et ees eld in isolation ce s
. The current etainment material or e iso a on cells,i ma wire, is adequate but more perm es s ou e expe ed to mitigate the risk posed by the temporary nature of theility. A contract to establish a permanent facility has been provided to the Division Comptroller for funding. This facility will increase
security of the detainees and improve the safety forthe guards.
3 of 4 pages, DA Form 1574, Mar 83 USAPA V1.20
6'440
DOD-044919
SECTION VI - AUTHENTICATION 03ara 3-17, .4.R 15-6)
[IS REPORT OF PROCEEDINGS IS COMPLETE AND ACCURATE. (If any voting member or rhe recorder fails to sign here 01 in Section VII'ow , indicate the reason in the space where his si gnarure should appear.)
(Recorder). (Investigating Officer) (President)
(Member).
• (Member)
(Member). (Member)
SECTION VII - MINORITY REPORT 0:)ara 3-13, AR 15-6)
the extent indicated in Inclosure , the undersiped do(es) not concur in the findings and recommendations of the board.
the inclosure, identify by nunzber each finding and/or recommendation in -mihich the dissenting member(s) do(es) not concur. State the sons for disagreement. Additional/substitute findings and/or recommendations may be included in the inclosure.)
(Member). (Member)
SECTION VIII - ACTION BY APPOINTING AUTHORITY 0)ara 2-3, AR 15-6)
findings and recommendations of the (investigating officer) (board) are

(approved) (disapproved) (approved with following exceptions/ stitutions). (If the appointing authority returns the proceedings to the investigating officer or board for further proceedings or -ective action, attach that correspondence (or a summary, if oral) as a numbered inclosure.)
4 of 4 pages, DA Form 1574, Mar 83
USAPA V1:20
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
LOCATION DATE TIME FILE NUMBER
i _ I
TIKRIT, IRAQ 12 SEPT 03 I 1530
1 i!
ST NAME, FIRST NAME, MIDDLE NAME SOCIAL SECURITY NUMBER GRADE/STATUS
imillow.i E-6/RA
I
ORGANIZATION OR ADDRESS
E CO 4TH FSB, 151\ilD•ri 92697, APO AE 09323
1, SSGNIIIIIIIIIII. .TATEMENT UNDER OATH:
, WANT TO MAKE THE FOLLOWING
On 11 Sept. 2003 at or about 2315 hours, I was conducted roving guard duties with SGT ,while I was checking onguard point 14 (while I was outside. the vehicle) SGT alitold me he heard over the radio that one of the prisoners at thedetention center was trying to escape and was shot in the chest. I asked him if he was joking and when he said no, I told him to go to the Aidstation and grab an aid bag and some gloves. We went to the Aidstation, grabbed the items and went to the detention center. When we arrived at the detention center, SSGalrand SGT11111rvas already on the scene with a wheeled ambulance. When we pulled in, SSA.", SGTfOrand two other mdividuals were on their way out of the detention Building and heading to the ambulance with the casualty on the litter. The casualty had a field dressing over his Ieft mid-epigastric area and was not resPonsive at all. SSG Orsaid that one of us needed to ride in the amblilance with them. I jumped in and SGT "paid he (the detainee) does not have a pulse. I began chest compressions and SGT imp started bagging him I look.-e at the casulities face and his eyes looked glazed and dialated. When. we arrived at the Aidstation we carried him into the tretment room and continued chest compressions until 1LT11111 said he is gone at approximately 2320.
.
-ii,

'-...e , ,...
O.
'N'
11111.
0
.
atO 6G — 2-1 7C-— 2--
EXHIBIT INITIALS OF PERSON MAKING STATEMENT .
"
PAGE 1 OF 2 PAGES
X
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEM TAKEN AT .DATED .CONTINUED."
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 BACA' OF PAGE 1 WILL BE LINED OUT, AND THE

ISTATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS FORM.
DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00
ST AT E M ENT (Continued)
ail (e-
AFFIDAVIT , HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
I
—1-11111.111111.11111111111—
I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT 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 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 UNLAWFU
ment)
Subscribed and sworn to before me, a erson authorized by law to
administer oaths, this 1-2-day of be r at
TT k Lr.
re of e Pn dmirnisteringE07ath)
-
ORGANIZATION OR ADDRESS
( yped Name of Person Administering Oath)
S&7 OkEd OCCi.C_R,11--
(DM-2,0 C.
. (Authority To Administer Oaths)
ORGANIZATION OR ADDRESS
INITIALS OF PERSON MAKING STATEMENT 2— PAGES
PAGE 2_ OF
USAPPC V2.00
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
PRIVACY ACT STATEMENT
TitJe 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSN). .
AUTHORITY:
To provide commanders and law enforcement officials with means by which information may be accurately identified.
PRINCIPAL PURPOSE: Your social security number is used as an additional/alternate means of identification to facilitate filing and retrieval.
ROUTINE USES:
Disclosure cf your social secu-ity number is voluntary
DISCLCSURF_:
2. DATE (YYYYMMDD) 3. TIME 4. FILE NUMBER
1. LOCATION
2003/09/12 1545lars • Tikrit, Iraq
6. SSN 7. GRADE/STATUS
5 1 ¦ 4. FIRST NAME MIDDLE NAME .
E-5/SGT
8. ORGANIZATION OR ADDRESS -
Echo Company 4FSB 4ID, Unit# 92697,•APO AE 09323-2697
9. _
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
Sergeant
(, ,
On 11 Sept 03 between 2300 and 2330 hrs I was conducting my roving patrol along with SSG illivhen I heard a call over the net for medical assistance at Bighouse Mic. I radioed Packhourse Mic to let them know that we were on the way, but had to stop and get mecical supplies. As we approached the detention center we learned that Ambulance Platoon was already on the seen. They were on the way out with the casualty. We loaded him into the FLA and headed back to the Aid Station. SSGwas ha the back of the FLA with SGT Vail performing CPR. It took less than 2 minutes to get m the Aid Station. we undo),"
ith CPR. I don.'t remember how long we
the casualty, took him into the Aid Station_ There I assisted SSgapand SGT
-6-7VT'' w. -74,1 / -2 S' 90 6(3
-.
were doing CPR before 1LT alicalled the time of death .--/--) F ST117—
CLO (e - • ""
blc--z__
11. INITIALS OF PERSON MAKING STATEMENT
10. EXHIBIT
PAGE 1 OF AGES
I
1111111111.----
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT OF.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.
USAPA V1.00
DA FORM 2823, JUL 72, IS OBSOLETE
DA FORM 2823, DEC 1998
Ge/0/

-r.L.-fr.:MPNT (Continued)
oL006-7
AFFIDAVIT
1, , HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS PAGE FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT IS TRUE. 1HAVE 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 11\1
ent)
Subscribed and sworn to before me, person authorized by law to administer oaths, this. 2 day of S'ep Levi t:,c , 19 at
WITNESS
fr"
5 c C-0 k--kt FS /kFu A 0V2.3 gCr
ORGANIZATION OR ADDRESS gnature o
(Ty ame erson ministenn
f
SS' ‘,7,t-ig0 O.
°C?)
ORGANIZATION OR ADDRESS (Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT PAGE OF PAGES
3 3
USAPPC V2_00
ji4
Investigating Officer's Timeline
-/ b--7c
12 Sep 03
1800— let with 1BCT XO (rvIAJ 1111111/and 1BCT Legal Advisor (CPT
concerning appointrnent and duties. Appointment was VOCO awaiting orders from appointing authority.
1900—Met with 4th FSB XO (MAJORS) to arrange-for gathering of witnesses and statements taken during the initial inquiry. conducted by 4th FSB.
1930—Returned to FOB lronhorse (4th ID) to gather other materials for use in the investigation.
2045—Arrived FOB Packhorse (4th FSB) and prepared to conduct interviews. Identified personnel to be interviewed and organized the process.
2130—Met with LTC111111/4th FSB Commander, and advised him of my task and purpose. LTC =put resources of the battalion at my disposal—very cooperative.
2130—Received original copy of 4th FSB initial inquiry. Continued to take
statements from individuals (see list of interviewed personnel).
2300—After reviewing the initial inquiry, determined that possible violations of the a Lawful Order or Regulation
UCMJ existed, to wit: Article 92, Failure to Obey
(re: TF lronhorse FRAGO 422, Maintenance of Law and Order, ROE/Use of
Force) and Article 119, Manslaughter.
2314—Contacted CPTWIllig, 1BCT Legal Advisor, and requested a
conference at FOB Packhorse.
2335—CPTIMIlliarrived, and we discussed my concerns about the
possible violations of the UCMJ and the fact that a statement had been taken
bV-5-A-k--5—from SPC (Suspect) during the 4th FSB initial-inquiry without a rights
advisement. CPT opined
PC
Cibic
I requeste
assistance from CP in getting control of the victim's body in order

for me to conduct an examination of it before burial. 13 Sep 03 0500—Examined detention facility (night time) with LT gmSPC um" SPC
11111111and PFCallair
Li 64
0545—Returned to FOB lronhorse for refit. 1000—Examined detention facility (day time) and interviewed two detainees, ckl.
1300Contiri
—
1600—Completed all interviews.
1630---Returned to FOB lronhorse and conducted research.
2030—Research complete, commence report writing.

14 Sep 03
0100—Refit.
0700—Continued writing narrative
1330=-Narrative complete; organizing products and proofing.
1800—Report complete and submitted to 4ID SJA.

q6 7

AUTHORITY:
PRINCIPAL PURPOSE:
ROUTINE USES: DISCLOSURE:
1. LOCATION
'
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSO PS
PRIVACY ACT STATEMENT Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 ISSN). To provioe commanders and law enforcementofficials with means oy which information may be accurately Your social security number is used as an additional/alternatemeans of identification to facilitate filing and retrieval. Disclosure of your social security number is voluntary. -
2. DATE MDD) 3. TIM 4. FILE NUMBER
—i", \•ht-c-k 5. ' - -Tc-,-,,.43 c-C4Z) c)4C.X1 VI pcS C ¦ L i..i E FIRST NAME M • a A ka :,,D0.3 0 . -3 . 032 2 7. ,G_RAtiDE/S6TAT_US
0111111111111/11/ (; — PC,
8. ORGANIZATION," • ..
0 C..1- WI—Cc? B t/TO

1, , WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH: -co i-;‘,L) r _5-r7e az,d
0 0 *Li Crir—e7 (r% 9 OF.1 ( ,_"sp cv3 -1--112-
7-' .34r­
af-r(ric d a ---- -±t, t) Pio, or, 5,50 i-A 77 /cf./ 7L- Aft
_ - - - P ( c Q i=or d of- ,( ,. LT)c-1J.4c---c, -1,-)S 74-ro c Ile d.1-6, c.0 Ay 46r;_ore dr)
1-1-c 17) re5 For i-ti c 6 tanrrci( fopela_Nzki prisaf,45--._f., --/L L-,,c. je f-A (,-,,j 1-1 'So ( i -{4.rc-ILI 1614 tjcrc _ziy •OC• I'll eri -try --fe 'ef6A
• ft s'10.7'. y-ti cfil -fl-1 6 r/rr-:---pi 1 1..tia_. cl ofi -1 s-t-( 1 -t-- MI
.,-fli c 71-_,L,), rr.-(104.cri- i s (-1 et ( letf"-" 4.1.1-c r--c 1,1 ,5--(--/-dc't eJ ----I o CA C.' C
1-11-C:4 )•(I( 2 5 ("ffit :.cia,.1,7 , f d f)ef :5{4nd 6171-,)(P7dof
t al 4 d no+ ..-prr,c,.4 IA c .z,titc-c or -1-1-ci t-04-1(J -
1 lo is_p (-)-
• okg'03 Prt..5d4 ri , 64
___1(4k.r - .- c d -.00 -(-
4 / t,/c. ..c.fiti--1-CJ 6 (.) -c r-/ t-2-
(-.),A-S +116 F‘rs7'--J 5 414 r- 7-
+4, _ij-,,., 0, 0 f: f( .icp 2 o al -(4 c
7

t/'} talt1'.--
3-i. ?I"-1
i/170 074/4y t-JHA t4c norriAl raiillfil ."7t4 c
-
-
Pr71"c17,34e5pr: ilo tl,‹ la fr(ele._ Ay7j t_LIAXL, ty or , dor", -1-1-- r rr) tIrc -IT' tric op 4/ -11-11(.., (,-, Gtd cei -1— —Kt C _s- 4 (Jr= i-(J4..f .3--/-700 714
.?V-c-cp-/- F of- l_ii
. . 6 ‹.6,-/- /0/1,X CP 4 I'l C 1-1-0 a 10 1 I 4 rc-Par(-"4..f-
/ 4 r

. PfVoneci Lj-cr-c c- 1-1.7i •.:(4.5 P/ cr 605 4c/r fiv4(-- 3N7
10. EXHIBIT F PERSON MAKING STATEMENT
PAGE 1 OF 7 PAGES

ADDITIONAL F'AGES MUST CONTAIN THE HEADING 'STATEMENT TAKEN AT .DATED
THE BOTTOM OF EACH ADDITIONALPAGE 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
'-71(e,
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
Mg NM STATEMENTOP IIINNMIIIk_ TAKEN AT Y-c-kc k-k5c' DATED _=.1G.S13______:
9 STATEMENT (Continued)
ck-t-c t-4 4-71-4cr A Ic e.7 re?. ( _
fr\ 7/0 /605,
a(So pr-rsoo r -f-1-1 1(--.,(2) 6.0i" ,v45.e5c/71.j r),0-14-1-7-cez(
41f-5 6° FP; 04.64 111c 4[4,6.priy„,/,. Lii/7/4
Fl -7L-• r,t) ki quiet/ dill ( 6--bCe-
Or ultcn -5-(Ar +cd ik -/oe..u6Kr6:5 JP
b-1c-
j 0 r) o`f. I.J of 01, cf--76-f-c
4J,,/. ssrc fairamme

31 re/ 6/7C `C Fr. G A 71-- C OW-0irn arodo f
ifp C 111.8101111111
a act
er) Firlect c(7..
1-4c 4o0r4)41/ 30,--ic.414a7L -dr° d'2cd 61A ( -7--1z° (
c A 4 (//,/,/ ,,:5(

167 5 doui T 5/0ed Lc.cf:-- riot-le/1 Oetc f
c r1-716.e:‘c--/--71/( -5-Pc
a4-,G

-0 -0,-r ,40,/d..c_z,/ 4)44 q-
)19eericci Fo (/
41-1‹
c 7t-tr)-( 41 ,;(7 eto(c-74.0Q /1-6 _fc f p4c/c4erfc
c CL-5 'f4 (L-11011111Vjg;
(K , n, et, 6 1.1111111116 c 7L re, 7 (

7`{--,c f erff ex-,,p/2((,27. Fie/I ,t(7,1 5(
Proclr . 141 c (rt-ii/cd .51,0f-/-67 cc() 7Loo
Pri saner

arc 41-ic Fac/j /,0P[410P7
4 6-(ticifiL trcf(cA--,117ec-
Ilt-c Frifor,efIl l ( t714rc r?ot elc 6 c //7 INITIALS OF PERSON MAKING STATEMENT PAGE OF -2 PAGES
USAPA V1.00
PAGE 2, DA FORM 2823, DEC 1998
--tnecolo vztrid ,104.--z io-k- 2_ 6V(
DOD-044928
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF TAKEN AT Fth c-kC DATED 2CC:3 Oct 1 -5
9. STATEMENT (Conrinued)
ffL.14,j-
Fdr-.
11-7a5c-1-6047j,
rit-.7r.5-c/F fc(i—
F67- e,e-7.
an 8

fri.prif„„ior
;:-/-76-46/( ecc-,,ofc ,t4cy
Seumc 4)4y no7E . 4)-cf-t-
-71-46
'It-) odd op
crf.carfic. Spa-.(°Li
po.LI docr paucy-

rr(i'r7 cd. "1"-d_jc-60 61/1
rn A-5-
/1-

r."-.) -e--0
0 :
NMI

bccc7L
(-)e_ .6e
(Q1-D ic14 `/°
S A-2) c_.) -7L)
K1 1.L -4"-
471/4
()--iired,907
A; No, 1/-vc dusiL li.ur/yc,1 d 1-4-15ecl /
/1-1, ',i.e.-
6 eces-2-.d e
:
62 ?
7-7
5 5 if,
d _Sec 714c- "Dc7z6z(icc
1-1 A-j 1)6;4 cAsc c.,700_)-4.t4c
e qUe.1-•74/6-7
/1 0 -1-),5'ci.Jc!"
ILLIc 1,11)1)c,icd 1
•
e-e_
e---I cA___ -e-
0 ,•
0- c-
7-2-Ye21/2-
/ C-/G! Gifs
c,"r",--`-e" .7(
y
A-OTY-li 7.7
;-.° 0 /-e 7/9;
cc.-/-e5
O•.luaY-
o

s-e-
4;77,, 4,v pr(ar-7L" Ls) 1.-)e ff--/-5/1 cic-1 I I
±(^ c :6er/t7.(774 71' Li.) AJ 7L6, c r)

-
1-
INITIALS OF PERSON MAKING STATEMEN PAGE 3 OF —7 PAGES
USAPA V1 .00
PAGE 2, DA FORM 2823, DEC 1'998
u+e) 66-2_
-6vc-vt-a 6,17o
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEF_DED, PLEASE.PROCEED TO HI's:AL PAC3,E OF THIS FORM.
1111111.
ATEMEN DF IffirilrallErt____ TAKEN A.T FOe) 40(":5e DATED
---:-
'
- .--1 -1---(„J cf /-..., 7, pi)--c occ,' -71(--, t„)th,--e or 7L4 q 61)4' j. 7L-71 d -5"2 7 7= 7, 6/.7
. , L_ To r /(Ji,.)e.i 10 L-
CI ff (Ai C .1-a--/ 1/12 -I- 6) eSc-tic .5. a ci e 14,1 cr 714 -c_ i - - 4
17--)0 _c).(i lArc dc-7L4_14ee_i ' (-(-)-- 4,-licre 71-6 /•cl 7/6 -/- 717-lc / Lt-jci-z-' (.'_( 7 F. z cc
(-/) a I-4_6( 6 --lit a -f- -71 1-1 cy 1J. c- /- c -71-0 ;14 - . a A) 6,-77
-1LO 1
-4-?c 4 07 - trev - -

