CID Report: 0033-03-CID519-62149

SUSPENSE DATE IYYYYMMDDI
COMMANDER'S REPORT OF 1'''CIPLINARY OR ADMINISTRATIVE ACT, For use of this form, see A 10-45; the proponent agency is ODCSOPS ,...,L 2003/06/10
/F• c-
.F
PRIVACY ACT STATEMENT
AUTHORITY: Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSN).
To provide commanders and law enforcement officials with means by which information may be accurately

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

3. FROM
2. TO
1. THRU

CDR, 800th MP BDE 10th MP DET (CID)SK' (,) -2 CDR, 724th MP BN
.---) ..„,) "---Camp Bucca, IraqCamp Arifian, Kuwair Camp Bucca, IraqSAPO AE 09375APO AE 09375APO AE 09366
6. SUB-INSTALLATION IDENTIFIER5. MP REPORT NUMBER4. USACRC CONTROL NUMBER

Camp Bucca, Iraq
093S-10 --C IDS/f ^ r.takA. CA
To be completed by the commander or supery sor of the subject identified below and in corresponding MP/CID report. Check all applicable blocks. Briefly explain circumstances not covered by blocks. For multiple offenses resulting in more than one type of action taken or action taken for offenses not listed in the report, explain in block 15, Remarks, which offenses apply to blocks checked and action taken for other offenses. Retain last copy and return all others to addressee indicated in "TO" block on completion of final action.
DATE OF BIRTH (YYYYMMDDI

7. NAME OF SUBJECT (Last, First, MI) 8. GRADE 9. SSN 101(-4 KerSe-10.
iiii~40i44)-$ E-3 eariNOM lolc:.5)-6(6.5
11b. DATE OF OFFENSE(s)11 a. OFFENSE(s)
1.
Failure to Obey Order (Art 34 UCMJ) 2003/05/12

2.
Reckless Endangerment (Art 92 UCMJ) 2003/05/12

12 ACTION TAKEN
a. * NONE I 1(1) INSUFFICIENT EVIDENCE (2) OTHER (Explain in Remarks)
was advised that although no action was taken, the report would be retained in Army records and that requests for amendment, correction, or expungement may be submitted IAW AR 190-45 (MP Reports) or AR 195-2 (CID Reports).
* Subject
X b. ADMINISTRATIVE
REFERRED TO (Check appropriate blocks))DATE REFERRED (YYYYMMDD))DATE RESPONDED (YYYYMMDD) F = FAMILY ADVOCACY D = DRUG/ALCOHOL ABUSE
N
. S = SPECIAL REFERRAL E = EQUAL OPPORTUNITY
L = LEGAL OFFICE
M = MENTAL HEALTH
R = RELIEF AGENCY

c. NONJUDICIAL (Article 15, UCMJI
_
_ COMPANY GRADE — FIELD GRADE SUMMARIZED
GCM AUTHORITY

—
GENERAL OFFICER

d. JUDICIAL (If subject was tried by court-martial attach a copy of the court-martial order giving findings and sentences.)
_
SUMMARY COURT MARTIAL GENERAL COURT-MARTIAL

—

_
SPECIAL COURT-MARTIAL CIVIL COURT

_

13. JUDICIAL FINDINGS
_
GUILTY

DISMISSED

_
NOT GUILTY

_
OTHER (For example, guilty of a lesser included offense. Explain in Remarks.)

14. RESULTANT SENTENCES, PUNISHMENTS, OR ADMINISTRATIVE ACTION
(1) ORAL X (2) IN WRITING

X a. REPRIMAND b. ADMONITION
c.
DETENTION d. FORFEITURE e. FINED S / MONTHS

f.
REDUCED FROM TO 1 1g. EXTRA DUTY FOR DAYS 1 1h. RESTRICTED FOR DAYS MONTHS

i.
CORRECTIONAL CUSTODY FOR DAYS j. CONFINED YEARS

.

k. PUNITIVE DISCHARGE ADJUDGED TYPE:
EFFECTIVE DATE

I. ADMINISTRATIVE DISCHARGE
m. OTHER (For example, suspension of driving privileges. Explain in Remarks.)
DA FORM 4833, DEC 1998 DA FORM 4833, JUN 80, IS OBSOLETE

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74 M`,TRACSOR NU49E.' I 75 FED SCAV4PRI) / 7'5
, !
4 11 MRP rri 31 CCP' :::P C,.-YE
-Cr...CP 57 ' i
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15

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11) U V
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EDITION Cf I AUG 57 WILL bE UNt11 UNIIL aliAUSILU

CID FORM 4-4-11
DODDOACID 007284

DATA REQUIRED BY PRIVACY ACT ROUTINE USES: Your social security number and other personal informationAUTHORITY:STitle 10. United States Code Section 3012 (g)
Arc used as an additional alternate means of identification to facilitate and retrieval.
DISCLOSURE: Disclosure of your social security # is voluntary

PRINCIPAL PURPOSE:STo provide commanders and law enforcement officials with Smeans by which information may be accurately identified.
6. Sequence z-'S7. Year:S8. OfficeS9. ROI #SOffense:

1. Rec Code:S2. Action Code:S3. Date: 4. Rel to Case:S5. Control:S
-CID --

. . . . . ....._...„.. .... . „,_..
12. Middle Name: 13. Grade/Rank:

10 ast Name: jr. , 1 First Name:
b4z--tf b(p-cyFerr bow-. - Lt
18. PCB St: 19. POB Zi •17. POB Ciecurttv Nu I. 15. Other ID Number.Srib,.S• f B It t: bS

r_.!
cord: I.

