Army Investigation re: Detainee Abuse and Mock Execution

SWORN STATEMENT
use oi this lam.. see AR i913-45: ffip properieni agencl :s DOCSOPS
LOCATO DATE • TIME FILE NUMBER
Co I 03 -.4A2r:55:
LAST LM fIRST NAMI Miflfl ., " • ' SDCIALSECURffl NiiMBEri• GRADSTATIIS

WANT TO MAKE FOLLOWING STATEMENT UNDER OATH:
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OF PAGES." WHEN ABDITION41 PAGES ARE UTILIZED. THE BACK OF PAGE I Will YE LINED OUT. AND THE

STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE Of ANOTHER COPY OF THIS FORM.
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DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823. 1 JAN 68. WHICH WILL BE USED .
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DOD 007005

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AFFIDAVIT
I. , HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHICH BE INS 0 PAGE I 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 INFLUENCE OR UNI_AWF Ut INDUCEMENT
— Sta enTanli —
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Subs:ribefl swan: la lieIcre ale. a persar,
WITNESSES:
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ORGANIZATION OR ADDRESS .41oydisi.ar Oaths'
INITIALS OF PERSON MAKING STATEMENT
?AGE
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DOD 007006

SWORN STATEMENT
fof 1.1SE. et. this ierir.. See. AR 190-16; the women: au2ncy OFJCSOFS
FILE NUMBER
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LO C ATION GRADEiSTA-711S
LAST NAME F1RST.NAME. M10i/LE,PIAME MN--tONOR A DRESS
. WANT TO E.:AKE THE ED 01R STATEMENT UNDER DATii
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IQSiJF PERSON MAKINC STATEMENT
.4.99/ TOL.: i PAGES MS r Oh' TA7!., HEA ONG -STA Tim 7.4KE . _ _ IRE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE S. TA TEME,qr AL? BE LW TIA EG S "PAGE OF PAGES. WHEN ADDITIONAL PAGES ARE UTILIZED. THE BACK Of PAGE] Will 8E 1INED OUT AND THE STA TEMEI1T WILL BE CONCLUDED OIL THE REVERSE SIDE Of ANOTHER COPY Of THIS FORM.
DA FORM 2823, JUL 721 SUPERSEDES DA FORM 2823, 1 JAN 68. WHICH WILL BE USED
Fx 1 CO3383
DOD 007007

STATEMENT frontiaued
AFFIDAVIT
• HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ONPAGE I 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. ! HAVE MADE THIS
STATEMENT FREELY WITHOUT HOPE Of BENEFIT OR REWARD. WITHOUT THREAT OF PUNISHMENT. AND WITHOUT COERCION. UNLAWFUL INFiLiENCE. OR INLAWFilt INDuCEMEta
Subscribed and swam to before me. a person armis:i2e0
WITNESSES: adobnisie! sats :rds. _ C:
ORGANIZATION OR ADDRESS
'Typed ?vamp of Person AornmveraT
-:tithisriri-
ORGANIZATION OR ADDRESS
OE ?ERSOR MAKING STATEMENT

PAGES
RAGE

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DOD 007008