'11-1-(- (--) li 1 11'4-L-1 td-ex---c -- - .!) I - ) -7`-c-6; i /.77-ivz? / 6 a--71-c" 2,1 -71-4 ----­
(.1p / /-----7',0/,-/ -71-0
0,7 I y \IL d __C-71/7 ci-
7 4 c-y 1.-0_el-y 71-Lt CY 4-1--/J6) /el 6
-//-1 -C L--) trc
"-----71-6' c V 1-1Jef-f 1. a arrii-s-71 IL-7---art a-I- /-4 c Pr' f°-7 -\-I f--6
1,,
5( - oil- -it, ,c}if--/eFt- .6),)-fuie, &y
' —
,d7-12---74. '''' -e- -95 /1-`4--(
y 0 E,t_, ‘E--0 7. _e_ i -, —i/l---& . (Ac_ t - e.,
2,-,,2-,---,2__ /29---,--,-2-2_,'74(_,24)
--777
._,z_ / 0 -1_ -e- ---7--/_,,4L
/9_.. a--/\_--7---0 ( i h y
-7,--z_74-e--/_J?,
-
-7-0 _S--/-E-2.1-1--7 . ,-----e-e" --,
A ; Voila .(2_,2_0,-- -0---74 6---7°

,-,,.,_‘2.,,,,,
‘-z__
-7-0 SA-eo
62-, 60 7-0 c--.-i 72?7, 1 --() - 9
5
...(_.),-,-.e..,,
-,---..._e___
,,, 0 ,_,,,,,e
------ei
d
c_,D5_5
; /42 -111111, a-74
7-7-0
o:
t " /e-ao_/s 0 -7t°
e_
to_55 t
h-fvoar 6,L)
; 6x. i•
de;-1
5
c_93
Gt. /
5 /L,e, -7r
ICJ
b.„
-74 4_,-7(// 7LA (17; //, .-/.4? VC74111.
6g---(c-F6-72 71441- we Zia d /7,' 71-
0: C.,G-) -
/-71--5. A-0 5.) 1 . -rric--)
119 HI (A) a., a i( in.e. 1,4.I I C/7 ?Z". ‘,1 /,(c7LCI-it4c :(4G/d G 7-421
iNiMALS OP PER' ON MAKiNG STATFivIENT PA.GE- Li OF -7 pArzEs P.-46.t}A FOr?ivi 2P23, DFC 1:t98 oct
cLycy.}-,, luo\-04#1 it),(e c.
[£617170-00C1
7-- (14) r-P911194)0k.
86,61 030 "L'EJ.:" GVL-10-i VC.7 "Z: -7=7)17(-
,20 5 FJevd ;
11111113K3IViS DNiNVV4 NOSE--! Si 7i eV 5' /1
Mit : •
?-C 1-2.) ft-7
YY,
72...;/ 17,1.
)_)--rr%
1.4d
si 71-2q-.17' S-
. )-7 (2
-`7 1'1 PL/rae29 5)/Li
allt
/5-())9N -pt's""2"-e- -11
1
melt _f- :-
--70-.--
, + , e-y-s----,---„,_2_, ? a---aR,/ ±
-D j___„L, c v CY") ',(-
_,,z ---), ,------,--„c-9?., -, )! z7z--------9._-7--4,---,,::,-,,, -2-0-2-,7
b e2 vir 0 --1-2 '-2,7(' _),../. _ , c 1 ;7-1. )1-1JY ,i o FL,-.;,_ ki_k
11111V. i? -1 --------D-.0/ ,4------,--4 v ,.) c'Th-r) ',6) maw 2_J2-4 cis- r)-; 1 )4 'zo --/ (29 --vi / )1 v,)j) ;-1t/
-72-1-F-) p ' 'r 7_1 ( ? )). i L'r) 7 "21 .-)- " )7'7 2 -L:7 ''''7 r? ZI:" t-=Lion
0)1 MOW
(1)Gr c, ,,--,,o ? 0-0i-I 01111fra ' V 1
4
0-7 c,-.2/... 1
s„-a-2--./-7.7 -----V ,/,/ Cr) -D7/-' ,1 S. 5 O' _.-, -Z e ---2 A/ --'-e"r)-C,
-, - -e - 0---er -y-)-0 A ---- ,--)--0_ ±1 . 0
' ---N---,'"---__47 7.-----
-7c1-5_.
.
.......S (9 1

-.-1 / - 6 / -- -r)7 (4/5 2,
.„_ 1,),‘"pr)-7 pz/--2 c'41- ;17 ::7___),-:29 4:2 D/ )),/ .1 /17r 7)19
2,1 !' -PM R7G/_42(17 40 9 pno/ P )1 %)o
i-y-27? 5 27 S C pb3-N7 (C1-)
mg -27/75../\1 07(7-7
c)- (-2
/1-y? 41,9. ztis?
1.2
-a- c
17-27 )
.7L .P'"? ),,j9 Th-,"--/ A -2/"---29

N/cf
mi.
c_1- 1.-M--C- C_:7L.1C JC5d;j ,-!V NG:N. I
AIM
-1A10-2 SiHi 2F)VciltrNid 01 Ci3300::3SVErld'C3C_IE3N-ION Si .20Vd d! 1_190.1,'3N 2Sil
USE- THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE DF THIS FORM.
=,'EMEN CF TAKEN .AT DATED_.:2C2a3C`(
ST.TEMENT (6 (,(t
'2' . /0'2- , 71­7' ?
0 r,f, CV)­ c.,z (---)
(F--7`-x "_(_5- 71- FrarvL-icAtc a,7 -/- c e .5.0 71-a-6 ,u-{-Fair 30z);:r.)- c
—
c;.,47,12 s t‘
4: 11),)-/0-j2 ([4, A 67'N- -7/
A; y /do :MIN -L- F "S7CfKT f1EP si.

--z-

:N4:7.-:A.I S. ::::7-PERSON MAKING STA.T7M1-..--NIT
1111111 7
PA.GE 6 0 F PAGES
P4 GE 2, DA ;70PA42323, DEC 7f.--,'98
6 4i3

STATEMENT OF IIIIIIIIPIIIIIIIPIIF FOR Vc.c Y, Hoc-x-DATED ",2(X)-SOcr 1
TAKEN AT
9. STATEMENT (Continued)
r-
AFFIDAVIT
•
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS 0 PAGE 1, AND PAGE FULLY UNDERSTANDTHE CONTENTS OF THE ENTIRE STATEMENTMADE BY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECT1ONSAND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE THIS STATEMENTFREELY WITHOUT HOPE OF BENEFIT-OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR U UCEMENT.
ure of Person Making Statement)
W(TNESSES: Subscribed and sworn to before me, a person authorized by law to •
administer oaths, this \ day of Vx-C 7(Y)
.
•
55 / u5A
ORGANIZATIONOR ADDRESS
(Typed A6rne of Person Al mustering Oath)
/17n-le. g)/
, ORGANIZATIONOR ADDRESS (Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEME
PAGE 7 OF PAGES
PAGE 3, DA FORM 2823, DEC 1998 USAPA V1.00
(i0)(0-z-

+0 Li 1-1`)0„, LLO
a?)

(b)(6) 2_–

I
\CL1- L-I V1R

—cbA)/-1
L-u ,961-c 3 E NI-2(re cio fx I Gruel
OU.-1-s)* Cn CLU1\10T.
CL-S Lup-L--
\feS . f,
)1 KI-'eCCr TU. Or CA) Ltl/t
VL.j-C\CL
CkSb-Lk_C__17 'COS r),p
U,a-K 6 j t 61-)'
1-"Ane-3 vY\E
)-s`c,-5 c L,LnLad ‘0H01-1-Qtyl u,C 13.n. escb_re
JOLot_ Oc\-,t-fqer¦ -0Sc
gokj \ a\ Vler- frsoneirs eirL: +--O esCoee? , No •
(‘'M
ou_ Yv\an 1111.1-6c-\aa-Pff-r) e cc-a- •\o'r,-k-v-e_,r 0c).c\
\QI-eyn ayNcl `Lk Leavd-E-8. qo+
CL_N--,11\-`e SVP'14'2-A T-a-L\(\c-) at_v\A c_ks-ed _A44, cl,c6
ect_ -).
CiLtars6. k)no u-,rur ic-614ier- ,Sczi CL j OR(.1.`1\
VThe skc,4-,\?,
-
ucc"\ouo_ 0.(\ j6,,,CrIG CCILkACs( utrJErs--1/21-1-0C( cA)a--S' 66(0-C^0\c---c..kV rn-e '.uaat
\4-• WO,,S
scaser. h_GvAns1-zt-1-- otkr- brofk e
e .1;.1H-rn
rcv-rre. Vte 5Lbed -(9:26?,)
\za5 oiA-Scub. bafher?
V)-e,e(r) s

occar-,1--f3e.0 61,P-t-fs •ti3C\-- \C•L-c, ¦ e ,
/c,.)
cull, uer--9 L,ta_r-C-3 Cc3IAM e
CDL,L1 s,ze,

L/1,5
'\j` CA-V\C2-r-'VV-CUlt OIC& oLkka.c, c.f\. eL0c1L--Cuv-bcdP\;_r \-a 6e.
, .j — 02_ 9 cbC2F)r u jr\cL__:4 Ai-- (-cc! V\cts a_ sv.O. aki-8 j\rixS )-\tz;Lkr oco \:).1--ern5
nrv-",14_ dkk cayy¦ e.
2_ LzYv)e_s s-aoevl

Lt)rveA cb-:;01--yy\_e_ c-Ac_Rov\ 1-4,106-s ¦\,-\ _
c_.J\Q\Q:ir'S 7
AA.2_

r\ Ct_ca 4ei
Sjr-0_15./ve,t
A--A(f,(14
(p-1 rtsi-1 cit_s_y) ar• )
--s

A,v-\ Qq‘
c4ek 7
r aDt--j casryve_ UDCZS % 4L_Q C_CLTZ Cu-J; -QX1-i c\,,,,a Nk_ ne. 4-VvDt_A---7 Low.a.(\04-1°(\e-LtDS
)\--;c-k-`/11 *k\-Q-CIP01 \61-q)/\cl OLLOck-s- .Mrte (A)1461-e-
-,s-c\_,AAA1 7
\k)c
tiffr
7)/(f

SGT
(0a e) 2

SWORN STATEMENT
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 (SSN). may be accurately
AUTHORITY:
enforcement officials with means by which information of identificationto facilitate filing and retrieval.
PRINCIPAL PURPOSE: To provide commanciers and 12.V:
Your social security number is used as an additional/alternatemeans
ROUTINE USES:
DISCLOSURE: Disclosure of your social security number is voluntar
FILE NUMBER
3.4411W .
2. DATE (YYY1. LOCATION
-7//0- /1— :..7--iail Q_ ,36C3 09 13 D Y 0 __Q IA D E /,STA_T U S
6. SSN Z — / /3 PC_
5. LAST NAME, FIRST NAME, MIDDLE NA 4 7 .
8. ORGANIZATIONOR ADDRESS
.
/,) Co -2-9''' 1-L-6/. iRc -r-
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
ppz, ti.)b my s E.LF i.E12,())2--.1--E" ) 70 CiUk(0..
ONJ -\\ 551g53 )
AT I gap --I,Ouk 12S . (\aDuo3 0 -7. 0 0 \.\°,1'('--5 ) ki•\, \-\ Ai f5L-EN V IS I TE Di_ke3-\/ still

E*1)(2,ESS Eb 3¦AR Ca N c_'-ci_N) -vo v.\ \ yy\ RI-ixDkx\-
cSi-", \tit
pg.oEssiONJ-NR4a+1-1cAi
kbbr--Millitt --0-1E -4FS 13 G ImZ-bS. -11-Al- i l-"E\f 1_ P\ c_K El
CA
"CH AT ) 5 NEEDE-D t_D 12_ .b ce\ LI NS GI \,."--it_\ .Fp\i,iS .

I__ Pc-E R. -1-\-kPcc W C--i RI- ) IA Ri3k-k n -\Q.(IfLS ? -(_. Ma -TN) 6 NN-
CE2__C \E. RE C-r-NYWC-i-We OW2 ROUTINE CIAECK 0 -\'14 EPI4S-
\-0'kEi \1-E 1-,(ENLJ) Lia4 F-)At FRcDrY\ ou-SID-E. \,.1•E il-loutc-1-1-1-
-IkAA;1- 1-\f3Ns -1-t-IE LWS13 (gt),P\65 -(F\N)6(N)C-i 00 oug, Dooli \c-nR

•vIcK \-kfv\1N_E r.)10') -1-14E 0--04E(2_ Ck_4P\12, S4P_-V-1(__11_ TSi (--K ,
0\11--\( gELAUS ON).11-) SETT-03, ikkE e-No i-SS --_ I. UeN12\bS 1_-f-
-

--imodz. PoST -10 Cori've a.)Eft TO 3U,123 ANY1) SiNtlE-1) 1-&-.-\N) ) NC-_CA)
'Me-EPV-P 5. CELL P0012-5 ,V1-14EiNel uP -146 E-1)\-TS. IT--.,tEK\--1-aTrsit)-
-0.sEe \-.1BA-r \rAekS (\f\)C-71 (DI\j . .PFC- IMO . FeMPI k f\-)e 1 /\/ THE

(ELL gLoc_,-A f\--r His POST, NO)AEM -1_ .\c,p)s C_O 1 N.)(_-_,-( --y-() -11--kE csii4L0
,41\\\-. \-)68)----C---K,-\ -C\-\KY- -ME -5,10 1-k5.5 eWio'R_S \-rks) -VIAE11Z._.

-1/Y) 1 (c; 5 ("1- --C ke -2,Ett\-i A kib yo\Nr\--EID baNfAN —14E AA-mi \..,
, cp\H-,
ks -1-_ \A-E.,Nti \AP i-v\E s--\--NizEs .:1-, .-N.€-,,,, yyN-w\G\-. -1. -THEN

f )0K-E-1) Ii.. -Vvk 1-1-ALL\Ati 5E-E \-1\-kPN--r-\-\HPE-Ne pak) Sf1/4\1 1_,p,Not\icq ot\1 ---1-\-\ -7--La,R_
)\(-)ril-k­
\:.\s IAP\t\\ ¦ • -7.1 PPE1) CU El) . P\ N 0 -Ea_ \--\ \ 5 t")F_,.: .. \_AE u Ns LETT- \ ;\16.,1
IN\ -. k-\1K--ONI Ek\-\-P\I-E-1 EI-J--/ 5-r2-6-A11/\ • -Y--f\-}\\2-. ---c -n-e 1--kS 6
GuNos p)i\)-?61,z1) \1\-w \-\{\pvENE SK.minismi E pLIG

Val-4 /1--\E S'''0,3). U.Q e,a Wf\S 1.0;-r- --co THE \.1\TZE: --i-L'60K E 1)
ovEr_ VI 1 RE IN• TUT rn`-j mq y,-t-NcK [0---(0 \-CS \-\01__Ds-e-R,

10. EXHIBIT 11. INITIALS OF AKING STATEMENT
PAGE 1 OF -5. 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 F'AGE NUMBER
MUST BE 3E INDICATED.

USAPA V1.00
DA FORM 2823, JUL 72, IS OBSOLETE
DA FORM 2823, DEC 1998
Acapi-v,cri—tAf (6)4) z-- (-M
DOD-044936
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
/MC-) DATED 3-6^ a3 0? /3
STATEMENT OF TAKEN AT
9. STATEMENT (Conrinued)
LI-, \e-6 .‘\) —11-kb \ C I--L 6z7 .
c_1„5 vz,Wn p\\\g) -5Pc. EN)--
oFFIcE -re LET 1-1. spc,
\,1).\Pot\\ ).c\N) --roL1) 1-\\N\ c-:1 Sk--r TicAt 9c
v\ka-E1) BRalb „17-mo\JINC5( -0-\E ljR_E
¦-tou\J\YD. -3,- \4i\S pu-c--T-u\i&I _01\J

A Y-DEn LP-- )--D0Y--, t-T- THE"
p\sKE-1) .SKOININ -re 11-3E z_.1 P -CUFFS . ExPoSE vou\t\ib,
PA0L-e-E1)E TO RP "r(mE i-U\LLE1-7 HOLE -Mr2.\,3 .oi-ZmY)1) R1C-MT \Rnr1, -T'\-192E JUST LE_E-1- Rzuri\ cm\11-61/2_,
\3uwb, 0-THEft_ 1-Aow\)b )-\\\\ 4F-L01,:\ -0-1E R1'E, 1-4eRe ALSO \Af\S 751__0(5\ -12DYY-1
voudvb. -1¦ 1Y1E-(Asp Fon_ ,L11P-c)
-Tuaes-THE RALSE \-ih5 ffmN)--) 1N\o -REPwsE axi2
.\11\CES NA) Nio TREsPoNfsE'ooro Ws EVES. 'vg. -0-foued-rr

v&\(\iDs)-{-RE0=7:
\JkS a-e)(1-1" ..1w¦t\D. v\-\EN CA-IecK AISEINJe--,7 YKS -*Ipt 13\-( --rvk6 (At LEA) -TOE- rva--DiCS ;(\\ ( 1/0Lb -Crzt -\--\AE\a_ /'%5KED,, IVI)" 77-2,1111111/1111 MAN 1AE, \-1\ri\ (N\lb SrY)E N\60-Erz--1,' \AE S1000 UP (.t•I \Ae.c5 -n-1E \11 -(1-4-e-N 1-kEPT, S\-1 v\E -PZUM\ssiocA -\\\n') u,19. \,\E 11--louak-1 \AN\E-\-11-1 -NE So )4E--1-11n1 6\f'n__ )_ -rHC gLoc?) cont)Eiel 00,17 c) 1-1E Luvx-A-p-oLLE .\A ¦ \-\f---mE \-10\4) 7;01)1 5-if\R-v-E 3LEE_,D, SD VIE N)pu-E'D Nats --ro 1--r)ND KEPT P ESSuaT- oN 17r. 4\---1-nicrr 5-EE p-s,(\)\-1 ¦3\,\trze,
ze-rieit
-n-tE pst\b SP1 ri D_D), 'Iptwr--, so v)e --vD) f,b -Tr) Di2Ess) -)e--/ of\) Nr-VAA(vb. srtfint4
r(\e_b)cs UP. -n-lE\I Lwz, pcc‘ P\ PW - St'°\ THE\) \141) P\1\) C-N1-Eb k5ru \\AE.
RELPF-i)
0\17 p,N)
NY\F,P\LANCE,
SPE--\N)-rhE3p)c\-z-,
(Y)-ED
OF PERSON MAKING STATEMENT
PAGE '9 OF PAGES
U SAPA V1 .00
PAGE 2, DA FORM 2823, DEC 1998
j2)k 0-)11,0
018
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT 0 F TAKEN AT 77/4-2-1-ri bica DATED '::3°36)/3
9. STATEMENT (Continued)
uj) 1-He s-iAirzs
hi\-5•bic
siy)aKEIN6-1 •\_31-n-k EARDNI
To eyEe svc.
--n-\Ern --McN \(AE-141---
PAN-i G•a_01)E5 )112\i2E1A '6LocK.
1730 csMTL CE)
rA\i\
\ANWEN el), (,71Z._
Lvi-cLE N3DA-C
pf-c, -
--i\-JK-c LT. WE1Z-­
3\JER__
SR1-e-jpj-koo \-WiL5)\75-__ V,\P,
MPS cAZ_IN3C-PG
c-o-T
1- \APIS aDliV-6,? 1-6 cA•ME-' • N\\''0.
.ePas
\-\\M
?,\LS0 \A-\0?-
STC.
r,11`\g .
LEK \ -­
0\EN 1; n10 Ne\ ,
13\--\ -VVVE S--"E PS

rif 1\i(-57
19GS
PF=c11111110470 sikr
A-4 /2..yo Polo afariMINFL,8-e t you
a , to
to As Fig-ED 7.
T,)1),E,i1414

1?) \M.1)\
1-k 0 "C. E
E
S kl) E
\JP, S
19' ce&•4
CP& /9-zi_oc,Jej 6.7NNA
1¦, /6 yco 4 66-r /E/I-E6 -7Priqr 7-ile Lt7-*
f9(, .