23.Seight: 24 Weight:S2 . : 26. Eye Color:S.Samen. • • {F.
• ex:. ' ace: 22. thnic:S
A)1,.4 ,,,//:(.
C---3 N-CAA: hd A)5` ',,p." 1 ¦ 0F8(zrk-)FII 24) /M-i-e-/ -
36. Spouse Military:SBranch:Tattoos:

31. MOS: 32. Job Description/Location: 33. MC -34. Security Clr: Ph sical Iv arkS
640:cf 1,6,1 Yes: ¦ No:

Ct ?-190?_Plo 2 ,. - a_ C Ahry,-c 1
39. Alias/Nicknames:

38. Alias/Nicknames: 61..)/i8 i (-/ /q--74/:'t
37. Alias/Nicknames: Cell/Pager.
41. Unit Phone Number:SHome:

40. Unit/ Organization: w,
-

'4S 14 14-b 1-7 a 4. rl t? r3 4C..-Fto
46. Country. 47. Zip Code/APO:42. Military Service:S43. Sub Unit:S44. Fort/City:

S., 2_ A. .10 fi i_ 6,1F?_5---
I 9,..VA.) C)y-v-t)g 0 C-C2
50. State:SI. CounSirof tp Code/APO:

48. HoS.. . , :.S.4:6'.51111S'"S=1" %Mr :
g +-7/ 1

•ritaa%Ti ra, . iiig,1 i36 dA' a ie4 t a TM-MUM ').'' .1 4
57 Middle Name:
56. First Name:S

53. JUV:S54. Family Rel:S55. Last Name:
61. Unit:
60. MC:

58. Social Security: 59. Grade/Rank: Um:
62. City: r 63. State: T 64. ZIP/APO: 65. Phone: Wk: , . : •it.i, ' .e..4 ?..-,-._ L _
. , V,Ilq:-..S.Iir,Lz,._ ._,,, 2,
'
rT '1, ... ,. , .:, ' , ,
73. UFC:72. Offense Code:70. Offense Code: 71. UFC:S66. Offense Code: 67. UFC: 68. Offense Code: 69. UFC:
„F--„„,F- ,-_ -F
-.7...,-,.-v,,,,-,,,,,, wS,,,, ,S-,."S..,71,7 , 1", , "7-0,7,77 ,F'-'"F ,; ,_ 4,,,
1174.1
1,:f0. 2.a7,7

' giA.Iiii -. .F'F' '
Date / Time Interview START:

ETS: PCS/DEROS: Date:STelephone:
Time: Date / Time Interview END:Place of Interview:

Time:
Disposition:
.S •S'. ' PIWPOttlairkettiki)0A--

Date:S

Policy: Year/Date Exp:
74. Category: 75. Type: 76. Recovered: 77. Value: 78. Insurer: /
Yes: ¦ No: ¦

79. Year 80. Make: 81. Model: 82. Vehicle Style: 83. 4 of Doors: 84. Color: 85. Size:
89 DOD Decal Number:

87 License Plate: 88 State:86. V I.N•

NOTES:
LAST HIV TEST:
CID FORM 44-R...0nItne version 1999
01170
DODDOACID 007283

DEPARTMENT OF THE ARMY
44TH MILITARY POLICE DETACHMENT (CID) (FWD)
UNITED STATES ARMY CRIMINAL INVESTIGATION COMMAND
CAMP ARIFJAN, KUWAIT APO AE 09366

S: 30 June 03

30_May 03

CIMPL-FL-FWD (195-2b).

ki4v

MEMORANDUM FOR Commander, 800' h Military Police Brigade, Camp Bucca, APO AE 09367 (ATTN : COL wpm ioq-c_-3,we3
SUBJECT: Report of Investigation 0033-03-CID519-62149

The enclosed CID report pertaining to a member(s) of your organization is

1.
forwarded for information and action deemed appropriate.

AR 195-2, paragraph 1-5e requires that commanders/supervisors receiving

2.
CID reports for action must reply to the CID unit initiating the report
indicating the judicial, nonjudicial, or administrative action, or lack

thereof, taken against persons listed in the subject section of the report.
Changes resulting from appellate action must also be reported.

Commanders/supervisors must also notify all persons against whom no action

3.

is taken, that their name will remain in the title section of the report, and
that the report will be indexed and retrievable by their name. These persons
will also be informed of the purposes for which the reports are used (e.g.,
other criminal investigations, security clearances, and other purposes as
authorized by the Privacy Act and AR 340-21) and the fact that such use may

have an impact upon their military careers.

Request that you use the enclosed DA Form 4833 to provide the required

4.
information as soon as disciplinary or administrative action is completed.

I
b c-- l 10
2 Encls

Special Agent-in-Charge

CID FL 23-R (Previous editions of this form letter are obsolete)
1 Jan 81

FOR OFFICIAL USE ONLY

%; .

01169

AGENT ACTIVITY _ CONTROL NUM., A
(CID Regulation 195-1)
30 &Pi 03 ft/1 -e-D gc;7L-- 1-17
ilifirakric--1 1 10 p.-/
69_ N C­-/z/tDk -a_ qV3_3 D [a A
.11111110-4„coc,-

de;v4-j 4 `11-b FD `i7
(A/ Pr-4D

93 (-`)
3)Nc--03 g33,
Wan Cod C---Copy FO
1-3-0
G4A,v,/ . (-ILe ro
a
Q1-1-2.41.•,,,,, Ors

UMWiceg--( tap-
CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED. n
1 OCT 80 Rglei_vfa
AGENT ACTIVITY SUMMARY CONTROL NUIVHSER -7C-! ' -03-CAMP BUCCA
(CID Regulation 195-1)
1200Z, 18 May 03 1230Z, 18 May 03 1100Z, 19 May 03
1300Z, 19 May 03 1400Z, 19 May 03
b1C.
"1
C.J
1.0(fel About 1200Z, 18 May 03, SAlireceived and reviewed the sworn statements of MAJ 1111111111111.11.6and CPTIONMINSkrf 0'4 I b(-(

About 1230ZS18 May 03,SSAkrtifila ece-1 l ed and reviewed the statement of SPC114//11 )10 C1141
About 1100Z, 19 May 03, SA and CPTS'rearms Instructor) conducted a test fire of PFC 2 Gauge Shot Gun utilizing a cardboard target to determine the actual spreadgf thp KB uck Pellets at 81 feet to verify the validity of PFC
11111111110tatementiat. "6 S17(49-1 -3rd About 0900Z, 16 May 03, riefed MAJS MP Group, Legal Counsel, Camp Bucca, Iraq on the details of this investigation.
Updated case file, drafted and prepared final report, forwarded case to SAC for review
7-6
a-9 :212- E-r-T1 .
Oho C 10-42,0
7 4,-.4 7) 4_ 1/ i_5 (7 14:2 7-
leu422cuo A-clb A-11 CI .x14 /3 )T5 (.1. 11 a -"ZC. 2 LL
5 5)
002 syDArlie guct-9(c.c.Vilf Gag, o pke-€40 m be F -, h-e t O 1 -r /3,(. Afrenrr, S)0-)e.7--c nic57 e
ge
tir Sic e. l g vv\A-A 03 4rY0 -F(5 --)L1 cf3)-e-5 v.-2/13-€
.To gfdFu13-s-fes.,3(ce. eiv14,),
,9-0c_

polka-S )1(_ C ,S ,*e--r 61
t3pc1 cFA-35e ./q 1.

