Sworn statement of a soldier who witnessed an incident where an Army Captain abused a detainee. The Soldier witnessed the Captain kicking a detainee and threatening him with a loaded weapon while yelling at him. The soldier also states the Captain staged a mock burial of the detainee(s) by having them dig their own graves. This document relates to an AR 15-6 investigations in to alleged detainee abuse at Ramadi Palace, Iraq – July 11-12, 2003. This document is part of an investigation in to an incident related to ACLU RDI 1136 through 1171.
SWORN STATEMENT
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For use of this form see AR 19045; the proponent agency is ODCSOPS b ( 6 -5 --
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 additionallalternate means of identification to facilitate filing and retrieval
41.SaVISRYLE: DisclOsure of your social security number is voluntary.
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2. DATE IYYYYMAIDDI 3. TIME 4. FILE NUMBER
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10. EXHIBIT -11. INITIALS OF PERS N MAKING STATEMENT PAGE 1 OF e42 PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT OF TAKEN ATfDATED
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DA FORM 2823 , DEC 1998 DA FORM 2823, JUL 72, IS OBSOLETE USAPA V1.00
e 03275
DOD 006904