KO \ANS THEn_E­
t\J f¦
Pawn\ ssi of.)
2-ow (4 S-ria&s5t5 re/liar-0c- .8.6-c4i1S 11104770/J5 TiThr
61, )E-12-e- 701C I)-iV'( Ai/G/1i •
(), tv6 8 iirY
ci c ow\ s Trin.icc 5 sc.) p...ac D6rVi-\-)cE \--\e+S
r Tr-(6 C60--CRDLD Pc(2rA NUti. -16-TTEb Lii-ne
UtimAS i-15 1 Cit-Fr ANI.b Ci
i)EN5-QA) F3E Ese-T THIm" -LIKE H \\NP\S
14s oven_ -,14tS per-NU_ 'Ilk"\ES
S1TLeS5Gr) r5E-CNASE: \.)4-5-ANixtotA5 \-)EflPow 1-kvs ‘NpFEW -To (DIVE 141 nr-\ A\
))6
14 A 5 -f-t-iEtn ¦Ao PEi 1,1 E-7 -THPir
1-kA PPE.
n'AETI
SIA6-1-

E-3-PEC-111r4C-1
12E6SDNI
ibo AbYrrwt-)6 --rt-te 66-741/0tEs gia--TED 716-
SIA-)`? NRcCsi CoivIrAtA)-/--s
vE71-`1 toG • t"x‘26
E 6
as-11-174 (----TY) e,h-r5
-ro HOT?, 1.mic_E-rr
4"CA)--r. be-TF\NE,

Ps uvl-svwe_.' -TVOiqq-bS
OF CONC57-11V4
s‘rialqiutJ
NicE-Aut
bi11-s 16-(5•Q8-1 p.141t-v.¦
P+4,,S2-1,VC-b

T-r J,1=‘'S
-7111
A--r -774 7-4di.
6---7-41- itoc-6
Woos.) LoAx,, /148 7-4 cifl5e- ,86-c
(o PN S ,-4., V,.31.:516-tE, r,f33‘1-1'
4
a, 1112 t 6-0,40ts ivE-tk-) AN1-' LkiErr'rEki /IUSTieJCT 8u7-76-s?
I • EZ '
Ic(n_s-r ‘thenz -RAExPL-f\INC-D
P\re&A vii\ U3 '14 S'61F-f
ttkR-017- nk rvikv-ff
\1E-Eys9E-CVLEC) \AS To to ,vAk_E
-\-)1AN-T -'Nest INITIALS OF PERSON4110[ STATEMENT PAGE 3 OF S PAGES
USAPA V1 .00
PAGE 2, DA FORM ., EC 1996
*ctie-a9 Ito4d Naf)
6L-riq
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED,PLEASE PROCEED TO FINAL PAGE OF THIS FORW
TAKEN AT / ( DATED oci )3 s---F-'-4
EN-071011111111111111111111111
_ .cnnrinued;
tfrIT E,,0503, eft) io 6o _ /71-UECPECI-.u5
lalf
FouE? Me oil-kerz_ tv\ews;s RESID-(frEAD
-scair \- - , "f okA cr1/41Q "r3
eoace is '--1-4.4E-v.,e,c-i- pz.\ -TWE.
1:)Fl\DL`f aus-c
\-11.-\\I Pd\J1) c)1\1-=':( CLA.A.B w=k1,1D)
4-
) 1_1 KG kASE oNE is IT- cus.2-0,44 44y 6 0,itts 44A A
Cd.- You plEi‘r-riokIG.t -7--di.4T-
IL'e? 4„, RiThc
6cmg_A Foie. oF
111-VE r4"-"LE Tc)
&nevi- NIT) Pol-E.
Gu(4i S\ke\CA'
A ci_tAIIS Pcf
091(0) Inn`l 51.\19-I
spc lAktY\
ijo4.K8-A vfrik
Aut
VOL) -;-1¦ P_C-r
0, /jou) we\S
p vwty\ 3/Zz.71/06
bk. 5: -}p\\I NievER uP vivr7L 77-le E--A----A) 10.6 ol--=.
p&-.-F-0,0)144/Lic
/16 EP \vs
catoNc-T-el6-
PeE-PfsE sp, b KiTyrub6 1-0.\-)Nrz-1).S
vw_616rz._ -,_},-;-\* AA. ,cke- \JKs
P 81.:--0P_E- I
e_ IlLy TO
LEt,
cgoopp
A
Pk_ioL-16
TeY MOUE --r4 (0/1-)CEATI1W4 kit&
71,(t
174G 6vt I A) oF 51-k-vri A-6?

,N/0 jb)(GY
rrk ,,s6
8eek) g¦ erc_o
1.1At sPc
Dwsi\T 1/42.1..n\-1 4 E&Tiq-1/1-)E6" iA)
To e-SCA-i6t7
Tlirt AA) A-rrelvi Pi-
Q, itiafr ou Gt) rt.) Ruts)
G util,r4) 3
I S Ot--vNTIO/\) 112E. Wit. 149.4::Ak NIG;
kxrY \ N

P-r KE
0, 140,..,)
R_,

5goo-rui)6
bewc Pi2toP_ -rde
R.G-AtA_e_sEcs., NR..„.L5
a_ LAAA-i
rTA trANTQ •Eval

ir
rn\kc,-t-k tsi •-1"
TI.Zr2E Art.€ b4LL.5" op_ RcNe-ri,cast-i_S i)01JE .))67,\INEE'S
Pgeii-17-91
IINANy P'iL ¦ SoN iQS/1--r/q1A)5 LA)Eke Cu-s.7-o 8Y 47--7VI pL_AcE
Sl-60-7-/r06
Wi-t-G-12.c" 7/16'
(10)(6),S
. A (30LAT

1-11S 1u7-16-5
141YZ--, a:..);FrE kE-51- PE-10
0, NE P C
5do
61t\) "rht .1 or if
p„s PiNa_ P,S 12,r,J011
P=RSON MA.KqqG STATPMENT PAGE OF PAGESINIT;AL'F
•,
c3,E. 2, DA ,----0,,E.3v12823, iir=C 7 =''Qa
I STATEMENT OFffilMill TAKEN AT 770(7; //2.11Q DATED gc90,3 C)?/3
9. STATEMENT (Continued)
)4-8 ) A-046 6 ?
G p_ivi 1,4 Ty A-12_.A--; 1,k).Pok,)
(19)(6),C"
Aly\r-SE.12_) ¦.11-ke-N VGAWN3
Ca. 8 ki.G-5 Art) '7' 4.e.-7-7 cop (7 fro Onu6,- 0/Z_ m)4-6

ALL'
L
n UT% &S AS )4- 6 0_6 .-44/- yco
1A)414-e Vit P5A1=CAIA ic CE
b00i25
tANwes sr f,rki._,4 7 c_f=“\1(.(t.‘j oN -THE-
THE-E P
r\c_Tiorl
At-lb 'rcvp;kesE-¦ ts)( LI K5 NE \04\t-t" 5orn&--c-H-Nel k.-v\pe".N k-k-E
if45-r

If • L) iiiiirn-rEie-7//7-1///
ique-1-lag)
00) (0
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHIC EGINS ON PAGE 1, AND ENDS ON PAGE _5-
. I FULLY UNDERSTANDTHE CONTENTS OF THE ENTIRE STATEMENTMADE
BY ME. THE STATEMENT'S TRUE. I HAVE INITIALED ALL CORRECTIONSAND HAVE INiTIALED THE BOTTOIVI 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 INFLUEN

WITNESSES: Subscribed and sworn to before me, a person authorized by law to
administer oaths, this ay of .ce-P`remAet , oc)

at 14.42/i
ORGANIZATIONOR ADDRESS
istering Oath)
V/Y1/4
(Typed Name of Person AdministeringOat J
I92? 7320 (1Cil4J
ORGANIZATIONOR ADDRESS
(Authority To Ao'minister Oaths)
INITIALS OF PERSON MAKING STATEM T PAGE OF S PAGES
Alli
¦¦¦¦¦••MINi
PAGE 3, DA FORM 2823, DEC 1998 USAPA V1 .00
6(13i
11/
SWORN STATEMENT
For use of this form, see AR 1 90-45; 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 (SSN).
To provide commanders and la ¦A, enforcement officials with means by which information mav be accurately

AUTHORITY:
PRINCIPAL PURPOSE: ROUTINE USES:
Your social security number is used as an additional/alternatemeans of identificationto facilitate filing and retrieval.
DISCLOSURE: Disclosure of your social security number is v lunta MDD) 3. TIM 4. FILE NUMBER
1 . LOCATION 2. DAT ' 7Vki,-- //240 ,D0,..so./ o c116)
7. GRADE/STATUS
NAME
611/111111110111 F--6 /55(__
E (."'-'-h fl Lli n

, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
z..-1-' Ul a LC -6-/Ai 47 ii..//714 36/40 .i,eA /•/& 463r k'dic(_--.7-2/6 1.7 --kh e_ 440/plc. , PH. lIre0- : h/Afn 0.,0//.a,-7-7e.Mo./ 71e7 n„ha/ Yvidi'6. 0--/-./-17..-"kil z,ar-poz-.-7d ib'eczw-c e a pc/sewer i/aci 7-7&,,z/
-t°.e-5ca,e.a/-2.476i (heri c5h0-/-1-1-7 24'r G'he,5-71-, r /1•27‘ "r7e1/a4rZ/j/
i-a n./-z7 f674 .7"Ac c'e=f4 ,9F ri-)y-.J,71-es ofri or? 1 5 6 c/e ci../lz e-

vc-.1`c-- /e .0.,-7 d6Ae .Aere-71i-72--./le).'cit'll'e 71-e tP/71 .T-, 11/.. 7q er-7 z-.,c2 744 ff-.2-'1-6./ co,---,-7,
OF-7.a.---71-i",0-19/ 2 4 - )&6, /4.
irc--7--.pc, r-Gr e a.e/17frai7(
1,1/ ,_S lb 0,9)0&61--- ° 71-7r - X a .,7( i or d i-o.4r;.,--./712 0, k a Z z?e,/ 74Ae
f .#11 62/1 U'Lf? I— /62 /4 e-e.-7,7 71)'-r-/-7 C C a7-id 64-Q .s, e.i'h./c,.M e-- ,--70/ r?
-r I.
°roe-,,.
-1--- ion--)-ped.oi-,.. PP Ille.71r-c,th--- ar9d.,,,,---,,,•e_al 6.')`,/ -/-0 11-ii. ,e.120, / / ..01-7 r)--) y /-F---1L-ci4tar-e pr,..‘,/-7s.,&,4,t/-)1..6.0-3-.,d2,7
-rhe ri l'-11,1---a torte 41/ 34 //-111,--19 '71 ML°/7--7 0 ,Ol.17,-24 K1-74V-e
‘7L-6/0 d a // utay 4.71A. 77 /1'/--, De-2,i.71-11-e-,O/d;e-5'
54 f'd . 9 ver- h e re...1"- -1,.(2 /.,,/ d 0 (--r--) /4 r i-70r7-.0z-ezt .4 ‘) /7 .-L.s-7'e.ei-i c/ .zoire.4.--).L.e2.71.-.5.--/de_..4, /17/1-e „e,.? d
on .=Hie- r ,- ql/-.
f) 7.

9 1--A e .Ad,/ i .a- .5- )476)/ / irso 0 ry?.e 70,-,,?/7 kas f2,--0-,/e /
up (If ai`-7( 6 '71- M t- • de2,--, /4 /6,/,,ef,.w4,6 Avar)--2 9 0
10. EXHIBIT 11. INITIALS OF P G STATEMENT
PAGE 1 OF LI PAGES

ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT TAKEN AT DATED
THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE IIVITIALS OF THE PERSON MAKING THE STATFMENT, AND PAGE NUMBER
MUST BE BE INDICATED.

DA FORM 2823, DEC 1998 DA FORM 2823, JUL 72, IS OBSOLETE USAPA V1.00
ae-e (6)(6) a_

USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
_
/ /.( 12-i I / fr(:)Ao DATED :0(:),:_)7 c9
TAKEN AT
STATEMENT OF
STATEMENT .(Conrinued)
fir eS5 .0-/doi-?-)6?/-2 , e /c-/ g 5 it-Seel
Az274-if'? 71/4 e-- 1)( 7-r-) 0.,5107' 6 4
61-12, r)r4n,9,--) had .beei/7
t,L)eelr.19v/s-e__ Te/-71 for pvh

hdal
oq 6:7
cvid no/2e. _27 '72-c,/d

/ C 1,41 7L-"
LeYoW
-/-o 407' five/4- /V .cl/',‘).61
ye.a //7`7,-.
r()e-/-e..
r-L c;47-1 ;-)7 6' 72 G ; 72-iaLa
,(17 d.r Y)--).rcf-a
it and 1/1 ; s d
a/id 9,7z_
71-e.
77A e . e./t2 heis-6547-)-Ae_ aznL,/a?-ice-,.Arafi,S {4c
-
GE/
e y ,5-74ar 7/
ba,if hiry3 s Ala L,c,
1(1 Leyk 1---drov.zY/cidy Le). fi) e 2/1-/S z_eiece u)-0-,3•+01(er? arld- 1201111111 4-204- (:9-2-2-7/r0/ -11-Ae oz. 1,205 4-2,09,1(8d._ ve c__On /0,,,.e / ,i9c6 stap.1,,) A;.;/-)51de -71-)e
/e_6141//r hac-Ir -11. e gh P91 e 5 :er 72-00 d_ /e_ z t-(A er-e. e 00 m 1,0 i 1-A e fril_fti7-yed "pis=o,-7
s4,9(:)() ba6k tz.21), 7]-4 e OM 49/6/ e d
l-cJi3
-TA ere
di'essrI '0K) At- 1.,200c'd A1-5 e (fiyer7c/ r--) 07C-c-P4e--. 4 orr),;c- 1/4), ba ,)623
ere 04 ri-De/-&' and pc) A e ov7S L9 71-A e de76 2 Ae y 71-0 i4elo
irk e-
ey -76 10,

INITIALS OF PERSON MAKING STATEMENT
PAGE OF PAGES
USAPA V1.00
PAGE 2, DA FORM 2823, DEC 1998
NM z_ 6,V153
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF TAKEN AT // kkir dm& DATED ./..7O03 G/3
9. STATEMENT (Continued) .
1)/C-77)-vi
/2/1 CUT 1300/(16
[A-M5 /
A. Ai ON E.1/ 4`i :f 5 6-/1/1
oA/- sili;oLe.,5//07-
Avt-4,644 4416 /6) 774 To/80
t&Pis bi./Jov 7-r-k-
iuocr gpo6 de/0 17)0U 79a ?
„J TIP? 1/4 /1-/L' I
-7-74E i -I fry) 60 80.
/VoT THirr
./1/ s/6-A)6 /vbiL-77ttr(-70-/t)i-

a 77IC -/-214/1 dig /Mt 6±-X1Orl7;116 his 1,)Aole body .b.eocise, i)rr d
bo_ . i.e. 6 ot. 1- 2) ,b(e0711-7,,,1 0,-7 I C,‘r-o.,/O71;977,10111 a 6A Atuvoit.1 copu6ocr A bet-Li/4-4 grtmtY 6---o9n9 1-/E / /W? /4 ...0.7.114(1--. k/upt,-0 0 /7,1111111
7716 f­
a. wi-747--.-7-7-76-mo06 t7,E- 6.74c4 ott 7-7vE 6:1)pm8 EP/66i-S er---/301-i e 71A e./64. ers it-I 6-r o 5 f) 0 /-1)6,
14.
(14 d or/. eLs -f-A621,-5

-77 e S. LIC/7 C a 5 5- e5-5/hc-fl'
edie-rt
og -rde 07-7./e-A D6-77-9.auccs?