31
d `k---C.
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•1
C-Fkr:
1
F CSS
• '
'7\FCF¦-•
c-() \_JZ ,,cFk
••••_
k.fc -v 13
S

CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSta.ik ,
CONTROL N ..BER 0033-03-CID519-62149

AGENT ACTIVITY SUMMAk._
(CID Regulation 195-1)

1100Z, 14 May 03
IMMO tort 00 Cp-
1200Z, 14 May 03 1210Z, 14 May 03
1400Z, 14 May 03 0600Z, 15 May 04
0650Z. 15 May 03 07002„ 15 May 03
0800Z, 15 May 03
0900Z, 15 May 03
1000Z, 15 May 03
1200Z, 15 May 03
0612Z, 16 May 03
0650Z, 16 May 03
CID FORM 28
'T" on
Commander, Camp
Basis for Investigation: About 1100Z, 14 May 03, COLSBucca, Iraq notified this office of a possible fatal shooting of a civilian by a tower guard at the reported on 12 May 03, there was an
Camp Bucca Internment Facility (IF), Iraq. COLSincident where a tower guard observed an unidentified individual attempting to cross the south
burm of the compound_ A warring shot was fired and the individual was apprehended and appeared to have had an abrasion on his face. He was taken to the Camp Medical Tent where it was subsequently determined he suffered a gun shot wound to the face and was subsequently
evacuated to an unknovnt locatiar-COLIMIlliexplained he had -heard ittfunmatiouSthat suggested the individual had succumbed to his wound and pasted away at the Medical Facility where he was treated. No further information as available at the time. 1.01,(12fp -1
received and reviewed the Accident/Serious Incident
About 1200Z, 14 May 03, SAS
Report (SIR) generated by the 822 thi MP Company detailing the shooting.

rdinated with Cliiiiiinalkamp Bucca Medical
About 1210Z, 14 May 03,S Facility, Camp Bucca, Iraq who initially treated the civilian victim when he was brought into the
Medical Facility.
Adviitiate
CO Sto in-
n information received from COS
BriefedS
preliminary and determine status of victim.

SHOOTING CRIME SCENE EXAMINATION: About 0600Z, 15 May 03, SA
traveled to the Camp Bucca Internment Facility, Camp Bucca, Iraq to conduct a shooting scene
examination of the area where the alleged final shooting took place_

b/c-I ke 4-1117-3
7
About 0650Z, 15 May 03, SAMillacoordinated with and interviewed LT 011111111111111111111111111Commander, 724 th MP Battalion, Camp Bucca, Iraq.
About 0700Z, 15 May 03, SASinterviewedSPC
MP Company, Camp Bucca, Iraq who was assigned to the guard tower immediately west
grad
of the incident location.

ba
interviewed SSG
About 0800Z, 15 May 03, SASboth from 822thi MP Company, Camp Bucca, Iraqand SGTS
who were both traveling together as the roving patrol around the Internment Facility on 12 May
03.
received and reviewed a hand written statement
-
About 0900Z15 May 03, SA 822nd MP Company, Camp Bucca, Iraq
prepared by PFCS
immediately following the incident.

departed Camp Bucca, Iraq traveling to Camp Viper
About 1000Z, 15 May 03, SAS
Medical Facility, Iraq to locate and determine the status of the individual who was alledgedly
-soco-s-

shot at and wounded by PFCiambic
About 1200Z, 15 May 03, Sligiti finterviewed CAPT (0-6)Immims Director of Medical Services, U.S. Navy Surgical Hospital, Camp Viper, Iraq who was the commander of the field hospital.
bRe-
Sof his legal rights for the
About 0612Z, 16 May 03, SASdvised PFC offenses of Reckless Endangerment and Failure to Obey Order or Regulaton which he invoked
and requested legal counsel.
-(
Leceived and reviewed the Rules of Engagement for
About 06502., 16 May 03. SAS
the Camp Bucca Internee Facility.

0 0
0 - - °
PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUST
166

CT= =CPM 66

-------------------------------------------------------------------------- _

7. CAS= NUM==R

I 2. TIME RECEIVED

• 1. =ATE

7";F-Luh F I
8. ASSIGNEE -0

Irkt1c-60-1t
e 71
v--
9. TYPE OF ACTION

J ^^
-

-5"
--rf ----------------

-- 0_t7C---------------------- -------VTCTM
7 I TYPE I SUSPENSE 1 COMP
C. 1
--•"7"M

C"7

-f-Orl.

.
COPO

Lt- 41:1 c :5
I

CID FUNDS

I 12:

CTHER ACTION

DATE

I RQRD I COMPL I 1 AMOUNT I

ArT7cN

CRTMTNAL NEO
i9ML-7t2

EVIDENCE OUST ja031 111111110,1c.-10(0-I I I
I

:.F.•FIF__ __ _ __ _ _ _
__ I _______ I __________ I ________ I _______ _________ F_______ :
iF IFIFIFIFIFIFI
IFIFIFI

IFIFIFIFiFIFI FI
IFIFIFIFIFI
IFIFIF

0000001 01165
6,0i3„ 0 5, c tSti
CAMP BUCCA DATED 2003/05117
TAKEN AT

STATEMENT OF
S. STATEMENT (Continued)
101eaL1ash66 -`
NOT USED our
AFFIDAVIT
C.-

, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS 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 INFLU •NCE, OR UNLAWFUL INDUCEMENT. b(0-(1
n)tatement)
igna u e o)
Subscribed and sworn to before me, a person authorized by law to

WITNESSES: MAYS, 2003
17 day of at C CSA IRA I
administer oaths, this
-
Job-6 -3
(S(gnatTo rso Administering Oath)

ORGANIZATION OR ADDRESS
10
on Administering Oath)
ype . `ame of)
ART 136 (b) (4) UCMJ
(Authority To Administer Oaths)

ORGANIZATION OR ADDRESS
F174-46"1
INITIALS OF PERSON MAKING STATEMENT 2 OF 211
PAGE
I

USAPA V1.00
111. IDc-*L1

PAGE 3, DA FORM 2823, DEC 1998
DODDOACID 007276

C)c.)3,3 .0 c
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).

