Criminal Investigative Command referral to FBI re: Identification form for military detainee - Iraq. Mostly redacted.
REFERRAL
FROM
UNITED STATES ARMY
CRIMINAL INVESTIGATIVE
COMMAND
(1)A6-es 35q.9 — 3sq 2
DOJFBI-001927
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'1
(STAPLE HERE) LEAVE BLANK
CRIMINAL
b6 -4 STATE USAGE
CHARGE M Mary Detainee-IRAQ ISN STATE USAGE b7C -4 b7F -1 El NFF SECOND SUSIMISKIN APPROXIILATE CLASS AMPUTATION SCAR tisT mum FIRST MAKE, MIDDLE NAME. SLIM b7C -4 b6 -4
b7F -1
SIGNATURE OF PERSON FINGERPRINTED socuLsacuFunt NO [AYE BUM
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AUASESANLIDEN LAST NAME. FIRST NAME MIDDLE NAME, SUFFIX b7C -4
b7F -1
; FBI NO " I STATE IDENTIFICATION NUMBER DAA OF BIRTH ADO OD YY SEI t RACE Hama I wawa Ens I HAS b6 -4
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b7F -1
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CONTRZTISD SEREIC4,. IS uNcLAesiPign DATE :12-13-2004, BY ,015,790M11/13CE/a3a 0 .Cv--4151;'
X5 61 I
DETAINEES-3591
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U U %.
A 1: 1
DOJFBI-001930
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-
CLARK b6 -4 b7C -4 b7F 1
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- FBI IDENTIFICATION RECORD -b6 -4 b7C -4 b6 -4 b7F -I b7C -4 b7F 1
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,1 ****,*THIS PAGE SHOULD NOT BE DISSEMINATED OUTSIDE THE FBI***** I
,END;OF BUREAU SHEET,
UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION CRIMINAL JUSTICE INFORMATION SERVICES DIVISION CLARKSBURG, 114V 26306
Page 4 FOR OFFICIAL USE ONLY EXHIBIT 9
!DETAINEES-3590 35q ° 26
Dir4:2REi 1:14PV.74151:
DOJFBI-001929
FLY030083500.rsp
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSBURG, WV 26306
b6 -4 b7C -4 b7F -1
b
I
IBECAUSE ADDITIONS OR DELETIONS MAYBE MADE AT ANY TIME, A NEW COPY
,,SHOULD BE REQUESTED WHEN NEEDED FOR SUBSEQUENT USE.
_ -FBI IDENTIFICATION RECORD -
. ,b
. : I
I
WHEN EXPLANATION OF A CHARGE OR DISPOSITION IS NEEDED, COMMUNICATE DIRECTLY WITH THE AGENCY THAT FURNISHED THE DATA TO THE FBI. b6 -4 b7C -4 b7F -1
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PHOTOIINFORMATION
,2-FOUR PHOTOS AVAILABLE
I
'RECORD UPDATED 1 2004/03/69
I !
I;
ALL ARREST ENTRIES.CONTAINED IN THIS FBI RECORD ARE BASED ON
LFINGERPRINT COMPARISONS AND PERTAIN TO THE SAME INDIVIDUAL.
i;THE USE OF THIS RECORD IS REGULATED BYLAW. IT IS PROVIDED FOR OFFICIAL
USE; ONLY AND MAY BE USED ONLY FOR THE PURPOSE, REQUESTED.
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
FOR OFF,WIAL , USE ONLY EXHIBIT 9
1 DfTAINEES -3589
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iS79Cgtait6P,t4e.P2:;J::04.,CV.,, 4
DOJFBI-001928
•
INP , (STAPLE HEE , LEAVE BLANK
b6 -4 STATE USAGE
b7C -4 NFF SECOND . . .
7F -1 SUBMISSION APPROXIMATE CLASS /UAPUTATION SCAR
LAST NAME. FIRST NAME. MIDDLE NAME, SUFFIX
UNKNOWN, XXX
SIGNATURE OF PERSON FINGERPRINTED SOCIAL SECURITY NO LEAVE BLANK
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b7C -4
b7F -1
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1 .I ALL INFORMATION CCNTAINED 14FREIN IS UNCLARSIETEID 'ATZ 12.1, 3-2004 BY sts7sm4}1/TP7e/A 0 tl4 ='b 4L
DETAINEES-3592
DOJFBI-001931