1A-)1.1.5
0())t-.11-6 fl d cOricrir /led 55 ib) y
-Jic-7-044 (7—)L--26-

Yoc3
Ai 0 P e5.fiofise: 'id- even 0 6reo://) gat
/24/,),/
a -Tilt 61)446_66 )4/1 6/07-/o/t) 77-4(g tiic'r/0-7 )1447/i/ti6--/Ur vave,„'
°A)c-"--
0.177-biti --71/6 4,6-4 ,56-E
ci E'IOr
Q. LAJA-s
-
-
tr(e °Trice st6677-7E-
-
121..5 et- -I-1-7t rc_-cir(,L2412/1 01 cie I/ -
A• 0,04%-r? enciry
)101., givc )-7-26)6 den //0( ir,9,!--71---6V0of---,5 ¦ /7-7---",2cio----,0 dab
INITIALS OF PERSON MAKIN
PAGE OF PAGES

PAGE 2, DA FORM 2823, DEC 1998 USAPAV1.60

(WO '2—
6'.1 3
STATEMENT OF TAKEN AT / / ././C1h1Q DATED -•-!...)0.3 09/3
9. STATEMENT (Continued)
(10)( 6) 2-

AFFIDAVIT
, HAVE READ OR HAVE HAD READ TOME THIS.STATEMENT •
WHICH BE PAGE 17 . I FULLY UNDERSTANDTHE CONTENTS OF THE ENTIRE STATEMENT MADE
BY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONSAND HAVE INITIALED THE BOTTOM OF EACH PAGE .
CONTAININGTHE STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT O.R REWARD, WITHOUT
THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENC

(Signature o erson ing ment)
Subscribed and sworn to before me, a person authorized by law to
WITNESSES:
administer oaths, this /3 day of gPrE/nha , apo3 at
--Kur
erson Administering Oath )
ORGANIZATIONOR ADDRESS
A
6.(:)6)
(Typed Name of Person Administering Okh)
r /3/, 0).)6q) 1.)(ni,1
(Authority To Administer Oaths)
ORGANIZATIONOR ADDRESS
INITIALS OF PERSON MENT
PAGE OF PAGES
USAPA V1.00
PAGE 3, DA FORM 28 , DEC 1998
485

, Y ----•— , s ,_/ ,
,,,
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is 0 DCSOPS
PRIVACY ACT STATEMENT AUTHORITY: Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSN). PRINCIPAL PURPOSE:
To provide commanders and iaw enforcement officials with means by which information may be accurateiy ROUTINE USES: Your social security number is used as an additional/altern of identif "" = ciiitate filing and retrieval. DISCLOSURE: Disclosure of your social security number is voluntary
1. LOCATION 2. DATE (YYYYMMDD) 3. TIME 4. FILE NUMBER
. / *I' l'i -TV ).CC ai I WS -5
. R NAME, MIDD P AME 6. SSN 7. GRADE/STA US
0-e2--
8. ORGA
'C...c 4:7/44` PZ ,i'
.

I,
WANT TO MAKE THE FOLLOWING STATEMENTUNDER OATH:
int"-- Ike A-C, -(tft-tyk__ cP--tr3 ---0:S( SI-CM 3:1- UkcS .14)-0 '. ikt
44111) itia
14A -1C_,.t L---Irra &-tit/C--t-t+IY-T-- 74t\ FU.)i7z), _
L-E ( ,=t- 1 ,,\E-.­
L c_____z___!UL-ic s 1*--K3 L \--- ai,3(c...
'-E7E:"(.{-,z:5-7---- I 0 -7*-e€--c___4-(--Ec-c---76K---1---74----c-Lok _72_,.
1SE-&Lkv, F--,°191, G 00P--, C_14-t LS t c,
. 411Mb t.
L---I ,----.=-'----czc.G),0--[—.--T---(4_, • P------q-C'S-Ati`W A 2L---.1 \J Iv_ -4--c--- r*--Pee_(.,K , Ecl,, '-F-(=-Cik-SOAc_-r-7*--P--PW-A, 6-b, A1A-AKc.i--
14-&C 1\ LZ-t6 7----?-"Ir6- C___ vva_ V1A,-tc--S , C,Pi----
- .--Q ki / 10 ---OP:E: Illrologi L? S 7775\--(._ 1/ t-(A-e_
M k5 C- OC--r t• 0/1 1)--k (_-' - --" / LO/ v
s (_,/k (A_)-4,,----- ",e7 Cy-gzo el 44\i" ,14 0 Afrroe---1 0./N LA c_isd ,
_- -­
ict__L /ki z-o€C-E5 ---s--e)i--c_.(.s/-(e 1-c--13--e)c,E7g.. 0 ' lciPb---
744-S.QC-4‘A-1----T-L--(-.) C=) e- - i.z6 0- -.( 2 -CS --i._.at '&1
I it--ks A &\.6--E--cc__ igii,,, c___,I-ssA-t, - 7.et,--e4k.s-c z---e/----7_,E,,--s., ilcs
.Zoo ks Ls c_c51.\sk_.--c6 0.I 4° ,i. .E6t€4'r--CI°a4_ G 3 IS4-(0t--'.
(IC).'"-T-1--.VIA c L — .--.-1 L --'e-,QD.0,-0P--44_4___,*_,& A-40 c4LL L-ct) c)(c,„c.__,
-1---0-4,6 cr,_ (iL. 6 U ,0 L --1---c5 ---C_ L__, L_.-----F-c---c___-417.-s—c-- 4) A-C.---(7----
K-EZ-a (_,L_ ---r-t(,, C—L=24---/---,g(. -1-- • ec_ C e -E2) -774, J-AfDr2-41LAiCe--i----
k_k)c) Ai 6 er-t_f ( zr(E--iii7-65-----r----/c) _---0 21_0 ,rti. //e_,e,,, (Tic----
--ot)-e-c c A),IA6C-//16- 79-_,-2 ,----,g-c.-7--.C77/t.1---77(-e---
.-7-7-cD,67---c-r
Z,C---- 742W1__ - //4::22frl&-72-A(0-e-K(Y-7d0cJA-L'k 'A(.,--:).
10. EXHIBIT
1 11. INITIAL ,ING STATEMENT 1 PAGE 1 OF I/ 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 IVUMBER MUST BE BE INDICATED.
-. . - _._ _ _
DA FORM 2823, JUL 72, IS OBSOLETE USAP A V1 .00
otp (W(61 z-- //870
DOD-044945
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF TAKEN AT Ti fQ.; DATED 2-603 G`7 /3
9. STATEMENT IConrinuecu
741-C-Tra---7 .
/6 e.
hzCI-S 0 -C t/(e,
cjqs-0,itz), 5 ?/k),-,72 W5 7-2c-(,(1 -2L7-4;di Ld(c_4----0„f./ "14.kid G_ 12c.tgafcs 7--z3-77-1-epd s-ro
-
-
Mi5?
e— .(7'7° Q.7-7.5(4/5-(7,c)c-d.Ai-e?
s e0-3 ozz77ez, 4 ',/'7-6---(q-0-E-=--
-
%LAI, --77/. ( „. •."97-7 I
74-cfyq-c .bc.,q_g_M,

rniq
L-A-211,
(5-4-. y.C-( • • C.C'^-.CP-7.CA--,6 s cy-44-o y ce,•-• , \-7/ Aro WO
r- 1`
k 0
7q-: -2=7 ,.6-7A_tio--7--s.,-7F4A-7— .
a--,9714//Af - (14ff.r-s-
*T-D.2
"7"--s1 c e
4-2 Aio 7=-itfoi los : cl2. cLz) tc_k_;
/./,‘ 5, '745 V. 71:y'
-7-1011
INITIALS tlIfF PERSON MAKING STATEMENT PAGE OF 6:-PAGES
PAGE 2, DA FORM 2823, DEC 1998 UtAPA V1.00
(6)(6) 6q87
DOD-044946

USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
TAKEN AT DATED .:,'-cC37 / 7-)
STATEMENT OF
9. STATEMENT (Continued)
(4)1 y A .cr 47-.
•.e-
c 5 -2
/VO
c-ez-,-e 5 42.

(52
a-4-7/ cs"
ff2 a_11
dr: A1'11011 \) ir
5
S
A(1) -J -e-7o-
"-e7
6Z)

.` -e--./ Cz.--1.?
/7//-01(. (7741-6 igef&aeo Alt
(AF6g/14.{ .C wtv

u_47-1 Aio od6046,
elfsu4-t-T-.7;17/7Z Al
A -41: Al6 -7Z/214-60 77--)
G08)ze-T6o
&442,Suel-r-./71,4t-4•1g 5 Suo4AM 7-0&(176--Oid 4,0
Ga-:.
-70/17-1— .
;42Af--;---d„9,/ 4,c (-7--*tda-,L----,/q-o.-5 7- 74
t/1 A 1 L7C6C/ri
,z(-6-iY(A(‘ 21-14
e-55'( .K-7 Af6 gurd,
/#4=r) 6/6 C -e .
INITIALS OF PERSON MAKING STATEMENT
PAGES USAPA V1.00
PAGE 2, DA FORM 2823, DEC 7998
2/(cgl(A hkae9 (Woo, 6)480
STATEMENTOF
9. STATEMENT (Continued)
FFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHIC
LY UNDERSTANDTHE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT IS TRUE. I HAVE INITIA E ALL CORRECT1ONSAND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAININGTHE STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT,AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDU
(Signature of Person Making Statement)
WITNESSES: Subscribed and swern to before me, a person authorized by law to administer o thSi this i:3 day of &. eh4er at r
ORGANIZATIONOR ADDRESS
(Signature of Person Administering Oath)
(Type am- e of Perst; Admin. istering Oath)
(4(1-134, (b)( 4) 1—t (7,1-v-1
ORGANIZATIONOR ADDRESS
(Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEME
PAGE 3, DA FORM 2823, DEC 1998
USAPA V1.00
6'13

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; Title 5 USC Section 2951; E.O. 9.397 dated November .22, 1943 ISSN1.
PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by w'nich information may be accurately
ROUTINE USES: `.'"our sccia: security number is used as an additiona;laiternatemeens of icientificationto faciiitaIe filing and retrievai.
DISCLOSURE: Disclosure of your social security number is voluntary.
1. LOCATION 13. 14E-11111¦2. DATE (YY6afig2D) -717.-4. FILE NUMBER
1 ( •- tri -' • aeS---301/ . 16 15-ti a
AAIDDLE NAME
1 _&_ ¦¦ ' • • • ".7. GRADE/STATUS
'-6--G-7-
8. ORGA1 ¦
• • I.- • yr-
11111111111111.
' .0 ', 1- -4\ I • •
9.
I
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
-
Of) H 3e_PE 0j— CO__InCi icrn ,,Lis,,_\

a,,,ci -c___
weth '\ o -thA2-- -Le_09_i -1:-_:.f) c\-\ap_____ ci,i Ccakp
Rcc__Ii-MtotsQ._
0 C_Ccui..g____ c‘ c_oal_

Ca-m[2-. \}--s=) ci-P4-c)_,Qin_. --c=,-
) (1 (94-(2___ -cii\.Q.. eacikh )1,-,0j_ ve_i_o_
.4-4,-1M-ar) ¦ •,,
WC vr1Q4p1014-1QA IrOLO----th___P_.6 Cki23-)-0.-Q
r: , friart-K)Q-r1A-- -+„c) _ki,\Q . ..
-\-----',5D-cisDa_s arIci , "-"L'''°-'c-DI, 2,c..._e_.Q0.-r‘iLa

-----0.-1_(L-k--¦-),-)Q_ --)---\_z_ ...Q
jc° Q-YEA_A).0. .YA_ 1 s42c3_, ... c----i-Aci--t)._ wijy-).V-16,,, e-3--i.t., ar\ot -13,
'axuacui azajtk , l'c)--F--Q_-StLe_Q_.-0-no vl Q__,,,__ .Qkj'I41-' ou,i- ,-kD4_ -iii:4,t
c_,H
,_„ i . •
¦.,...3.0. EQ_ct.f.ar--w.__,
jr-1N9-Yv.-__Q_1::)ia.,,.„ , • e_z_a_u,kj
v_..t_LI.0.A-\1,(,
w.kuz_o___ . KAQ_ • •I.A3z)
,--)ci.-

bwarjjj.„-y
. '''.-r-'1-(--k6-, d`cro.
s'-‘''• w 61 , Co-, ,4
V._,C1 b.j/VQ_D.._.k ' & a-
• r
a f-a.- ,.­
,------ --","-"Wei.­
•-, .-e"-ILl 4I0kil..) --kKz :•
Ir\Kcf_z_
.-Tesoi
24-7-th2.12___.-b R .­
¦-a-. ki)--61-Q, -1---\-\.6-'1 D-r\0( (:)-ce_szs2y\L4 #4\4,
d\KiyAA-bu.k_16J,
. . -to
-Y\k_w,_ -Icz Q.r¦,..u_e_o__-16--''''''t3' `)-'0c w\s-c0c_o4. '.
•UciN9'"\--tA--
EXHIBIT
10. I 11.
INITIALS OF PERSON MAKING STATEMENT 1 PAGE 1 OF 9 PAGES
ADDITIONALPAGES MUST CONTAINTHE HEADING "STA TAKEN AT DATED
THE BOTTOM OF EACH ADDITIONALPAGE MUST BEAR THE INITIALS
OF THE PERSON MA1CING THE STATEMENT, AND PAGE NUMBER
MUST BE BE INDICATED.

_
, 1998 DA FORM 2823, JUL 72, IS OBSOLETE 1JSAPA V1.00
ob9 ) 7
DOD-044949
USE THIS PAGE iF NEEDED. IF THIS PAGE IS NOT NEEDED. PLE-ASE PROCEED TO FiNAL PAGE OF THIS FORM.
ST zTEMENT 1.11111111WIL__ TAKEN AT --111,--¦ -1.,Tv-a.1 DaT.77
57.:,'EVENT
.
NNet_s *r_9s.
WNW
IP\-(,)O-Y\Qd
\O W.4-ud

)
\).)_Y\
\JA9„__ —0\9.
Q

-10c\Q -4,\_,1)(\xn„ •
4=\_Q C-12_6?_u_u()
OWd SVC_ 1.1111,
C1),C0- kno
-160 L
kQCfQs,q_d kyuJI,J
\Y\i*:ts.
Pc_ MEM Vmaxa,,
Cke\ci
it* 1-rai4Doee-b:DE-ar)
W"Q-r\ OVQ_E--k) --al7t--00
Ipt) KIN .
)cwl
Plsn)
QDLA-

‘vr\.&e.J;r-)
CT\
VK_r\kLi hkm \cL— VOk/)
"Aa-\ VY\S)_dj \,),)& Ve_CLULgk 'V) '_C‘..QK-4W
te -k=, 0-V)
Okk_st_
war vt}skl• • \ \ wou_r1.), rckAi-4d\Q
W-Q
-bc) Nj\c\
Y-\() Ivo
-up k_fLve
°kJ-NJ cb2,6(\tAKI
kk)ozbz_ 0„.0_e_ck„, cu,\
400 -'el-u-tiLl=c)p67,6axl:ij,t)
v,)„,),}r,„__ckx\Lie__Q_)\_z_ce(375
PEF,SON r‘,1A KING STATEME pAc.-,E 7_ OF P-AGE-S
PA • -.717 7, BA FORA,' 2E23: DEC 79.95
6) 2— o 'fql

USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF all..11.11111_ TAKEN AT 7; kr ; . iro? DATED 2C0-.'`x-f3
9. STATEMENT (Continued)
cau.jy.\.2/z.D iccrl (au?__
)i\-Q
-to GbcDu.* 1-\uk_)
-4ce jLc)-'0Q vo-asuL,
Qj
k1.4. I e__Q_19,1_01„
\),1A-ck4-4zh-Q POI •
g Z_s_

4, -40-, 16,91N--)
if) • a),0 -kooc_ w:Du.to f\Joti,pc)
&ri *Y1-9
%ID
‘°' b-\-n tok .).q\Q)(
Iva
OLD (a_A—
S:Y" \ -9\
\
cafa5Un_de
t=3
ct—vN5
:).(_11111111111 \gokti--4A_Q
: A is e--4-d C-J TO- ( e-el
cc_ ,-r/
,
5PLO///wiSFL (0ae)
Maki
econ-i tto-Lgr, OLe uovz_
Li.
.57,c2c.,-/cc.-
.11W,
"7--7t74re--.
zsc­
5 /
° s A t
C.( 5
. 0{Art.4._
(§Z (:) C.).
s
‘rt 414111111/
INITIALS OF PERSON MAKING STATEMENT PAGE OF PAGES
3
PAGE 2, DA FORM 2823, DEC 1998 USAPA VI .00
Aicapta,c) 1(4 (6)(6)
11111/11111.1.