AUTHORITY: To provide commanders and law enforcement officials with means by which information may be accuratelyPRINCIPAL PURPOSE: Your social security number is used as an additional/alternate means of identification to facilitate filing and retrieval.
ROUTINE USES: Disclosure of your social security number is voluntary. yr ., 10(3 -q
DISCLOSURE:
2. DATE (YYYYMMDD) 3. TIME I 4. FILE NUMBER

1. LOCATION
I

2003/05/17S1030 alCAMP BUCCA, IRAQ

7. GRADE/STATUS
6. SSN

5. LAST NAME, FIRST NAME, MI DL NAME
taimmim toic-ljto E-4
8. ORGANIZATION OR ADORESs
HHD 724th MP Bn
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:

111111N, S
At approxiamtely 1028 on 17 May 03, I conducted a PMCS/ Function's check on the following weapons: 9mm SER# 1317400,M16A2 SER# 2157957, 12 Gauge Shotgun SERB 033176. The 9mm had rust on the outside of the barrel, rust on the upper operating rod and spring. The 12 Gauge Shotgun magazine spring is inoperable. On all three (3) weapon there is no sign of
lthy. There is build up sand and dirt on internallubrication and there are no mechanical defficiency, they are also extreamly fi

wic_41.'1
working parts. The barrel of the Shotgun and the M16 had evidence of being fired. ///END OF STATEMENT/// S
104-q
PAC--Igo"!
11. INITIAL SON MAKING STATEMENT

10. EXHIBIT
PAGE 1 OF PAGES
WO
TAKEN AT )DATED )ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT

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 FDOM 2823, DEC 1998
(ToF-Fure5F-4, 61 y
TAKEN AT DATED 17

STATEMENT OF CP
9. STATEMENT (Continued)
b -
co— , HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
CPTF
A..SLY 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 F BE F R WARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR S
1 6("0-q
eking Statement)

Subscribed and sworn to before me, a person authorized by law to WITNESSES: administer oaths, this 11 7 day of
S at &Hy BliCC
ORGANIZATION OR ADDRESS
(Authority To Administer Oat )

ORGANIZATION OR ADDRESS
JIJ 01131. I;

INITIALS OF PERSON MAKING STATEMENT PAGE 2 OF 2 PAGES
USAPA V1.00
PAGE 3, DA FORM 2823, DEC 1998

DODDOACID 007274

0035.03 C OS-1 61- 62./ ki

SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS

PRIVACY ACT STATEMENT AUTHORITY:STitle 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSNI.
PRINCIPAL PURPOSE:STo provide commanders and law enforcement officials with means by which information may be accurately identified.
ROUTINE USES:SSour social security number is used as an additional/alternate means of identification to facilitate filing and retrieval.
DISCLOSURE:SDisclosure of your social security number is voluntary. (01-C 1Up'11
1. LOCATION 2. DATE (YYYYMMDD) 3. TIME 4'7'46 L-4. FILE NUMBER
CAMP BUCCA, IRAQ 2003/05/17 AD`' amitur viiirairimiNAloME 6. SSN -la - (4 7. GRADE/STUS
TA
V-c -4 i be.-"( CPT

8.
ORGANIZATION OR ADDRESS 724TH MP BN CAMP BUCCA, IRAQ APO A.E. 09375

9.

siiiiiiiiiiim CPT S, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
C.--5.S-

On 14 May 2003 was ordered by LTSo retrieve PFCSweapons from his custody, conducted a round count of his 9 mm handgun, and take into custody any evidence that was recovered by his Company chain of Command SMM
d I went to the ComSarea and spoke withSompany Commander, 1LTIIMINM We explained that the circumstance's surrounding ooting had changed fromSa warning shot to a potential shooting. We then went to the Platoon leader, 1LT Sand his Sergeant, SSGSand PFC./Mnd explained that we needed PFC.Mftweapons and conduct a round count of his 9mm handgun. MAJStook custody of PFCSM-16, which he was not carrying during the incident, his 9mm handgun, and his Shotgun. Sspoke with SSGSan retrieved
• 1 9mm magazine that was issued to him and returned (15) 9mm rounds back to her that indicated a full magazine. SSG
also produced one Winchester "00" buck round that had been discharged. She stair directly after the shooting she went to theSene of tower 73 and retrieved the round at the base of the tower were PFC Swas occupying during the incident. SSGStated she had custody of the round until she turned it over to me. The weapon's were turned over to the Battalion Armor for further testing. The shotgun round was collected as evidence, sealed in a brown envelope with an attached chain of custody and turned over to MSG SJ3N S-2 NCO, placed into a secure safe maintained by him that is located in the BN TOC. Sb9r3 / (0(•-3
//lf/ ENDS8 -CS112rr E,IVA ff%, 7 \ \ 4
-I
109 C-b6-41

10. EXHIBIT 1 11. INITIALS OF PE TEMENT 1
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 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 jV 151-1*iC8
PRIVACY ACT STATEMENT
(SSM.

