Sworn statement of a soldier who witnessed an incident where an Army Captain abused a detainee. The Soldier witnessed the Captain kicking and threatening detainees with a gun and treating them in a disrespectful way. Soldier witnessed the captain staging a mock execution as an interrogation tactic. 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
For use of this form, see AR 19045; the proponent agency is (Imps
PRIVACY ACT STATEMENT
AUTHORITY:
Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 ISSN/.
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 adrfitionallalternate means of identification to facilitate filing and retrieval.
DISCLOSURE.
Disclosure of your social security number is volimtary.
1. Waft
2. DATE nirrymmom 3. TIME 4. fILE NUMBER
_re gv zz 200307ry
PY/ ) 6 -,7c
5. LAST NAME, FIRST NAME, MIDDLE NAME
6. SSN 7. GRADEISTATUS
fr.".3
(4)
.9ce
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
cd-.h e kte.) 0 #le 0 Uee")r'S")e.t.d. 4f 4- 1-14-`
poi vii")G 111111111i and 14e4,--e)
5 " s " Aek
11-)'la )1 ale)Ylr) a el d Sj,k
L(,.
. hctde tt e.tie Itricle c-) 6 iJ,, k+ A c
itJ ctp ea" € .r e
ue ire 64.1 T.-5
4-ea.-el-Leo) cLo d
we no d tot /eik.
wiflt
s.4-448.
/1-1 .s
eo) ,114.4
e Qs" set, 9 e s
e ci clot WM.
. Oft
(Ai e
ct ,s
c,))• itrz r ct e d
'X. 5 /acre
Sark o ee-
h;c. ke4ci, Cp4, 11111ft.sb.t.k cs
(3) cc vee
4 Le-.a r.t) Qy ii./o.•.,. 4 he
he
sl-b 40 ,b ( 6) — 7e SrO yes Rid ss-
. g uesiyko,.: -igivig,„,t,m
Fie e-
q ?cit.)
Sko-f
1;ice he
he kOled him,
110
Scqrt_ I
CA c
5.--detu'qe es 4 1- MIN kr'cks •es4 ie t t e_
()))rs)
ci nd kets vige Me cuiCe 1,1
3e—f-
At' esi.
6.t
q.ktd
4.1, (PAM. y love . 4
comes 74//e
)tht 7 e,)e.ictis)e.s cu71,5
to-0 s--c
d
S1
1 eetve )ite
q no)
rile 0 /shed 2nd /0+ , '
,N. 4 he
Year-
sca.4)-1-ke tvisSk PI el)e
10. EXHIBIT_
174)
ERSON 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 INI17ALS 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DA FORM 2823, DEC 1998 DA FORM 2823, JUL 72, IS OBSOLETE USAPA via°
C 0 3 2 7 0
DOD 006899
SWORN STATEMENT
For use of this form, see AR 19045; 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 fling and retrieval.
DISCLOSURE: Disclosure of your social security number is voluntary.
1. LOCATION 2. DATE IYVYYMMDDI 3. TIME 4. FILE NUMBER
rea 4922_ --4g-4-e4 Ase;? 07/ r
7. GRADE1STATUS
fiRSTN ME, MIDDLE NAME„ 6. n (0
F-3
DRESS
1•94.
WO'
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
Sct 14 pyo 00r-/'•2 'Or, it id P0/3 Ez, z.
On. i t1 f.
ck. 0,ern.
C., e ft,a kije_.ire,ck 51-opre /A. -t ke ece.s1 k4 g ha,/ s .lap oof vd,;e-les CZ!.--
.1_ #.1C4r-)
'Fife S OAe-
4""^3 wct y 1 t c.)es-7 6o uk._a sCp
S)4t) ciS
4.44 ,11.kc 54
I e
i-E-t -1-,vJe__ ha) a.' )34-sictV ?led to a 0--Ol+‘
(6
psf s b f c 61.0/7,:„. ap, cr .111111.6 6 71)r‘ Pr e e -fre ck_.
eidlo s :•-t /1-6 /41- e-S
vo°
11. INITIALS OF PERSON MA
PAGE 1 OF PAGES
o
TAKEN AT DATED
ADDITIONAL PAGES MUST CONTAIN THE HEADING 'STATEMENT Of
mEsrATEMENT, AND PAGE NUMBER MUST BE BE INDICATED.
THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THEIWITIALS OF THE PERSON MAKING
IJSAPA VI.00
OA FORM 2823, JUL 72, IS OBSOLETE
DA FORM 2823, DEC 1998 •
008271
DOD 006900