STATEMENT OF TAKEN AT ) I' ki'1.4 : / Icc./: DATED .7,-,,,: (--_!=: / 3
h-
9. STATEMENT (Conrinuea)
(0)

AFFIDAVIT
, HA,VE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH
. I FULLY UNDERSTANDTHE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONSAND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE THIS STATEMENT FREELY ITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT,AND WITHOUT COERCION, UNLAWFUL IN NT.
8 0 erson Making Statement) •
WITNESSES: Subsoribed and sworn to before me, a person authorized by laIN to administer oaths, this ) 3 day of _Ser-in, be{
,
at 1` — re:
ORGANIZATIONOR ADDRESS
(Signature of Person Ao'ministering Oath
ype of Person Adminthtering Oath)
I._();
ORGANIZATIONOR ADDRESS
(Authority o Ao'minister Oaths)
INITIALS OF PERSON MAKING STATEMENT
Z-/
PAGE 2.( OF PAGES
PAGE 3, DA FORM 2823, DEC 7 998
USAPA V1.00
64613

, ,
.
' 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; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSN).
PRINCIPAL PURPOSE: 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 aciciitionalialternatemeans of identification to facilitate filing and retrieval.
DISCLOSURE: Disclosure of your social security number is voluntary
1. LOCATION 2. DATE tYYY MDD) 3. T 4. FILE NUMBER
i i-t...,--;- 4- , -Ir ,-k.o --z-(-59 !-..-3 i.b ;;--i-2
, • • AL/-II I...¦

RST NAgE J iiiiiime 7. GRADE/STATUS C P/
.1, co-• , -.. •. -.•-
.
I, , WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
(lb) (6) S
On #42_ ii;Z91 of) Seia7cc-) PC.-111111111111111
H / I , a2O. t: 5 3
110. .) e...-00....2
oK) 0uck(d civil,/ al--Htp_... 8,-if4,de_
-Deh,;1_,_e, -. Co/4e-74,2
A.,-771 Lcoec,4, /1,,. z
duckrdi'l 0-4,74,21.4 ec in $.' 0•7e._ oP gi-i-t2_. /-co4.71/0 1--7 a,--cq_p. _z_ (,,as, ,,,,,dei.,
tY. a-4 6,)-tpro, )4,2z) 12 rg. akel 74Vdi V-Aeol 6k / fi-0"-e 1-(-"s' ,c-jc 1
Gt/iI;Iz af-14:',71-irl-71.6 ejcolai , (.126,-) "707/IrtAli n , _I rv.f A.-,/ p/a4,-, 71,
Ar.. I OC- , --sib la,,,-7161 -Pri,-)-a7L Ilk_ ALIAkr, ay?,/ 0.-tc-,2 r--ec/ 7/-1(e___
NJ
Ple.cen.fcc/ pcirarit r . j_. 7lizz..fr-i. /7-oc..e-ecZa/ vg 714e._ / dc -76 ,crk,---7/
1,4(4-hi galite,ririci Ai-,z/v/'???c- . 1 / 9.5— k-s' , c;¦ S./cc) 1 reioorl 6z/a.f. g_zi9L
. Li'
of Jo 1-4_ I .6 6.7" 4017Dc. I,/

,-,-iy. i-e-111 ei'vq\ dile-/ 0 Ke_ ii-4-7 le'la,""y.) -11.4
a
7.,.
I)-g-er ILI.714. )

ez,171,2- ..1 stoo7L re/Do/4- , .1---i-i-eki 1-/e."-e 77.4. -7.4_ 0.(- si.„ (
LT( Oohs' 0,-,-4-k Njr,,,,-3,
, --,/ris . 77-1e._ /cri-ut,,-/sr
" e„."(..,--e. ilLki/ Z;66L//i-77/6, ZAZ
,
vai cv-ezti ,Acej(,,' Ail.F g17--.--TCZ .-/-e-Ja'Z'.dit, di-,,,,,,//z ;,-, ,,,,,," /
_7—
/

/k.tc.., 4-0-P / C-e,.Pr7.7111g_.Zodt-
(.'

74e_.s- 3 3-3 ii/A fs..2
AS ., // iii .6 -71 At),
if 11-7/ d
'Pr---(.1s ) ;We:-Ck,--id C-ClOrdie7athQ--.71-114--'A-4- v7C-ge-Ks avl )--)-7,,f,' s la vi ,e,--/7-c___

g °°"--D c. p 1 Ap____ is' s-,..-e_s--. cz,e... u..e....,--e_ /44 tril-te.
fie,i,i a rioc..4_ - . • . 4-L'isAL .At_ ca ac..4fr-,
6eyller ,,,„1„.r-e__ 0.4,4," jc....1 i 1 &a.)
...Vac-e.._ .a.-6 c,-P 9,--ac i nov1-a v,-,L. 4, )()-0-P
1.. EXHIBIT 11. INITIALS OF PERSON MAKING STATEMENT
PAGE 1 OF '5 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.

M 2823, DEC 1998 DA FORM 2823, JUL 72, IS OBSOLETE USAPA V1.00
(oao)
94v1 "
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEEDTO FINAL PAGE OF THIS FORM.
.
STATEMENT OF TAKEN AT kfr ti-reg" DATED Vtr-r-\ 1,?)

9. STATEMENT . (Continued] 1
1,COICk,k6vi .co,e as 04,0i. pro vi , .6-sic, e_sse.44-1-,a1 jc otS' 94 7L-1,c,
/ n s 0 ,-,....7-s .
14J" :14,e-+0'v/ oP tkz__ (vicdzfriol - , 41,ar , ,../e..,-e-5-6, 7-1-ccneA,3° 1)--1 --4-e---
i f • . i

,Pt,_t , ) , 1-,7.1.,v f j-k el L.-/-lel 1.5.0 k--"Tr'0 '--- _ ti/C_ .!--ef-c__ 1-P24.G-di-Pi Z\_// g()E---ivr
ti 01) /4. ),,v),-c_ iik.vi 57) L-71 1(.4_ 710 / 7 o -I 11A-4-1, cz.vi ( A-1 74 r/vc /4"k";
md;4d,e4._(..
Wc.. 1"-'(--re-qac tal 74' Ad 0,--,4.43a., Act fr, ,--kccfry,:?,-,
, .
dxr_easJ t‘.7/(24•6i,/.c/fra&-/;.alako,, (4.
sla-e-e--At of.,av PI.Ged-s-a. frPte ,/"fr9 CLcGce
C. 0 "'ice r
P141/7./201)1.41 ccH 4L.4,/ ,,,,,
I
k..1
frf;a05,e___ acA)
br a pi'L. eV//. Ji. a/C) fr70 i'-14,6.1.1
eel a ei ,-7.-ie,-.4. : ,-, 9V-62_
ill /4-as ',Ali- 1-14A-1 Ae--
b g IL
co ii_
/501cAliCYN ca I gte,/e..- Gt4.-5/
wpe. 0- J. 0 f-lif'S par )-h._v1//4"
/1/4-L. r00 r-r) CA k,e,/ Hu_ /ac i s7. oo-Le_ r 'Jo,. di /h4.5-ha ia 74:a: ge_ii.e.c,is„q
-___)
1.4/eAS Zy afr.---1 ci,,,,i5 71--t,c_ zi,:r.c._ , .G._-

-iry(r5 9/0 es c ckp_.
J 4- l ie i Asfr,- I.
,fhil
cA) _s2,--
64-- 4')-- — -I' -s _..ot----- c. 7 ; ---, / e.oc_ ..e. . e ikts /de__ c ±.6' 7--‹e...., de.-72-1/4-14e- a,.... .7,757?
5 us 4-c. cA.,-rx e4,tcyois 1 k7S i'd iLlte_ c.c/i.r.z._ )-0
a P aultior.
evlsvre_ premc-G,)0)('..-1 OR
6 : ka_44- 7.-----r_e_ e_,..) 0 , w_a......... ../.-./. c._/-7 6 6 -e_

c-e ce
The__ Gwo,944 ,C.0 We_rc tx,611kii mr-ovi-e/

INITIALS OF PERSON MAKING STATEMEN ear PAGE OF PAGES
PAGE 2, DA FORM 2823, DEC 1998 USAPA V1.00
fisyclpt fr,itz.s 06)(0 z_ 6t-05
DOD-044954
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM. i --­
1
STATEMENT OF TAKEN AT
/WNW T.- i If 1- I-, ._LI-,--,-DATED 1..‘-').-3 c ce / ---
/--
9. STATEMENT (Continued) .
o-P.
c.J/ 71-11,J /7-7_ oh.e.40, ce.Lid p7ook /2,2,6,4
(4./ /10 (-1).al-lei.0,..1)ftc___ cvl-n.o'Pr
y 0-c e-f ' Luz_ 7-42_ y cID
74:N^
(4" I:
r_e_c_ +2- /-r c) s ?
y-7-14 jAc
.-Cs • CJ. ro "rat,/.
)L-A
by v41 19c-AtioliS LI (-is
a ,/ /co c_c
a re_ ,Z)T,
+La d,
CA1/1SeIrvicln gere.,c__
401
-5'4.I c/TS 7-Le_ ecT- dr (77,7-z) 7)eirt.r-.74.t_ FS.13.4-10/ )--ra /15 QS PLy. Afcii 7b-/i-i:Parzt ifs.: 7,20 /77,
VIS'; led Ci4
iaco rnt-kiC/(7//cir-1.1. 771La-.6,-2.44-s- /ki
'Mei 67/ At-. dz,
1,62/ CY-
c, cl
ot.or 1--A,L7 .h.dh5 sh
k. (-A--
1-.--- —74

11":.o,b 0)-.41-/,5 (Oa
‘a/„_ r_i
cA.)
•"" g 7 ---12 - L. -e-.d
--e
Pcs$
-
c- r--
ccshr 01-"C_7
xra-9.11 a I --Yu/ L. xicax
1310 , C177 /44,7i-- AL_ kilt I i-,S)
5frc.r
gixe._.lir 1,-,,),;41j,.4 7(4_ •

vv‘) ,0-er-S rint.1 r-‘//s._
0\l/1 71-erfi-e_J-e--v--.
ega'
S`
cr-r---'2—
NITIALS OF ERSON MAKING STATEMENT PAGE "S OF ."5 PAGES
PAGE 2, DA FORM 2823, DEC 1998 USAPA V1.00
ao)(6) 64 %
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF allilliM TAKEN AT
lr DATED -2r-c."-c-) 5 13
NI0z— 15-
9. STATEMENT (Continued/
: ocl-rtea/i -icr 041,--)--
Dv,-40,. / r 12cokrzys .691- 6-3•0-ze_,Alt./.‘-'-%******'-....****---,
rot
YOU 9ca-rds (
at-) mi-eity ,cy-50,7

obi
-11111 (6N
y
5 Ane-

4 Am Ci/h-
/ c70-1/01.--7
4,ceo, )45,_
ogfr-c, e p-sh
Sepyr—v4-.toecA_&-7.s. f,==z-c'.no vQ-s_e_rt
pa_y-clo. E.)(Ce)"7._

4 :.it- 1 _e c ; ':-s .5
ye,.,-c-e d :5.
-e4z-

-4,-17, 7 e,
7-K-r2.-
A' Tite- Fosr_s Pezvvi t Oc-r 14,4p1,1.(fbe Ac:1 SirS/-
04,c-1:1 5,14%-v-ti 1.)io 2espost-A7-[7 17100-fr1h-et
\.)

relet-dit
[-a j--A'av-ii r X_ 0,-,6.0wvof .
-11-e)
At r-13 c-e etv-ts y v-cv)
7—e A.60-71—
/La'
-7-4-Q--. C
/*.
7.— .
'IS r

44,.
INITIALS OF PERSON MAKING STATEMENipp ()((t.)—Z PAGE OF -5-PAGES
PAGE 2, DA FORM 2823, DEC 1998
1.1SAPA V1.00
64q7
DOD-044956
STATEMENT OF
TAKEN AT /
DATED 7.4.`.:0 C '713
.9. STATEMENT (Continued)
• /91 s_p or 1=6_ -a/ri o-r-c //t/c ar_c_ toc2A- _ eosper-- -7- I 1 I / 1- ei Vice_
62. -e_
A),
tfiEvi ci ir

AFFIDAVIT , HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHIC EGINS ON PAGE 1, AN ENDS ON A E . I FULLY UNDERSTANDTHE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT'S TRUE. I HAVE INITIALED ALL CORRECTIONSAND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWAR
ITHOUTTHREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE
atement)
WITNESSES:
Subscribed and sworn to before me, a person authorized by law to administer oaths, this i,2) day of
at ,
ORGANIZATIONOR ADDRESS
on Ao'ministering Oath)
WM , ,_
sz)(--r I rv\- to
y
e of Person Administering Oath)
i/t•-t
ORGANIZATIONOR ADDRESS
(Author, y To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT PAGE — OF
PAGES
F'AGE 3, DA FORM 2823, DEC 1998
USAPA V1.00
to8

•:
-•••
Chapter 3
Use of Force

3-1. Procedures for use of force
a.
DA military and civilian personnel engaged in law enforce­ment or security duties will avoid the use of force where they can car.-y out :heir duties without resorting to its use. In such cases where the use bf force is warranted, DA personnel will use the minimum amount of force necessary to reach their objective. Only as a last resort will deadly force be used and only as described in this regulation.

b.
Commanders are encouraged to substitute nonlethal device.S for firearms when considered adequate for safely performing law enforcement and security duties. In evaluating the degree of force required for specific law enforcement or security situations, the following options should be considered in the order listed:

(1)
Verbal perSuasion.

(2)
Unarmed defense techniques.

(3)
Chemical aerosol in-itant projectors (subject to host nation or local restrictions).

(4)
MP club.

(5)
Military Working dogs (military working dogs will be used per AR 190-12).

(6)
Presentation. of deadly force capability .

(7)
Deadly force (para 3-2).

3-2. Deadly force
a.
Principles defined in this regulation on the use of deadly force with firearms will be applied equally to personnel using a weapon or equipment which, when properly employed in their intended application, would exert deadly force.

b.
The Secretary of the Army, major Army commanders, or their designees may impose further reStrictions bn the use of deadly force if deemed necessary in their judgment and if s.uch restrictions would not unduly compromise the national security 'interests of the United States.

c.
Personnel will not be permitted to perform laW enforcement or security duties requiring the use of weapons until they haVe received instruction on applicable regulations for the use of deadly force in the performance of such duties. Additionally, annual refresher train ing will be given to all personnel assigned to those duties to ensure that they continue to be thoroughly familiar with all restrictions on the use of deadly force.

d.
Personnel carrying weapons for personal protection under the provisions of paragraph 2-2d will have the necessary training on deadly force commensurate with that prescribed by this regulation.

e.
For contract secUrity forces, use of deadly force criteria will be established consistent with this regulation and local law:

f Deadly force is justified only Under conditions of extreme he­cessity and as a last resort when all lesser Means have failed or canhot reasonably be employed. Deadly force is justified under one or more of the following circumstances:
(1)
Self-Defense and defense of others. When deadly force rea­sonably appears to be neces.sarY to protect law enforcement or security personnel who reasonably believe themselves or others to be in imminent danger of death or seriOus bodily harm_

(2)
Assets imrolving national security. When deadly force reason­ably appears necessary to prevent the actual theft or sabotage of assets vital to national security. DOD assets will be specificallY designated as "vital to national security" only when their loss, dam­age, or compromise wohld seriously jeopardize the ftilfillment of a national ,defense mission. Examples include nuclear weapons;' nu­clear command, control, and cOmmunications facilities;. and desig­nated restricted areaS containing strategic operational assets, sensitive codes or special access programs.

(3)
Assets not involving national security but inherently dan­gerous to others. When deadly force reasonably appears to be nec­essary to prevent the actual theft or sabotage of resources, such as operable weapons or ammunition, that are inherently dangerous to

others; such as assets that, in the hands of an unauthorized individu­al, present a substantial potential danger of death or serious bodily harm to others. Examples inclucie high risk portable and lethal missiles, rockets, arms, ammunition, explosives, chemical agents, and special nuclear material.
(4)
Serious. offenses against persons. When deadly force reasona­bly appears necessary :o preven: the commission of a serious of­fense involving violence and threatening death or serious bodily harm. Examples include murder, armed robbery, and aggravated assault.

(5)
Arrest or apprehension. When deadly force reasonably ap­pears to be necessary to arrest, apprehend, or prevent the escape of a person who, there is probable cause to believe, has committed an offense of the nature specified in (2) throu.gh (4) above.

(6)
Escapes: When deadly force has been specifically authorized by the Secretary of the Army and reasonably appears to be neces­sary to prevent the escape of a prisoner, provided law enforcement or sectmity personnel have probable cause to believe that the escap­ing prisoner poses a threat of serious bodily harm either to security personnel or others.

g.
Additional requirements for the use of firearms.

(1)
Give an order to halt before firing.
(2)- Warning shots are prohibited.

(3)
When a firearm is discharged, it will be fired with the intent of rendering the person(s) at whom it is discharged incapable of continuing the activity or course of behavior prompting the individ­ual to shoot.

(4)
Shots will be fired only with due regard for the safety of innocent bystanders.

(5)
In the case of holstered \weapons, a weapon should not be removed from the holster Unless there is reasonable expectation that use of the weapon may be necessary.

h.
Commanders of IvIA.COMs may establish additional considera­tions in implementing procedures over the use of firearms.

Chapter 4 Carrying Firearms While Aboard Commercial and Military Aircraft
4-1.. Procedures DA personnel authorized to carry firearms aboard commercial and/ or military aircraft will follow-the rules specified in this paragraph. These rules satisfy both Federal Aviation Administration regulations and military directives. for DOD personnel who carry firearms
-
aboard commercial and/or military aircraft, and ensure the safety of aircraft and the personnel on the aircraft.

a.
When personnel must carry firearms aboard aircraft, either on themselves or in their baggage, the commercial airline or military passenger service representatives will be notified before, the flight departure.

b.
Personnel will possess proper identification with full-face pho­tograph and written authorization, such as, letter of authorization, credentials, and.so forth, to carry firearms: Exceptions will only . occur as a result of prior coordination with competent authority.

4-2. Firearms not required in flight
If the fireann is not required during the flight, the person carrying
the firearm

a.
Declare to the commercial airline representative or military
passenger service representative, before the baggage is checked, that
an unloaded firearm is in the baggage.

b.
Inform the commercial airline representative or. military pas­senger service representative that the firearm container is appropri­ate for air transportation. If the firearm is a handgun or other
weapon that norrnally is not fired from the shoulder position, the
baggage will be locked and the key will be kept by the person
carrying the firearm. If the firearm is carried in the baggage, the
weapon will be unloaded and securely locked in the baggage.

c.
Place ammunition in an ammunition pouch or other suitable

AR 190-14 • 12 March 1993
3
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is 0 DCSO PS
PRIVACY ACT STATEMENT
(SSN).
Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943
AUTHORITY:
PRINCIPAL PURru c: o provicie commanders and law enforcement officials with means by which information may be accurately

i
Your social security number is used as an additional/alternatemeans of identification to facilitate filing and retrieval.
ROUTINE USES: DISCLOSURE:
Disclosure of your social security number is voluntary. (2-1-:---_4a, C
3. TIME .. FILE NUMBER
2. DATE (YYYYMMDD)
1 . LOCATION
2.003/0V /3 04 LS-
77/1-7 ;I. i i'lqr.
7. GRADE/STATUS
6.
5. LAST NAME, FIRST NAME, MIDDLE NAME
8. ORGANIZ TIO 0' • DB-ESS lq c° 99' E (; fli./
.
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
1 '5e P /--- C9-E D,3 : 00. 1 P Fc_ VII cc_ in e_ 0 (1 s h 1 3C---'-i-
/ t,.J % 1- \Th S Pc- -8111alir C-1--- I 0 - 00_ ) )--1-, {-1 ll ., r- 0 rn C----(-\ --f-1,-.)c,..3 ,--v,._. x
r r Le 56.0-\ e_ 0,_s , „L_
1---16--_S
bc(-\ . (.9 c"---1- 1--‘ .e___
G\S-)-Z-7
(^y _S .