Tide 10 USC Section 301; Tide 5 USC Section 2951; E.O. 9397 dated November 22, 1943
To provide commanders and law enforcement o ffwiats with means by which information may be accurately identified
AUTHORITY: tification to faclitate filing and retrieval.
alternate means of identification

PRINCIPAL PURPOSE:
Your social security number is used as an additional/ ROUTINE USE number
socialSDisclosure ofS

DISCLOSUIle
WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
Zv3J laa,c,
)4--14-rk ler

O fj 0 S 15 0 3 4-1" laPP
tart: r/z )t -yz
fi7" ­

/--rzr —i \w"‹ L-f.-vOoy---c C-aor--% L Co„dFa,..)4 D%) C frilairzy 77
-
i9..5

4 4 1.1 ) d9 .F
J
104-IX

-t-n6zi 7”-7

.r5. /3/7yop
7)F9'n Y12,,i; cres1-2,
c5d43F
lofr3

-4 Ida-Li
DATEDTAKEN AT)

ADDI770NAL 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

USAPA V1.00
MUST BE BE INDICATED.
DA FORM 2823, JUL 72, IS OBSOLETE

DA FORM 2823• DEC 1998
DODDOACID 007272

Page(s)
!g •
•

Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101
MS. JACQUELINE SCOTT scottj@centcom.smil.mil
(813) 827-5341/2830
01158

UULbilY
For use of this form, sea AR 190-30: the propenant agancy t5
DATA REDUIRED BY THE PRIVACY ACT

Title 10, United States Code, Section 30121g)
AUTHORITY:
To provide commanders and law enforcement of licials with means by which information may he accurately identified. PRINCIPAL PURPOSE:
Your Social Security Number is used as an additionallalternate means of identification to facilitate tiling and retrieval. ROUTINE USES: disclosure of your Social Security Number is voluntary.
le-
,614-76"

DISCLOSURE:
Tlfa
2. DATE I

f :CATION
ORGAI IZATION OR ADDRESS

F3.7?-8 fila Co.
b (..-,6" 649

marrimwF
PART I - RIGHTS WAIVERINON-WAIVER CERTIFICATE

Section A. Rights
•—•••• I P.17;
ArmyF

The investigator whose name appears below told me that helshe is with the United States
7 ; -17 . '7' -7 •
ksey „,
c2:14.4 r
r.,•1,,.

Pr I e-
suspectedlaccused: )
.3efore he/she asked me any questions about the of fenselsI. however, helshe made it clear to me that I have the following rights:

Ido not have to answer any question at say anything.
1.

Anything I say or do can be used as evidence against me in a criminal trial.

2.

I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me
(For personnel subject othe UCMJ
3.
during questioning. This lawyer can be a civilian lawyer I arrange for at no expense to the Government or a military lawyer detailed :or meet na ex;:ansa to me,
or both.
I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with

'Fvr civilians not subject to the IlC,11J)
that I arrange for at my own expense, or if I cannot afford a lawyer and want one, a lawyer

can be one
me during questioning. I understand that this lawyer
will be appointed for me before any questioning begins.
a

right to stop answering questions at any time, or
now willing to discuss the of fensels1 under investigation, with or without a lawyer present. I have

if 1 3m
I sign the waiver below.

speak privately with a lawyer before answering further, even if
COMMENTS IContinve on reverse side)
5.
Section B. Waiver
to a lawyer first and without having a lawyer present with me.
es stated above. I am now willing to discuss the offensels1 under investigation and make a statement without talking
I understand my rights

SIGNATURE OF INTERVIP;EE WITNESSES
3.

Ill available'
(Type or Print)
I a. NAME
c. - I

ORGANIZAT: — ] ' - - - --"' ' - -, —
\b.
YPED NAME OF INVESTIGATOR
2a. NAME (Type or Print)

s A

ORGANIZATION OF INVESTIGATOR
ORGANIZATION OR ADDRESS AND PHONE L)C F 420.)

h .7 -/r/ /•'( j) Off ar
-waiverSection C. Non

. Ida not want to he questioned 01 say anything

1:14 I want a lawyer
ERVIEWEE rve j.„ a7/41 its _571Z,,,,i0/ ./,‘Piffe k4.16-4141x/ex,

EAECjiTiG 31 THE SUSPECT:AE'CUS'---D
_
IDA FCX,1

"1
ACH THIS WAIVER CERTIFICATE TO ANY SWORN STATEMENT ORSOLETE
F217:2!! CT

DA FORM 3881, NOV 89F
DODDOACID 007270

Page(s)

•

01- /6,
•

Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101
MS. JACQUELINE SCOTT scottj@centcom.smil.mil
(813) 827-5341/2830
01156
DODDOACID 007269
4X-(.6400\44to.N., AN G;to.04t, La. NOT 715 SCA LE Attm,Itis.Akto,i4): .6%-ocp, L-4fi.o.4.0v% 0:1 ¦-)//5 vo-• tpr,ckt: vs-5A IMF
, 4 ¦410- -to
0115t;ic 3

Page(s)

io -
Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101
MS. JACQUELINE SCOTT scottj@centcom.smil.mil
(813) 827-5341/2830
ROI NUMBER

AGENT'S INVESTIGATION REPORT 0033-03-C1D519-62149
CID Regulation 195-1
PAGE 4 OF 4 PAGES
I
C

DETAILSS 10S
reived and reviewed the Rules of Engagement for the Camp Bucca Internee

About 0650Z, 16 May 03, SAS
Facility. Rule 4(2) clearly states Warning Shots are authorized but must be fired in a safe direction away from all

prisoners, civilians and US/Coalition personnel. (See Force Protection Plan for EPW Camp Bucca for further details)
-S-

(..-, - -1S
and
mived and reviewed the sworn statements of MAJ

AboutS18 May 03 SA S
from 724th MP Bn, Camp Bucca, Iraq which detailed there actions when requested to

CF
weapons and conduct a round count of his 9MM ammunition. (See Statements for details)obtain SPCS
101-4-*Sb 47 -1Sand reviewed the statement of SPCAbout 1230Z, 18 May 03,SAt.11111111kreceived

Bucca, Iraq which detailed the Functions check conducted on all three of PFC

allOUnit Armorer , 724th MP Bn,S
IllmigNssued weapons. SPCS ed all three weapons (M-9, M-16 and 12 Gauge Shot Gun) were
Functional and able to be fired.
1Fkacr.,,Lkfaq
I11¦11111111111111111(rimarms Instructor) conducted a test fire of PFC