(_,-.D k 1 c__ --1
1 S 0 cl± (-01 (ed _ Me__ c.-,-A 4
Sec_ 111111111, ( ,
c_o (-11-1 clued +r,
, (___, cluc.,,c---_fr_. \.,.e___
pos+-1---k_r-c,okoo, t.,, \
'‘.C...._ eUeir\ ,,--N .
t\r\ {A. o
C--hc,,..{-‘ e 3 / A
0 C-Ot i\ --c: ''
1 C 0 / 71-i -C_S-_ 1 l'"\C-•enVii r 0 vrIcAC {A -3--
\
) - ,-,
--2 i (--),
LI e to -pl., e_ *3 (-1,--,e 0 f. ,4_, N #
i \ e_ I (A C_ oC. ,--f-
j'\J\ no -I-c__Ic\c-n_ (b)(6)
A co u,c, 0(
,0 -s„,., Immo
.00
(-c,...-e-,e__ avec-
-Po 0 u c-u 6,_(----ok pc) s,-k-
c...9_ (A C.:, C.)----S .-e
--C--L,-.) e ,
1_,_Dc,_(\--1-- ea -1---(-,.s. Li,) i --1-c_ C-,. u CD -.)-- )--N --2
EXHIBIT 1 INITI ON MAKING STATEMEIT
10. 11.
PAGE 1 OF -7 PAGES
TAKEN AT DATEDADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT
OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST BE BE INDICATED, _ THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS
DA FORIVI 2823, JUL 72, IS OBSOLETE
DA FORM 2823, DEC 1998
6-Fed (6)(6)2_ 61500
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF IIIIIIIIIMF TAKEN AT 4 ki•-/;` ,--,:k.-5 DATED J-e,a3/0-9//
9. STATEMENT (Continued)
N 0
u.c-c)\ s \...„ , --,s---r_
.6 v WSW C
‘s 6,,y f\ ,(--.n_o 6 e cci,u,s e ) f-- Lo 0 Lk c6\us -Q
' (
con ro s;\ 1 r\ .'ra -1-1--,0 u 1,-N-t A

) f- (..-JC.,—,3
Le±-51-e c- -Q (--
U ±-0
u c., c A t --\oF-. c_ec---i-, r\ . ci,c e ci,.3
Se__
-.1.
e
t ro L.) ncl J3:6o,.-
111111111111 (3(4
(=DOC—
G— C\
co 0 -t-cs
\-\e
1-3
k
)/
5 -SF(-MUM ±
Jou c-rc
L.0 her\
/0C3kej
(D 0 t
Spc_ _
C)r\a-
o k C. c,._p (-)
Y;\ Kfa 0E) t e_ sc)
C o ma_
71-\e{\
( OP)
11 A yo . kc30-f
n
111111111111i ve -to c),, cn p( , e
INITIALS OF PERSON MAKING STATEMEN
1 PAGE ,c2 OF 7 PAGES
PAGE 2, DA FORM 2823, DEC 1998
USAPA V1.00
,9--xceff-a-tared (6)(6,)
(95b
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PFiOCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF
TAKEN AT 7k0;1 /---/ DATED .222,57/0V/
9. STATEMENT /Continued)
Coo n.
r\-16\c\ p_s-4-;
f s
I oj--e
CaA (e -t- ke_
n
941 0 (Ls e
*ke._ r-lir"
'\

( 1--(:) L- -
no 7L-- f C
05--

J--\-)cd._s(p
k1C
6-0 (Th
S On 0 k I r\G\ C b)
r\ 0 f-e_s
\-\e rneat\C_S SVACD
Lip c-kr\c_K e
TA a rn e lcd-e c) pc s cy,
t-\-\-e c) 1\ 1 f- /
u.skeci c)--P-c-,. A Fc n + • S
k

Pcs
F re-- I (1 -Co c e
e t k:
e ,s
c._7
ar rr\ e.,\{-\01 e
7.-he
/0,,Jec- cr.
f-es7L---/
uppec
o\-e Cro)(4) 5— e
+-00
WNW L"3 ecyp0 4._\
(c,;
,
s ea s (=Dc_)
rNITIALS OF PERSON MAKING STATEMENT
PAGE
3 7
OF PAGES
PAGE 2, DA FORM 2823, DEC 1998
USAPA V1.00
kt)-1-4 (9(.02_
6517-
DOD-044961
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF
TAKEN AT ./)/(-th .27;z2-4 DATED
9. STATEMENT (Continued)
1-N) \--,
k -e
S h .0 1---P-1---e
iiii...-- 6)(4\ -r-)) 9 -At4 Spc,
\
UMW r'Qp ) )\ e_c_3 c_D i -+-1,-, \
,,y / ,7-1 I i--i.ff i--='e----S _51/,cle_liir-)(
y w t re_ ( t_,_) u -eci) c-A co
o
al SC-DT Q s L) n
Pf--Oj e

cl)`‘- °6" 9'6°-`6
Hci_d Lo.e?_ In to (--/Te--(2-cz. in 1-1/1 u-sLcj-
0:11 clecau,c_.(1--ed Force- 7
k),0 Mill GOu {10\rnin-L1,-/
cd-((i tks e o ccrc( eLk-tc-je6 C=r3rce
Xe_S. (A-re_ ;
.to L-)\--\.0;r6.ic Lie; lo t-
s;
or\
Who-A' s -11111.-
our uien_upo nS. 3-3s-pc-ius .
tru-(1.36 rk_cvz_
Rs, A ec
u_n_kl cl
c):\ Coins En-10- fo es co, p-Q cA-c,s_c o Lck_f-c b/i
A' rke je I-co' nee s boo ric i- 70 toc.,c1-\ r , cc. ri,e7 e_ fiej
1-6 tct

_5 (}6(6(cri
o.
e 111111111111
,
c -1-1/1-eyk,k e k.2,s or--1,1it.
1. Ye_S_ ikere ; .s c,,r\
re' /.°.
f's tke e-S
H0u0,,„ Loa, e cect,s(2.r bou- ncl 7
Gy ko.rIcts:‘ _T

w\c\c/c.t-DC ;re e ,o-e, ao A e_ 1-1:b r .o s kodh'ilfj
-e_o. d-eck_l u-C2,v-\ 0-H-ey-yy'rect es c cLpes ?

Al 1 I-1 c y 0..re. j' vs).to.ikeci
no 6.75- o.n A ' •
thrc:20(6j1.-\ / ex6,/.9/e5 0_3,411111111111/
•
-6: WV, e v. -.4:.--_,V\_e-\ \pc' j_,Q Y 1 n - L k): Ad. oP achvis
,E,,-:k uc Lk 0.--k cAi--i- -er),\ (31.-e ot -ec' oLees .. 1 L1 . d ¦ O Arke,i e4 pic't.Nri -rokica to'ic-ko ? AI vse
A c 1.i. 1-r le (,-,cce r.c oce-c(ecl.. 09, ctok r : -1 nee ci he c t.,,,-..01- 7,--- 17 i-0 -; n 1,-)e
1
INITIALS OF PERSON MAKING STATEMENT PAGE OF 7 PAGES
PAGE 2, DA FORM 2823, DEC 1998
USAPA V1.00
(0)( ‘0 2-
6503
DOD-044962
USE THIS PAGE•iF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
• TAKEN AT 7i./-/; C, DATED c1-613/,//3
(
417Em..ENT 11111111111.-
rec(A, pos.s, Lie, ic,ke ksic\--\
C',230/11- S cinc_u.3(---)e2Lit DO, 5')No6s Valk &pco-t;,,,,le) e(c) DyeA haue aote.q Lode: res1--1---0 ass (Jur\ crn k_t,) ciuk -\-kAe -e3evt Q,Hcc.:jc-e4Q?
A', '1-no6--D t-_T. Ao e_ c:Jez.7„13CNt-e.,
'ku0 wee-Q, Q r."2_ (jou_ an et C9 C__
--31i\o+ 7 (6)(ff),S--

50
Lua cd_(ou.1.(9c1

(2_4- Dc-j_Pf-.1,-cl---Vr\oc\-
L-)- r
"
L'Aorc_f-. ti ,
4: 2-j-
r\..
r;e..-x lour- rkere is5 1/\,) (-0-7/ c3c--
_j_ r, 7-1N&t-_
LIJAs 44/i K_Koz e_ on 6 sc,evl.e arou\"ci Ca,so ¦ A-v-001\
L
p y.c , 5 s n, \ f\ I 0 c t -C 71-.0 Other-
,,Aiwarar
Feanb_ I
WY-P-S \v¦ -0.SSC\
a= 1.--)\(1 4 r-e. eLtii LiCr¦ c_acL,7
4DCe ,S 5 t.2...0 raA.tr CLC 11X-S 41Cijr-
beco_u_s (-LIM
a low

cpa-s GLIT e Ficro-‘1,1--j 7
k 6,2.5 --14Q_ ctecoas_aA-^ •
DoLjeLl\Lcnot,c) h ..
r C • rkC (-0 r e
L)A.s OrOk_,) 6ne_ s\-YThoc-v\cA of= co AcQ . .u)c rt_ 0-6Qot ?
PC. --I- oko.,Y-4-sz)

7
(030 o er¦ ea i-C7 • 0A Lo
g pito -)-0
co,le use
1-\ecor)-v_
a% WY\ ' &CC).
LT- S 0 c),t0 C s \•-¦ 00-'7( ?
1 --1-4- cAl Arii ,

Gy rke_ )-,s. ile. \e. s ,,,,,
I-) .con (CD t {' CY` .3 I P OW-1'0r\ c6.0. ea
7i- ;,--1,
Isis
a, kr-.e_tne_ uu.-A,r,-....\ sNenn
1\ U_S ) (•-co• r-cLi_Jj-C's
pc,

.a) insk-n-L4-edns -+QA Q,k.,_arc(s it:do c-oseoc 1-- -F-c_.¦
Q Pt-3Q: E,

S OF PERSON MAKING STATEMENT
P.4.GE 2: DA FORty/ 2323, E.).FC 1998
( (,
( )
--e-Xcapi— SOLI
USE THIS PAGE IF NEE-DED. IF THIS PAGE IS NOT NEEDED. PLEASE PROCEED TO FINAL PAGE OF TFUS FORM.
S7 E N T ,: F-
TA K r:-N A T
7:4777 4
011
\(e s
Q`. Vow;ov-c,

(JOLL Cc:13 s?e, .11.1111,
-T-- rke..)en
kc.d•
Qs.) Qv- IfY\ci,:\k_Q_ r

pyo eafv\v-v\e_vo\--k
cLe vy
cLak-A-,:in.P6'S 7
Yes,
(-11/4 (c),11J- r
_ .S .T
co .50,-,-Ae rc-co Ics.r.
cJeC eas -io euer r L) escoQ_
t 137 0

c:
OEM

d-oceasd ,au-er
(v¦osi€ +-k
-to 'Hike-c sn C,e2 r Lot. r..e farc'or---
/-099
M 0
O‘E N),(6)s'

LAICti
ir•QC-CtA bjCf/)C,U(10,-L\TI5 c_Lf -IrkA
e

ry.v e
c ¦-.0\\ Sp L.
u-31‘ fC \
16,„C
Ir\\ 6,-N,j1 c, Min U.D
CY

c)(_i 4-t4_,L:n ing,
3h6, \-r-u.s e_, or Oj-e (\ye,—
Acy-111-
1-0. '`//

JJ--
u`'`A--..r1 4- -c¦ cpc--the , . °to, fk:10K
b not
° -
jou_-e_oo_r
vv\ 8Q-hAn:A.fe_ f
t_ Le ye (75 ej 0 t c„.,\
ka-s e e\ L..)Ac ea(
‘1-1 _L T
Surprr'sf rne_ L.) I-ke \o"( cg'ke
WV (L)1-\ IT+ s
(-)C'xi- CA
0', A-Fter
cc'cie_y\i-V‘c416 p,2t4
c../DY1cd--
waLs ("IQ. ci
rQac(--zavi
s,+- A .
0-)(0,5'
r\
cl Mar cis ,\ „; e t-e
1•\ GLACE._ CU-A;
\Av*-F
(A 1 ---11 k-r
-bc''Q.P.1,j desert
e-de vvle 4 (-
ee& h-oprt co q t•=75, so Ic-L'en u-)n 9 u-c` c-C1 41e-
I

t)c.kr-cALs
De °
rs ore_
E'Sporls, b ¦ ks c_s dC -ro 0 I. ne ?Pe c. enc_ec: (e or\ frce
P 17') ,1
n-\ k‘ r He hoSt ¦ \C
!v

-riA Ls OF PERSON MAKING STATEMENT 6"c 0Mb
P A GE C oF 2 PAGES
CE 7. OA FORM 2823, DEC 1998
Pa.

az;)(6)z_
Cos-6s
DOD-044964

STATEMENT (Continued)
Co ,"lit_DceCA c-,6c) th-Q cl cz_c: e ,1Ce c S.() •-•-•
Or-4---; LAs r co() fc:-} _
c,\P 4c_hbvis-(4: il-vzy •--\ c,cc :nor n ecokc),C5)1 Do LC 1,-)C-e-(-)e-V7 --;-14Qj do kr)(-`)c-L.-cls t/ i ( t ke_ e-(Sta -11.) 6Q-hi+' .;r1 ,61, :CD n_s
19-‘' c'r 11-7
moo

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 INFLUE

OR UNLAWFUL INDUCEMENT.
lS011 Mak1.17g St3t81778110
WITNESSES:
Subscribed and sworn to before me, a person authorized by law to administer oaths, this '5 day of c"?-. , .03 203
at 1"/
ORGANIZATION OR ADDRESS
yped Name of Person Ad inistering Oath)
/7—))-2r- /-74!' (
ORGANIZATION OR ADDRESS
Muthority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT
PAGE OF PAGES
7
LISAPPC V2.00
6. 5-b
.c_15)--- 03
f
Ldr-,.cd- Ts__ tsour
cid) (;(0) (6) (1
140(.3 ic eLu-.
? WNW
1 g-0111
301),.s•ILL(ckaA-1- cr Luc
Ltv-,, .00 nri+ Oa) CO\ \-3 Ckv-e L,ou. ?
-FotAytc, „fo--\n-) ry-t o
) e.-06 3 av0 (AQC(10(.11..f rrn-tj.
Dfok---)Llott IMO
CCV).0i.) +hE.LOVAp .V-=(S
tU6
kL\J•1/1
QJ A-uJi

OVIEVI --\"\k_Z c\086(---Cck_vvve,_ ON .
cx%_ C_OIY\p ICU-1¦1l(--\/-19 cs-c\OOL.L__."\-
Aocfar)
caaA.y-YrJ be( .
kocklo n L))/1_zc-t-9up."--as
euL) o-F
"\A',\D cc)r.)--1.p1.0-citt
•-L-1-
cAo .ou-) .S G-T CA-(( cted-nc, jOv\`-1-

‘q uk.arck aim
1.-A e(„e_ op aajs 1_.Y_kcS
\4Qi 2
Te
Loa.s
Ak.L 5,{-\nj4- k_ki\v-Y)
ay\e, de c eas-cA OW
•Vv,_ • \ R
(_,LA „13 c NMI
-fw„

gr.'eoar -A-Duc_J-0--k-euvk?
;(co vve
3,-Ec,t_c_LoA .ffv ¦ _.
OleOcc.),.4_,\(\e. UHir@ rOCCI LOCAjre,r- ?
\I es -1-ke _ScLo-¦ •e a-S (,De 60 OW
_ Lot-c ccLu-v,z

LK, r\.6,.-
(-We -tic-e r_L
JO)
cbaIN
(cc, .--(i.„d__.,c...4att-Pv-Th.\\ ONO
We
-f e ?CAA-6(C): (yt)\-\_cd- [A,c
61 happ-et CJ-P.
c-(105,5eu1 ec it) cc° \''.\-cct \4s-7
q\i\L-A_ LA)DLt) 56_N_ mo 0
r) re 3 cczeot aim
(err/
3 uo, +1A-C ciU-Lceas-ecA couy\--s? l:Qoe_ „so, ote,A4 kvzolo, imp
LLYneL-OCCIt_v_e_cl
L_LYLs s7L---d-)/LQ 775, sae' sAcit / gf--a_9z/ -*/".d,5%,2L e a/ lice ea. • Saa(-L-44. Ay-Le ./dor i/ k-Pol e /7" 06) t)(t .- e cs/ M
-/-71 cLI-tu2.
ibs-/ 3 br),/2,3 rifid NMI
5,77--v/ 2-c/7 TA, 5,y 6.A6 51r)/--1)10 ri 60a__c s'r-ttridir,-/p 67)/ --/-ker-/A7LS/cle diz1 /4 a -Pvt Z.) 77;ie L
)-,'_o,,Nr1 tocey ( tt).1 a% :9-z,-e clYzyr Wet y r/F/Li-h/P //oa9,9 z '77 bp/ive eh 2.4 D/pe4 -lc) c/ e tc_G(
bAllp-(
e ,5)U7L 7L4, delf771-7 ?
°'6( V-Zto ,:2-741759-ke ot.,JeLf/6'674
,-.C.7"ThE) 7Let-e u /G, IC9
yide ga
'11 hi/11 a id r‘,.1/7-i-.i'vr)
)
046 z_ ,,,itrf
•L
MC(0) -
_spcsmosmie

-12-c,f. 42-de_
Opt" cco+v) (OW (i905

-vyw_ s
•
-
54/fak

.
_
1-1 I
SWORN STATEMENT
For use of this form, see AR 19,0-45; 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 (SSN).
PRINCIPAL PURPOSE:

To provide commanders and Iaw enforcement officiaIs with means by which information may be accurately
ROUTINE USES;

Your social security number is used as an aciditional/alternatemeans of identific ation to facilitate filing and retrieval.
DISCLOSURE: Disclosure of your social security number is voluntary.
1.
LOCATION

2.
DATE (YYYYMMD .. TIME ' 4. FILE NUMBER
Ti/^/ -7Li T7r-/ c/ 200-S/ Ger / /3 C.) 2_0

5. LAST NAIV1E, FIRST/NAME, MIDDLE NAME -\ 7. GRADE/STATUS
---.5— 7 6"-T-
. • -ANIZATIONOR ADDRESS
F (,, ,l-fl-,Y36 ii 0
.
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
on (1 ,Sc-pLE 0,3 I DJ OS rnoni-ipt-in9 i-'1ECD 9 1 -1 bcoct_ L4_, [ Locts the
1
E Corn p an y cso . A-L prox. 2 3oo a med k c aT, . the EPv¦I Can-) p-b--- a cpnshot Woun d to ±-he chcst. I no-h-Pud SSG ifia Ind 5 r-C Cunc SSG 111,1 and i..90-E in-Lo -Lhe FL-A Guid.WOTE. .-tx) --L-he EP\N, courry. When lio.e_ armed apro);
Lia:A ma (IC S___%
3L-LI-rninutsLL a-P-Lcr th e ccti 1 0 Cr: 0 u-- DP thf veiNcle__ and ran °P thE ----°L'f---!11-d-i-LhC
aid, bag, cu-ld SSG a cal lec -#br rn`i he-I P• '-)e,t'.-) 1 tobit Op tit-IL 6-1-ctir-.i ncyLiceci fR\Ls IOCk-i n 6_ cg-I 1 -FoLcirl -E,19e Ce.__11.9.-OP 7-Eh e shocybn9 , anc a bricih-E
-
-
. r\ 9 h±, was
-
1 i q h-iifOtc I not Eh.rn, 1 0 the Ldt-Lh ± ht-pa-ben-E. cun cl -Ewa Al, so left V FS . SSG was ecIlLin
-
I. Om 111111q +-ar g
pulse, whell he_ 8-Eatc)el he.CoLAdIn'+ re-e-t OR - 9- - -.1 hcrf-
lAyAs 0, sold us- hold 1 nq a -Pi E Id dress 1 n -+__. -Eh e

k-R up pcx q uociro_ni, 'ar thE Po--EL° •nTE 1-1°1±h rit'Thlin al blecaln,q ncre. wots olso blood on --EhE 16-2E -Forarty,
6Irf.ve bn -Ehc pecit-L,.. A cornb:a_t ii-rf 6'aver local ,ujcs c,._ irl_ne___E__ -ED --E, hci pa_i_itnt ,0)9___f) . ,,UhLn pul.&Q_
SSG tiLel -L-hoi he_ diri-t, Ce_e_l a , w-L nnd on et-Ehkr, 1,02_ dirzdfci
141-Elligro4, an_A coul
lo.tho Pr. a+ Lucks luxe -L_o qe_--F a itkr-0 UL n_
EXHIBIT
11. I N MAKING STATEMENT 1 PAGE 1 OF 5 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 NUMBERMUST BE BE INDICATED.
A FORM 2823, JUL 72, IS OBSOLETE USAPA V1.00
cat (
6.5)0
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF MIEWMAINAM
TAKEN AT
DATED -2-0753/0V6
WT)eATEmarjeC)-P -Eh FLA,\,1c.t_ind trectr-21 -uric L__J
Lo x-b.
in con-Lcac-L L,01-Eh Ech i jfktozkd 8-Latio
JIG/ 0,n urri - pa-Lf bias _ejnqcorLZ t(h-
I ctLied -Elu_ I 1 -E-Ltr . n -Eht ral I Lucu_i ss-c2). 11-1* mjuoved
-mi -A-om -Ellz si-L-1-Li nq posill Din a9cuns-L door'
UM-La_ .20e---rouna hi nn -Lc -H-LQ__ -1(tql n.9 osi-tion
to manouvr i'l m on-En -thQ_ li Ll_c.r. 5S-E-'1 )
] rabb-d hi m --Pro)n bLhnd, cu-)ci i 1-00/
tiois os we. - ,. pui inl m on -Hit I L-L-Er. ss6
--4iii
on sCeirie._ rnoVeDi -H-Li pa-Lu_nt
afIC: --Pia 7s---olcit_us
FLA-. --rollove
on --,-KL lificr -Lc .--,.-1 lo()kck_ al' thE. .. liJi-En Till Dad ciDa9 cund O-B-Icx .e,gtipmrvi,­
and we . loaceci f31,2_
OH i nE3 thc back_ orthe FLA
-
lir 03--rwEd on
pock_Ln-E. ss6 miiii (Inc' 561
C)±, in-b -,[1-0--ad-0-n -Llk-e--
sCua., Inc SS6-1111.:_ q(,,
rn-c . We_. CA-e Led otqcun -73r a_ puis
FLA w, it.h
Lt. Thc pa-LisLnt.6 ,.e,LAL6 we_re,
-
c.,nd oidni Peei or
.0-iso --ix_cci ct_nd dialakfl. \)\I ini-Ek.at2A. ue,PZ locts Val) Ive_ masL. We_ aon-_-1noec
„pa \)._ 0-n a
CJ)Q_ durcR -Eranspor L -En -E_ he Aic sta- --an -
cicirctcd duri n. q. --b--p_n pp ri.

No Pul
it-n rout__ ±1-Q., 66- u\\E± wound uu03 abd, I--E. was aproK ouar-ax stz.cij
cxposed on 'r-i on
and hac JaiLt_i --Lissu ecposec. --Mc woung
mane -Co Ns I c.nE
Kis arrn w0,8 igh--- a flcs.h
-en-Eranc_f and e_x.i I,
forearm -Hai h-7,c) bciEh
arrived -bi --Enc cud s--ia-Ho rt_
mar-bn s lAlhcr) Jug_
,Jo un lo cicd -Lite_ ±Lsw-L and Con-km-ed Pe-.
INITIALS OF PERSON MAKING STATEME.
PAGE 7- OF PAGES
PAGE 2, DA FORM 2823, DEC 1,998
USAPA V1.00
AR WO
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
STATEMENT OF 11111111.1111111111111_
TAKEN ATTI-r/72/
DATED -2()-d3/6r //3
9 STATEmENT
I iltrit was unrtsponsive, and °De_
-k)1°`
n nud liditn I in-rrned
seir7, anoi
tPai pa--E-Lknf hod no puls2
j)e_jr.e --ex_cj and cia
our)e ±_old.
LT an chca.cd -Ehk_-LL.p,
G-Ipp CPE Hc could o.yck_ Car a puf)___

\o J,)cts elcirdcd, Pct-i_Thn-E Dias
pronounc_cd. be-ELoccii 22 zo 2 2 30.0
clect_c)
0..
A-1 Sar sdlcil'ers?
e wtood oC
a. OA c../c2LA. ct-rn.v €41 or). LY-ts
.A-} WOrriffe,jeCOrd, (11111

uou c-u-rCL
t-Okveln
01-d Lio.0 zywui wh_6 kx.ks.1--ke
another on uoi-E1-1 unK_nou-n ran

&I 2 sprdicrs a
51-iot-
Lkletile t-Orx-S onlq
Cea-Lei OU. &.0-1-eierrm.t'iic4_1.son
•
i`l'a,evL cte_4-,441?
HO

LZickneLs c-L-t?
0: P'd uou no u.),14v-.Q., colrj
r-A There. appeared -b3 e-r) wound c,r)

and o_ e_rftni or- ocit wounci -H-)e.uppe_r-9 uckci r-c.4-1-b. no Loc,und wo.s -Found orm boLe-t_. L(N\ et.J. Cr-rrc./-cc,C WO-5' -Hrle bound , so tocc_c b.-2,1,tc:not
tcoz_t_k_ or--(:)AP-PolA-1-
1\JO, bourThcl.

o,,r) }-,.6,-vvee_
no-&-C;c,e- Oun-Lj C-L-L.4-s Or i.oir-t-u.'S.CAD
-
4V, N.10

8 0 Lk_ u.Je r‹2_, GOO- kJ-VI.)
Drel i-41 „Ay-Icy-kis/9
dn
/11 WO,S UnreSpont ve}.
a rrc.J_ct Orl

b4i5m--4-Lcre_ 'Prow 10111111111,01A.04
PO, Cairn, he,IFPUl (19)((e)s
was beincts)c -9 (.4.) h. (_:(-e 30 (--k_
a 1 Dod wiE-4 nes4-ece-- hat-AJ tiiVe- sSfC.
LA)sce., Loo'nk-645 on-1-1A.e de ' ak.teA--I'vec. 014- se--)C-?

A.: I did 1110-V him
INITIALS OF PERSON
MENT I PAGE 3 OF 3 PAGES
PAGE 2, DA FORM 2823,
USAPA V1.00
./Sce-Pt ktTf c67a (6A) 2—
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.
TAKEN AT /
77;b7V DATED(71043/6c02,
STATEMENT All1111111111
,
9. STATEMENT (Conrinued)
ehhe_I- del-Iiiiiir) a-r,e_c)----4-blp..ci-Gi c-c%c•-t-e-1/1,j-- 0 ec_u_y-,Q c:
Q% (A)z,s bhere-rj-vul fi--1 i\b-E_ t n -E ht Lj10-lateA\c-tli as-6.... 0 '.. 0,)in.,:n (jou_ L..o_Y-P___Lia:v-lc--CY2.5 L.2)-0-&\ L-1(12d--ei--(1-A f:e_ &Lir c--)jou r------( orz_J._ kez_r_i
aK_r2cg---
t-4/0e_ LA,.,( 1,\A-_1__:1 imet.,61 c.r-vt-eu._ cyrQr 4.L.a_d-
Y9-2 tp. 111P
c.t atA 0 ---i-t4. e._ 04--tA-er-7 uard-r arou_ind sck_c_i c4-vicd_fr--,-3/n 0---locJu-11-‘1--.14--*Q---
Qs. 0 ,'­
J . . j
3 .le:c7.-killci 7
\I 01--icsc he was (shot ar\c1 who:- .h:ts l'-',Iur-(A '-'-'°-'s ilia
A-1 On I
0--CJ2._Ct- 50_343 041.54tifvk
LJ-e,,,-.,2_, vsy---ft\ e_
4,-Inc.d--
a , C3'- c)‘ 0-vIjoP i-i{,-e-- de.1.-A--e-es.
or ca- o.)--1--(--Lw-le_7.

f t 1 N\? 11 t ilir- - 4 - k 4 : /I i
--10cJactr- 54714--e-rhevki-7
-iir- etkl-cl ti4-2=,,tj ei8p__\-0 ac0
V)
RI Ni0
/ 7/ .--7 I D (7110-77/1-7 ,-"i7--/ l/

Q.. 00 0Tii
adi 00)(C9)
STATEMENT
PAGE OF PAGES
PAGE 2, DA FORM 2823, DEC 1998
USAPA V1.00
3
)
STATEMENT OF
TAKEN AT ./i/C/;/ 7"/ DATED K70/05./Z7
9. STATEMENT (Continued)
Wa,)
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENTWHIC S ON PAGE „AND ENDS ON PAGE . I FULLY UNDERSTANDTHE CONTENTS OF THE ENTIRE STATEMENT MADE
BY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONSAND 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 PUNI SHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUE OR UNLAWF I DU ENT.
Signature o PersoirMaking Statement]
WITNESSES:
Subscribed and sworn to before me, a person authorized by law to administer oaths, this t3 day of SOD 1-eMber, Z.003
at Ti n -1-.
0 RGANIZATIONOR ADDRESS
y e o er on Ad IntsteringOath)
gr-/— /3(, (b (V
ORGANIZATIONOR ADDRESS
(Authority To Admi terOaths)
INITIALS OF PERSON MAKING 401111 PAGE OF
5
PAGES
PAGE 3, DA FORM 2823, DEC 1 -
USAPA V1.00
6C/'/

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; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 ;ESAU-
PRINCIPAL PURPOSE:

To provide commanders and law enforcement officials with rneans by which information may be accurately identified.
ROUTINE USES:

Your social security number is used as an additionaliaiternate means of identification to facilitate filing and retrieval.
DISCLOSUFiE:

Disclosure of your social security number is voluntary.
1. LOCATION
2. DATE (YYYYMMDD) .3. TIME
4. FILE NUMBER
Fo.PA--c-,11(. A-1. F ezr;, -D-063 07 i'2_ 0 j o
5. LAST NAME, FIRST NAME, MIDDLE NAME 7. GRADE1STATUS
8. ORGANIZATI N OR ADDRESS
n co, -4(117-156
.
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH: 1191-44-
?Liz 0
II 20(23 .
--at iipp,,,6A2 3 ,r1-(9.7 - 4r-
ai6P' 2C /623-1-"1 -s-/ lamAid.4-Z44 . ) e .4'1);t,t. 40.0_,_.c._,„;:6-cz, .„, an,a,
A
,a5c,z9-
,t,c_L,_

/-tm%),
i1-1 ­
-,-i,-/7---i—L)--4
1-&-
4-u--
0(,-7- ginith" ) r
-,,,,,,„,
i -c=-4-A_Qj
2:14)--a -)-1 - -244e,i4e77,7`
,79- ii-e,,,,441
J ,L,,,,/ 42, i
,,,j itct,,,--d -r:i.,_0( ..,17,,4
jitvzzfiaed L,

J,--t3,_ 2Aftr-j, -272c . aft,
-cL4A-i- ifi_z. . 1.11111 /1.Y4--- AAF14-
/r-f-2-i°4-iii-G,..e„ 4,-, ,..-,---( ,/tez5,, ,t„_,t Yod iyect-ti J--‘14,14.7L,{.-' -Xe" -2-r-cct--g
'
r6," 4,_74,,,t_ 2ti- - 0 4 — Z`J-34- .1?-64 - ji _.4,1
'
6)'vt ¦ -/C }4C5- 411'64-7 ,,,_iti-e7._6
)„,
4 )--- Acci 44-n'''t")t-f' -zi--7

, -/-e-6,u„,
4 -4J.7-se-t ---by,,,_ ,o-T-,- t „0.,,Le3„,...,_,
4 J-z-1%-10 44, -i)e.,,,4_, )e- ,Loaa. -eir.„--7 ,
,“,--(,_. ,,,,4 x i, - & - ( x 9 1 4 — -)s-z -t—'4L-

• ,A _y.,,,,,,,, a , J d ,,--_,,e_, ,,,,,,,,,,9„,_ _ .
-„,4

,,,v1,,:,,_ ,(,,,„_ A.„- -et ititr-tk-
• cal 8-4--c4
-C9" 'r-Q eil'
C---4/1
4 --Tr .
--Xe- -r j 1,0enitma—aka-#5- -Z-5,;-A ,td-ce 'rr'ti CLII-tt).-
Ca-IW Po-cA -4.:1":r-ik,Zea
'Thi2-4 -cfrhi ,Leiat. &/`-k- Zro-7=1,4- 0.1 --v4-:v;io-, -79-lod-dp )_&_,/k_
g_ j40D4_ 6,, ,r,4-,- ,te-J4-6,) e.,,4/\,_01).-ei, .v4e it,-
,,,„4.,,f,,_

,
. ,,,pii,,,*---,4_,_446---A-ci_..koA). 5-1
/1 r.
-t'.— '''}- . 71 )
i—jlt - -.-LS _.8-", -1-,-.--A?(k- Clit:(-Q ,GI//-fil ../&-e-94,-1 if;s4--t-
,;t-a .,r-A-' ,,-"Jte- 710449 (_e/-49 2tX
(C,-L-4 )49,-44-- 7 K - j z z 4 z,-e,r-4., .A3,_ ,4-U
Life,
1004A:Aga-t-e-,,e_fre 0/1444/4
10. EXHIBIT
11. INITIALS OF AKING STATEMENT PAGE 1 OF -er PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT Of 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 V1.00
Acepi 40,1 ( (6)
(0515
DOD-044974

STATEMENT OF
TAKEN AT
DATED
9. STATEMENT (Continued)
AFFIDAVIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENTWHICH BEGINS ON PAGE 1, AND EN
. 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 INDUCEMENT.
(Signature of P8IS011 Making Statement)
WITNESSES:
Subscribed and swom to before me, a person authorized by law to administer oaths, this i 2 day of at
ORGANIZATION OR ADDRESS
(Signature of Person Administering Oath)
(Typed Name of Person Administering Oath)
ORGANIZATION OR ADDRESS
(Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT
PAGE
OF PAGES
l'A.GE 3, DA FORM 2,823, DEC 1998
LISAPA V1.00
ao WO 2-(in(f)
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
LOCATION

DATE I TIME FILE NUMBER
laSEPT0_31 1S)0
LAST NAME, FIRST NAME, MIDDLE NAME S SECURITY NUMBER
GANIZATION OR ADDRESS
P\ co Daci-H,\ -C1\\R SN
I, SPC.
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
C.I\1 I ISEPTS -CD PFC.'''. PtN)D MYs -GL-F \36:42E WA LK I Ne---(
, C,\--\ECK1N (-7k OM -n-te-)--f)t),Y5
-THE" ss.kkL

FROM ov,--i-5 ¦ DE, .T.
Y\AT C-5(0\N\ C)( Sit'(E-1) P\N% ?vo_LE-¦ •

)1-1E 1[ cELL CY,
smN\ spc,

VI-VONS Orl SO' PCc \-\ ) \'6 (\)(1
m`i C._.GRC---f'-Ci'‘) 4\5
b?,E-0
Di( Lc•Fr-, (V)--bl.KNb -c_,

1_00KED
eso-k carAni.
(.7--rk Y-29 \A 3 k.).)k-1/4 (21
ot\
-¦j, p\s vIkAer-1-\-\'E RE SPOiq DE D
(\:),)i) p‘s
cY) \01*\.)
-
SPc. PA0C-E-1)E
uP p\Nb Wr6 13Y -NE N,J02-E SK.