About 1100Z,19 May 03, SA mmomp and CPT
11111111.1102 Gauge Shot Gun utilizing a cardboard target to determine the actual spread of the 00 Buck Pellets at 81
Feet to verify the validity of PFC1111.11111statement. The test, which was conducted by firing three shots from PFC

position at a target located in the position the victim was standing, determined the average pattern s rea of the 9 pellets was 242 inches high by 162 inches wide. Based on the test fires, it is the opinion of CPT that the warning shot would have had to be aimed somewhere between the chest and 12 to 14 inches above the head for a round to have struck the victim. Therefore, PFC anikaccounts of the incident could not be accurate.
MP Group, Legal Counsel, Camp Bucca,About 1300Z, 19 May 03, SA irliiiriefed MAJS

PFC

Iraq on the details of this investigation. MAJ 1110111111bopined there was probable cause to believe committed the offenses of Reckless Endangerment and Failure to Obey Order or Regulation when he disregarded the Camp Bucca Force Protection Rules of Engagement and fired a warning shot in the direction of an approaching civilian
which stuck the civilian causing injuryth/LAST ENTRY///
ORGANIZATIONTYPED AGENT'S NAME AND SEQUENCE NUMBER

733MP BN (CID), 6m, MP Group, Camp Bucca, Um Qasr, Iraq APO AE 09375

SA
EXHIBITDATESIGNATURE

19 May 03

01153
DODDOACID 007266
ROI NUMBER

AGENT'S INVESTIGATION REPORT 0033-03-C1D519-62149
CID Regulation 195-1
PAGE 3 OF 4 PAGES

srrAUS
ali111110 and SGThiiiiiit.4

4111101t erviewed SSGI111411 .611111 t11
0800Z, 15 May 03, S 1fr"nt
both from 822nd MP Company, Cam Bucca, Iraq who were both traveling together as the roving and SGT both explained about 0500Z, 12
patrol around the Internment Facility on 12 May 03. S
May 03, they responded to a radio call of a shooting on the south perimeter. Upon their arrival at SPCA position,
they observed an unidentified civilian sitting on the ground bleeding from the face and mouth. They immediately took
the individual into custody without incident and brought him to the Camp Bucca Medical Facility for treatment of his
wounds.

b Gs

About 0900Z, 15 May 03, SA 464" Sreceived and reviewed a hand written statement prepared by PF 1111111111111111.1111./111 822nd MP Company, Camp Bucca, Iraq immediately following the incident. PFCGIIIIMIWee the guard on duty at Tower 73 and was the soldier who fired the warning shot. The statement detailed the incident on 12 In the statement, PFC11.1011111reports seeing an individual approaching the
May 03 as described by PFC
outer berm of the Interment Facility and he immediately called out halt in both Arabic and English, when the individual
refused to stop, he fired one warning short with a 12 gauge shotgun, loaded with lethal ammunition, at the feet of the
individual. The statement further explains, after the waiving shot, the individual turned and ran back outside the burn,
and headed west until he reached the next Guard Tower where he re-crossed the berm and surrendered to the guard at

the tower. (See hand written statement of PFM111111111for details)
"

About 1000Z,15 May 03, SAVIiiikdeparted Camp Bucca, Iraq traveling to the Camp Viper Medical Facility, Iraq to
locate and determine the status of the individual who was alleged shot at and wounded by PFC SUpon arrival

No further
at Camp Viper, SASwas able to identify the victim as MrS
identification was available as all medical records had been forwarded to the Baghdad Training Hospital, Baghdad, Iraq.

Director of Medical Services, U.S.
nterviewed CAPT (0-6)SAbout 1200Z, 15 May 03,S iSinterviewed

ala
Navy Surgical Hospital, Camp Viper, Iraq who was the commander of the field hospital. CAPTIIIIIIMbexplained on 12
was brought into the hospital with a single gunshot wound to the right cheek. Upon further

May 03, Mr.S
examination and examination of the X-Rays, it was determined a projectile was lodged in his neck resting against an
artery. CAP11111110explained the projectile could not be removed without causing further injury so it was left in place.
CAPllIllIllIllexplained, with proper medical care, mr.1111.1111111111Swas expected to make a full recovery. CAPT

1111111110iso reported Mr.111111111.1111•1111and all of his medical records and X-Rays were forwarded to the civilian medical
did state the
I and unfortmately, there were no records available. CAPT S

personnel at the Baghdad HSneck was not consistent with a shot from a 12 Gauge Shotgun and based on his
projectile lodged in Mr. S
experience and the observations of his staff, the projectile lodged in the victims neck was consistent with the shape and
size of a 9mm round. CAPTallibreported seeing three to four gunshot wounds a day come through the Field Hospital
was not able to provide any additional

and he was certain of the size and shape of the projectile. CAPT S
information pertaining to this investigation, and when questioned about how Camp Bucca could have been incorrectly
notified that Mr11111.1111111.11111111itad passed away, he explained the communication from the hospital are sometirnes
before they reach there destination and mix ups happen. CAPAIIIII)assured SA

relayed though two or three S
departed his hospital on 14 May 03, he was alive and well

111111111111111)that when Mr. S
his legal rights for the offenses of Reckless

kkdvised
Endangerment and Failure to Obey Order or Regulation which he invoked and requested legal counsel. The interview

was subsequently terminated and PFC*1111111was released back to his unit.
About 0612Z, 16 May 03,SkSgS
TYPED AGENTS NAME AND SEQUENCE NUMBERS ORGANIZATION
733MP BN (CID), 6m, MP Group, Camp Bucca, Um
b -)bl)
Qasr, Iraq APO AE 09375

SAS
EXHIBIT
DATES

SIGNATURES
blc.-1 (pc, -I 19 May 03

•

01152
DODDOACID 007265
ROI NUMBER

AGENT'S INVESTIGATION REPORT 0033-03-013519-62149
CLD Regulation 195-1
PAGE 2 OF 4 PAGES

DETAIIS
Factors Pertinent to Entry/Exit: Access to the shooting scene could be gained on foot or by vehicle from the south, east and west and access would be totally unobstructed. The area around the internment facility is open desert and not
restricted in anyway.
Environmental Condftion: At the time of the shooting, it was approximately 80 degrees and sunny with a slight wind. Visibility was approximately four or five miles.
toaildi0t6e
xposed several photogra of the guard tower, location of the victim and theScene Documentation: SA

also prepared a sketch of the scene depicting

area around the shooting scene utilizing a digital camera. SA
the guard tower and location of the victim and the measurement between both.