HE 5-1-001) 4E"-A311)
4
SN5s,-1E12.- , Lc".
'6001 -Co SE --(
--c\-ke-k..1t1-1-k `C\--¦ &
P\10 RES1'0QC-1 f-Nb —C\AP\---C
\,.)1..;Pci-NA P,11,\)E1 . S'1-1\ • ta5

EP \-.) 4,0M1 c_c_o SEA__ Loo l
'57,69 13,E (-;-if\i • -To C_-_-(e-c-p,
\novel) 1"\-kc \i\s\E0._\:-_--1
S2 ()0
5A yvvE `-c-0
Q\K, c_Lo-ake5 e-/=s?osN(. (-)0--1-E6 0\ri
TY3- PS. -15-
T\ PO) cREls) CVN \--wn
30DNI
1\)o-nc_E-
vv,..
Cbq \-1\ (7,11sNYES To P\K --NE ,:--\ls,,Er,_ r7,\ALLE----i- \-3,0‘_.
PAO--cskP,.-c -icifyIE -_ ct_ic__14,e4)
IA( s Opripay\ , 1: 5ELIEVE- 11-- Vit=6 1.\\5 ck\cr,i\-\--1 PAM -
.C_A=(-=‘-C., f)\,-1-
3- QE-N-c-C-R- +\ 10 F-E-I._b \1 'TAAL:: PA-t\--veavE. \,)6) oo--. iRe-- ?u,1_5(= \A_Ns
)F---c
..)t -061_ -N.ey,K \i-0¦,\-912,ki\--c_coPliE ,,D-int5S. i-k-e biDN'T cE.\-1\f IA It-N\J \\P\tA \•11._ R
t•-f01- MOV{C\I OP- e•SPOWDIK CI,
¦ f-,i-c 1/4N)b i-vvE •P-1( c_lpts? -or2. a-iS \-.c.IL
c:--; -1-1_E: uti,,A5) i\c cp65
10 cka \/01C-ES NJ1) 1415 LE:P.K OCri 0-
(.k,c
P-,ESPoN -- -lb )__L,.7c- usL.D.01)
-G) .)-\\r"f\ ---vE. Gkx]
wi ?.,oti_o) \..\\)-y\ -co ws smL.iiiiiiiiii
)---tAN. \O\E-\\) \,•'- P-'V\E-1-1) P 6-10) 7)taes5(N)C-,( -5(-A1-13---c \An- "NE \51,06D -N--r. 0\j ER-- 11•)D -000
TI-IE
C- WI
\aovo\lij ScPc12--ce.b "c0 LEP\ V. -. LIC \-kE\`)
1-.-\t•S --(\m_ -c\•\E.1-v\c--)11- -\AP,\I . vm-
c)\)e-il..,--sA-\E vloki\N)b , -1-bics .(,a, -\ks‘-{. \-11:--71zE •c,
---iv* r\i¦¦--\ --C\-M-1N)
-n-,,-; vs,(---i c.i-ii---i) \_lou\05 \E--31--.
\i-S
alb \iEr(5. --s-\1, --- ak-c-
-rbi--1) -C\-v--- Li Po-,Du-. \..,kp -(0 v\--e--,c_.? LEI-- \--2-,i.sbb cwn-E­
--T-E-1) \As __i;, sEr __cv\L-,-. 7.,...y,y
DI re...ec.
II, ,k
--0-ke: ..v_u\ocs, \c T''P6 11\ ")`Q--,1 \-0\kiN) . ' EXHIBIT
INITIALS OF PERSON MAKING STATEMENT PAGE 1 OF PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT OF
.TAKEN AT .DATED .CONTINUED." 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 PAGfS 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 TORM.
DA FORM 2823, JUL 72
SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00
Ng) z_
is-capto-,
(05 \I
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent aoency is ODCSOPS •
LOCATION

DATE I TIME . FILE NUMBER
I / a— p() i-o--d 0-3 : i (-)
LAST NAME, FIRST NAME, MIDDLE NAME
SOCIAL SECURITY.NUMBER
I GRADE/STATUS
1 '_-__r -
ORGANIZATION OR ADD'

A c--56'04-,.F:,-,.1 n- r Li r0
_ _ _ ,
WANT TO MAKE THE FOLLOWING.
STATEMENT UNDER OATH: •
a fhre--•r_Vel.r-\ 1 (-1( 0-F See _ j i_k i 1 r___,,F, ibit
, c..,,,ot
Sp . 1111... c..z,0-1

oei3L0 r-pw
,,,,c_c-c-k •c„.d-1 g :00._ A h 0 C.' nCjc
,
3:°C) i 16-1.
\--je-ee --
r\n-r-kl‘-r/ 0 c),--'Co 0 F1' 1-1 e-10c,Nti-te0001
c_ h e_.-'/LcS
/
1--' hE'{-1 L---' .Q., 1-1ec,r-cA
°\-1° u cl 6,np-
c_o (-1 e--(-sc) in
0 U chs i el e
tt) U....)c.,, (--•cX i•-
1 1--t. 0 r 1-\-ec 5P1.-0
1-L I
''''t.-2; WA ;lIl el At-RA r_s-f--(.--3' e-.7-ko t..)2 k 3---
I ,
-•-• (,) ,,.s (Ni -
0 (-I t n c 1---‘-‘_c
•(_)0,(---cks. foc,„(\_ .
,nc). 0 c-\ . tkr\e___ cAl-C
c--3 i 1--1-\
club (_ r,
--_._ r 6 -.(-¦ fo ± -K, Jo r4

.
„
Or fp I\
(1. v-e .s -(--c'c..,,c,„f-_
. I--e_ 1 C.),-ic___
L'-'•e--,----) *.,--'• 0._t-.1--\,-le_ 01,_ oo r, c---i
(
,
4._ A se-e-i rke_. uc,..ccis-s 4-, c.„,,..lel tkr.
I-) ‘ t kr. 1 \r‘e t C.-•(,, j ecNro„ 5
c
T'l X cci_ oe-A .t-R e_ scp L ,,t, ,.

coo rn --0.1 re_ t_I-A/\_)
, -CPC- /NM -i-',
i j r\e cc,,n o \le_ (-i "s. i

1 h.U. e s 1- 1 cA_T- e
ri-V` '--3 -J-, ) I on_' 1
_6:._--I--
cc (-\ -3-- ,' n u cc), t 0 „--, 0,_c\ r__\y po _.1_
LO 1(11 ) c., L
,--- ,-) SQA---..), r ¦(.. 0 0 _f_ ..f_h__ do 0 r: y
rker\ sef-N
Lt in. G,_s rc
P •

L--) ky cl\cl he_ s h.00f---/-1--,_
C pu\D_ re) c'm.0((,),S-

Ch'\C-k.+-
p bl n ±-
0 (-) 1-1 .e:\ vec., T-c)
'° f--) Se Cu R._ . C...-1- .
r'-\)( P()5t: 5 pc, 'NM 4..

I -/ H e c\ .5 A__0¦ 1 ,!) 0 t_,-,3 r\ ,
CD 01-_S j\r-k "e._ GrI (I
s \-,-10 k---ed, t-c I A6,(-e_t-f-e -
, A b.
. 00-3-I 0 1-e-) I _S 0- \ 1",-1 0 fe ia-±-€ CI EXHIBIT INITIALS ON MAKING STATEMENT PAGE 1 OF PAGES
'a
ADDITIONAL PAGES MUST CONTAIN THE HEADING
"STA EMENT OF TAKEN AT DATFD -CONTINUED." 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 I WILL BE LINED O.UT, AND THE STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS .FORM.
SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00
-e-xc4A-Pk-0-13id (WO z 6,C0
DOD-044977

REPORT OF PROCEEDINGS BY INVESTIGATING OFFICER/BOARD OF OFFICERS
For use of this form, see AR 15-6; the proponent agency is OTJAG.
•
IF MORE SPACE IS REQUIRED IN FILLING OUT AIVY PORTION OF THIS FORM, ATTACH ADDITIONAL SHEETS
SECTION I -APPOINTMENT
.
Appointed WL t b) ((t) 2--
(Appointing authority)

on 24 AUGUST 2003
(Attach inclosure I: Letter of appointinent or summary of oral appointment data.) (See para 3-15, AR 15-6.) (Date)
SECTION II -SESSIONS
The (investigation) (board) commenced at FOB Carpenter, Salarnan Pak, Iraq at.1445
(Place). (Time)

on 27 AUGUST 2003 af a formal board met for more than one session, check here.• . Indicate in an inclosure the time each session began and
(Dale)
ended, the place, persons present and absent, and explanation of absences, if any.) The following persons (members, respondents, counsel) were
present: A er each name indicate capacity, e.g., President, Recorder, Member, Legal Advisor.)

MAJ Investigating officer
( 6) ( (G) 2_¦
The following persons (members, respondents, counsel) were absent: (Include brief explanation of each absence.) (See paras 5-2 and 5-8a, AR 15-6.)
-
The (investigating officer) (board) finished gathering/hearing evidence at 1700 on 30 AUGUST 2003
(Time) . (Date)

and completed findings and recommendations at 1340 on 3 SEPTEMBER 2003
..
(Time) . (Date).
• SECTION III -CHECKLIST FOR PROCEEDINGS
A. COMPLETE IN ALL CASES
YES NON MO
1 Inclosures (para 3-15, AR 15-6)

Are' the following inclosed and numbered consecutively with Roman numerals: (Attached in order listed)
a. The letter of appointment or a sununary of oral appointment data?
X iiiii:iiiiiiiiii:;:'
b. Copy of notice to respondent, if any? (See item 9, below)
X
c. Other correspondence with respondent or counsel, if any?
X
d. All other written communications to or from the appointing authority?
X
e. Privacy Act Statements (Certificate, if statement provided orally)?
X
f.Explanation by the investigating officer or board of any unusual delays, difficulties, irregularities, or other problems encountered (e.g., absence of material witnesses)? X
g. Information as to sessions of a formal board not included on page 1 of this report?
X
h. Any other significant papers (other than evidence) relating to administrative aspects of the investigation or board?
X
FOOTNOTES:.II Explain all negative answers on an anached sheet. Use of the N/A columrz constitutes a positive representation that the circumstances described in the question did not occur in this investigation
or board.
— _____ ____ ____ __
EDITION OF NOV 77 IS OBSOLETE. . Page 1 of 4 pages (..ji 7,0USAPA V1.20
DOD-044979
2 Exhibits (para 3-16, AR 15-6)
YES NON NA
a.
Are all items offered (whether or not received) or considered as evidence individually numbered or lettered as
exhibits and attached to this report? X

b.
Is an index of all exhibits offered to or considered by investigating officer or board attached before the first exhibit?

c.
Has the testimony/statement of each wimess been recorded verbatim or been reduced to written form and attached as
an exhibit? X

d.
Are copies, descriptions, or depictions Of substituted for real or documentary evidence) properly authenticated and is the location of the original evidence indicated? X

e.
Are descriptions or diagrams included of locations visited by the investigating officer or board (para 3-6b, AR 15-6)?

X
X
f.Is each written stipulation attached as an ekhibit and is each oral stipulation either reduced to writing and made an exhibit or recorded in a verbatim record? X
g. If official notice of any matter was taken over the objection of a respondent or counsel, is a statement of the matter of which official notice was taken attached as an exhibit (para 3-16d, AR 15-6)? X
3 Was a quorum present when the board voted on findings and recommendations (paras 4-1 and 5-2b, AR 15-6)?
X
B. COMPLETE ONLY FOR FORMAL BOARD PROCEEDINGS (Chapter 5, AR 15 -6) egi ii .:::::: daiiii ME 4 At the initial session, did the recorder read, or determine that all participants had read, the letter of appointment (para 5-3b, AR 15-6)?
$ii!iiiii.iig.
Was a quorum present at every session of the board (para 5-2b, AR 15-6)? • niek 6 Was each absence of any member properly excused Oyara 5-2a, AR 15-6)?
7 Were members, witnesses, reporter, and interpreter sworn, if required Oyara 3-1, AR 15-6)?
8 If any members who voted on findings or recommendations were not present when the board received some evidence, does the inclosure describe how they familiarized themselves with that evidence (para 5-2d, AR 15-6)?
C. COMPLETE ONLY IF RESPONDENT WAS DESIGNATED (Section II, Chapter 5, AR 15 -6) :ill: .::iiili;iiiiiiiinikiiiitiq 9 Notice to respondents (para 5-5, AR 15-6):
elt:::::::1011
a. Is the method and date of delivery to the respondent indicated on each letter of notification?
on
b. Was the date of delivery at least five working days prior to the first session of the board?
MIS
c..Does each letter of notification indicate —
.!$:iggi
(1) the date, hour, and place of the first session of the board concerning that respondent?
:::::::iiii.IN
(2) the matter to be investigated, including specific allegations against the respondent, if any?
NS
(3) the respondent's rights with regard to counsel?
figigi:ii:
(4) the name and address of each witness expected to be called by the recorder?
En:
(5) the respondent's rights to be present, present evidence, and call witnesses?
MB:
d.
Was the respondent provided a copy of all unclassified documents in the case file? OM

e.
If there were relevant classified materials, were the respondent and his counsel given access and an opportunity to examine them? 10 If any respondent was designated after the proceedings began (or otherwise was absent during part of the proceedings):

i::iliii:i:1:0ii:iiIiIiiii:il iiIII:in,:'
a.
Was he properly notified Oara 5-5, AR 15-6)?

b.
Was record of proceedings and evidence received in his absence made available for examination by him and his counsel Oyara 5-4c, AR 15-6)7 11 Counsel (para 5-6, AR 15-6):

22:2:::!::::::::::::8 .3:.$
a. Was each respondent represented by counsel?
igiiiiiiiigi.
Name and business address of counsel: :::::::iii.:Iiiiiiii:illigni: i!eiiiiIiiiiii
EN.::: .!i:iiii::::!:::: ii:iiiiigi::::i!

(If counsel is a lawyer, check here • )
ligiiii.li:iiiri::::;::::Wignil:iiii::
b.
Was respondent's counsel present at all open sessions of the board relating to that respondent?

c.
If military counsel was requested but not made available, is a copy (or, iforal, a summary) of the request and the
action taken on it included in the report (para 5-6b, AR 15-6)?

12 If the respondent challenged the legal advisor or any voting member for lack of impartiality Oyara 5-7, AR 15-6):
11:011011
a.
Was the challenge properly denied and by the appropriate officer?

b.
Did each member successfully challenged cease to participate in the proceedings? 13 Was the respondent given an opportunity to (para 5-8a, AR 15-6): ]::m::::.: iiiiiiii:gilli iliiiiipg

a.
Be present with his counsel at all open sessions of the board which deal with any matter which concerns that respondent? IS:g:

b.
Examine and object to the introduction of real and documentary evidence, including written statements?

c:
Object to the testimony of witnesses and cross-examine witnesses other than his own?

d.
Call witnesses and otherwise introduce evidence?

::::;:iiiii:::::.!:
e. Testify as a witness?
eln:
f. Make or have his counsel make a final statement or argument (para 5-9, AR 15-6)?
NM
14 If requested, did the recorder assist the respondent in obtaining evidence in possession of the Government and in arranging for the presence of wiMesses Oyara 5-8b, AR 15-6)?.'
15 Are all of the respondent's requests and objections which were denied indicated in the report of proceedings or in an inclosure or exhibit to it Oyara 5-11, AR 15-6)?
F0077VOTES: I Explain all negative answers on an attached sheet. Use ofthe N/A column constitutes a positive representation that the circumstances described in the question did not occur in this investigation
or board. Page 2 of 4 pages, DA Form 1574, Mar 83 USAPA V1.20
SECTION IV - FINDINGS Oyara 3-10, AR 15 -6)
The (investigating officer) (board), having carefully considered the evidence, finds: See enclosure II. Memorandum of findings and recommendations.
SECTION V - RECOMMENDATIONS Oyara 3-11, AR 15 -6) In view of the above findings, the (investigating officer) (board) recommends: See enclosure II. Memorandum of findings and recommendations.
Page 3 of 4 pages, DA Form 1574, Mar 83 USAPA V1.20 SECTION VI . AUTHENTICATION (para 3-17, AR 15-6)
THIS REPORT OF PROCEEDINGS IS COMPLETE AND ACCURATE. (If any voting member or the recorder fails to sign here or in Section VII below„indicate the reason in the space where his signature should appear.)
, _ _
(Recorder).
a mg.leer.resi ent.-
(Member). (Member)
--
....(Member) . (Member)
"" SECTION VII -MINORITY REPORT 0,ara 3-13, AR 15-6)
., . .
To 'the extent indicated in Inclosure
,
the undersigned do(es) not concur in the findings and recommendations of the board.
(In the inclosure, identift by number each finding and/or recommendation in which the dissenting member(sf do(es) not concur. State the
reasons for disagreenzent. Additional/substitute findings and/or recommendation's may be included in the inclosure.)
(Member) . (Member)
SECTION VIII -ACTION BY APPOINTING AUTHORITY (para 2-3, AR 15-6)
The findi s and recommendations of the (investigating officer) (Ward) are (app.coveri)—(sli ved with following exception.su JSfilliliOlIS.If
the appointing authority returns the proceedings to the investigating officer or board for'fitrther procraings or corrective action, attach that correspondence (or a summary, if oral) as a numbered inclosure.)
'88e__ CZ)riTh. 'n CU(A8elc--- nee.C\ Vb en-ou\p-c?----
.)-e2,( \e_a_A Q.-Y.-1. c0,_, V COC ..6, \ --\''. •C `ct\'''\-- 5
0 c 63,-0.x.v,-t,-, 0„\r6 c_.\\_(_. )t,, 9Q...n-e_tio.) )
.,.. ,
_.
\r.a...,;-\.-D CID-r\_e-\/-c-0•' ‘)(=k?(Oc:)CeA--\---e---

\Thg.,\n&\\ArN 0c e__,\--DAYTheeb,
OPP
„„„....„.
_ ... RECEIVPD
09 SEP 2003
RAYMOND T. ODIERNO Major General, USA Comrnanding (e5 7-3
._ . ___. .
—o pages,.orm., ar
IJSAPA VI.20
INDEX
Enclosure I . Appointment Orders
Enclosure II .'Findings and Recommendations
EnCloaure III III Corps Memorandum of Report of alleged Law of War violation
-1 Sworn statement of PFC
Exhibit 2 Sworn statement of SSG
Exhibit 3 Sworn statement of SPC
Exhibit 4 Sworn statement of SPC
Exhibit 5 Sworn statement of SSG
Exhibit 6 Exhibit 7 Sworn statement of SFC Sworn statement of SGT (b)(,(0)7--
Exhibit 8 Sworn statement of SPC
Exhibit 9 Sworn statement of SPC
Exhibit 10 Sworn statement of SP
Exhibit 11 Sworn statement of SSG
Exhibit 12 Sworn statement of CPL
Exhibit 13 Sworn statement of SPC
Exhibit 14 Sworn.statement of SPC
Exhibit 15 Sworn statement of PFC
Exhibit 16 Sworn statement of SPC
Exhibit 17 Sworn statement of SPC

652_1-1