Collection of Evidence: No evidence was collected at the scene.

Search for Latent Prints: A search for latent prints was not conducted as it was not applicable to the current
investigation. A search for foot impression was conducted around the location where the victim was seen crossing the
berm but due to the consistency of the sand the weather over the previous several days, not foot impression were

discovered.

Search Beyond the Scene: A search beyond the scene was conducted for any additional information or evidence
pertaining the shooting. Nothing remarkable was discovered during the search. The search was limited to the area close
to the perimeter berm as there are believed to be land mines outside the berm.

loq)-3
,L

etr.,:Ljak-cS
About 0650Z, 15 May 03, SA.111101Pcoordinated with and interviewed LTC at CID was assuming
Commander, 724th MP Battalion, Camp Bucca, Iraq. SAIIIMPadvised LTC
LTC xplained she did not have

investigative responsibility of this incident due to a request by COL
any direct information pertaining to the incident but would make her personnel available for interviews as soon as

possible.
19 -

0822ncl MP Company, CampAbout 0700Z, 15 May 03, SA interviewed SPC was also the

Bucca, Iraq who was assigned to the guard tower immediately west of the incident location. SPC individual who subsequently apprehended the victim. SPC 11111.reported on the morning of 12 ay 3, approximately 0800 local (0500Z) he heard what he believed to be a gunshot coming from the Tower to the east of his position (rower 73). Due to the location of the generator and the noise it was making, he was not immediately sure he heard a gun shot.
timed around, he observed an individual running outside the berm towards his position. He
When SPC immediately drew his side arm and commanded the individual to halt. The individual came over the berm and stopped just below SPC..11101Iguard tower and sat on the ground. At the same time, two roving patrols arrived on the scene and took the individual into custody. SRC...reported seeing blood coming from the individuals face and mouth but he did not appear to be seriously injured. The roving patrols were then ordered to take the victim to the Medical Facility for treatment. When asked if he witnessed any weapons in the victim's possession, SPCSIIIMIstated he believed the individual was carrying a stick approximately two feet in length. SPG1/1111.was not able to provide any addition information pertaining to the incident on 12 May 03. ID -4096 • q
ORGANIZATION

TYPED AGENT'S NAME AND SEQUENCE NUMBER
733MP BN (CID), 6TH, MP Group, Camp Bucca, Urn

•S• b 1
Qasr, Iraq APO AE 09375

SA
DATE

SIGNS _
19 May 03
J ti

01151
ROI NUMBER

AGENT'S INVESTIGATION REPORT 0033-03-CID519-62149
CID Regulation 195-1
PAGE 1 OF 4 PAGES

DETAILS
, Commander, Camp Bucca, Iraq notified this

Basis for Investigation: About 1100Z, 14 May 03, COL office of a possible fatal shooting of a civilian by a tower guard at the Camp Bucca Internment Facility, Iraq. COLON. reported on 12 May 03, there was an incident where a tower guard observed an unidentified individual attempting to cross the south berm of the compound. A waning shot was fired and the individual was apprehended and appeared to have had an abrasion on his face. He was taken to the Camp Medical Center where it was subsequently determined he
COLONS explained

suffered a gun shot wound to the face and was subsequently evacuated to an unknown location. he had heard information that suggested the individual had succumbed to his wound and pasted away at the Medical Facility where he was treated. No further information as available at the time. cjjai-/
received and reviewed the Accident/Serious Incident Report (SIR) generated by

About 1200Z, 14 May 03, SA the 822nd MP Company detailing the shooting. The SIR reported the guard in Watch Tower 73 fired a warning shot at an unidentified civilian male when he failed to respond to and order to stop in both Arabic and English. The warning shot was allegedly one round of 00 Buck Shot fired from a 12 Gauge Shot Gun. There was no mention of the victim being struck by the round and the report indicated the victim was taken into custody without incident. (See SIR for additional
details)
1ki_o -I 1,A.L.102vy About 1210Z, 14 May 03, SAgme. coordinated with CPT¦, Camp Bucca Medical Facility, Camp Bucca, Iraq who initially treated the civilian victim when he was brought into the Medical Facility. CP111111111111 explained the victim was brought to the tent with what appeared to be a laceration on his upper left cheek. After examining an X-Ray, it was
1

determine there was a projectile consistent with the shape and size of a 9MM round lodged in his neck. CPT
treated the wound and arranged to have the victim Medically Evacuated to Camp Viper, which is the nearest Field
pter destined for Camp

Surgical Hos ' al. About 00500Z, 12 May 03, the victim was transported by a U.S. Arm was not able to provide
was unsure of the victim's current status or whereabouts. CPT
Viper. CP
this office with any identification on the victim as the medical records had been transported with the victim.
-/
traveled to the Camp Bucca

SHOOTING CRIME SCENE EXAMINATION: About 0600Z, 15 May 03, SA
Internment Facility, Camp Bucca, Iraq to conduct a shooting scene examination of the area where the alleged fatal

shooting took place:
Characteristics of Scene: The shooting scene was located in the southeast corner of the Camp Bucca Internment Facility (QU7839227814) and was identified as Guard Tower 73. The guard tower was a metal and wood tower, approximately 12 feet high (to the standing platform) by 12 feet deep by 7 feet wide. The tower was located approximately ten feet south of the inner perimeter (triple strand concertina wire) and about 62 feet north of the outer perimeter (berm). There was a 21 feet wide gravel road located 41 feet south of the tower, running east/west between the guard towers and the outer berm. Immediately north of Guard Tower 73 was the Internment Facility. To the south of the bum was open desert with approximately 15 miles of open visibility_ The berm itself was constructed of loose sand and was approximately 10 feet tall and encircled the entire Internment Facility. The distance from the southwest corner of the guard tower where the shot was fired from to the top of the berm where the victim was standing was approximately 81 feet. The elevation of the tower and the bum placed both the shooter and the victim at generally the same height.
Condition of Scene: The shooting scene itself was unremarkable as several days had past since the incident and the area was generally sterile. There were no signs of the shooting or even footprints remaining in the sand where the victim had approached the berm, as over the last several days, there had been strong winds and the sand had covered the
entire area. There were no indications anyone had been walking outside the berm_
ORGANIZATIONTYPED AGENT'S NAME AND SEQUENCE NUMBER

733MP BN (CID), 6m, MP Group, Camp Bucca, Um

AS.116610
Qasr, Iraq APO AE 09375S

S S
EXIBBIT
(.4„

SIGNATURESblc, -SDATE
19 May 03

Jut;. t_
01150
DODDOACID 007263
c.."0
1W

9.
Sworn statement of SPC1¦1¦111=10, 17 May 03rdetailing the function's check on PFC MINIM weapons.(ac•s i -5—

10.
Compac disk 00330351962149, containing all images exposed during this investigation.

4
• %.

Not Attached: a.
None. 4
'The originals of Exhibits 1 through 10 are forwarded to CRC with the final copy of this report.
STATUS: This is an Initial/Final (C) Report. This investigation was terminated in accordance with CID Regulation 195-1, paragraph 4-17a(6), in that the Special Agent in Charge has determined the furtherance of the investigation would be of little or no value or leads remaining to be developed are not
significant.
LEADS REMAINING: Interview victim, collection of weapon, laboratory examination on weapon
collection of medical records of victim.

REPORT APPROVED BY:
•

REPORT PREPARED BY:
191 Cr-I ,•-•1
( 10 -
pecial Agent, pecial Agent in Charge

DISTRIBUTION:

1 - (original) Director, U.S. Army Crime Records Center, ATTN: CICR-CR, 6010 6th St, Fort Belvoir,
VA 22060
1 - CDR, 10th MP BN (CID) (FWD) (ATTN: Operations Officer), APO, AE 09304, (Email only/Less
Exhibits)

1— CDR, 3'd MP GRP, (FWD) (ATTN: Operations Officer), APO, AE 09366 1— CDR, 800th Military Police Brigade (COLS, Camp Bucca, APO AE 09367 (Email only/Less
Exhibits)

CDR, 800th Military Police Brigade, .$-3, (ATTN: MAJ1, Camp Bucca, APO AE 09375
-

(Email only/Less Exhibits) CDR, 724th Military Police Battalion (ATTN: LTC.11111111111,, Camp Bucca, APO, AE 09375
-

(Email only/Less Exhibits)
1 — File

011 4 9 J V t _
committed the offenses of Failure to
A

Investigation established probable cause to believe PFiiii
Obey Order or Regulation and Reckless Endangerment when he, while acting in his capacity as a Camp Bucca Perimeter Guard, failed to follow the prescribed Rules Of Engagement (ROE) orders detailing
the use of wa i s o s to deter individuals from entering or exiting the camp. PFC MOM Wicri
Rile and instructed him to

Mr. approaching the outer perimeter o at,
observed Mr.
an fire shot, utilizing a
halt, (both in Arabic and English) when he failed to stop, PFC feet instead of12 Gauge Shotgun. The warning shot was fired in the direction of Mr.
i b(0"1
in asafe di ction as ordered by the ROE and Camp Bucca Force Protection Order. Mr. 411111.11 bic-'1
.-q

was struck in the face by one projectile and was treated for his injuries at a U.S. Army Medical Facility and then turned over to an Iraqi Civilian Hospital in Bagdand, Iraq. Mr.41111/Mb1e--4 1WY alMatilawas expected to make a full recovery from his injuries. }c 44 i 6.-41
STATUTES:
ARTICLE 92; UCMJ: FAILURE TO OBEY ORDER OR REGULATION
ARTICLE 134; UCMJ: RECKLESS ENDANGERMENT
EXHIBITS/SUBSTANTIATION:
Attached:
4S *A

1. Agent's Investigative Report (AIR) of SAINNENNE, 19 May 03, detailing the initial notification, receipt of SIR from 800 th TOC, coordination with Camp Bucca Medical Facility, shooting scene
and b1c-411)64
examination, command coordination, interview of SPOININIk interview of SSG receipt and *view of statement of PFC , interview of CAPTOR/a, rights 111•11. advisement of PFC ORM receipt of ROE for Camp Bucca, receipt of MAJaNiiiinistatement, receipt of SPC L statement, test fire of
receipt of CPT/NONNITSMIMstatement,
weapon and final SJA coordination.
2.
Accident/Serious Incident Report, dated 12 May 03, detailing the initial information received by the
800°1 MP BDE TOC pertaining to the shooting at the Internment Facility.

3.
Crime Scene Sketch, prepared by SAmium. on 15 May 03, depicting the shooting scene and
surrounding area.

tg_qcife-s"

4. Hand Written statement of PFC 41111¦11 prepared immediately after the inciderit; 12 May 03.
Cka,21/2i -b

5.
Non-Waiver Certificate of PFCIIIIIMIN, 16 May103.

6.
Force Protection Plan for EPW Camp Bucca

7.
Sworn Statement of MAJMNIIIIMIN16 May 03, detailing the collecting of PFC
weapons.

8.
Sworn Statement of CPT gimiwomim 17 May 03, detailing the collection of PFC
weapons and conducting the round count.

JVO, 01145
DODDOACID 007261
DEPARTMENT OF THE ARMY
10th MILITARY POLICE DETACHMENT (CID) (FWD)
THIRD MILITARY POLICE GROUP (CID), USACIDC
CAMP BUCCA, UM QASR
APO, AE 09375

19 May 2003

CIRC-AB
MEMORANDUM FOR SEE DISTRIBUTION
SUBJECT: CID REPORT OF INVESTIGATION - INITIAL/FINAL(C) - 0033-03-0D519-6 2149-5Y2B5/5Y1D2
DATES/TIMES/LOCATIONS OF OCCURRENCES: 1. 12 May 2003/0500 — 12 May 2003/0600; Guard Tower 73, Camp Bucca, Urn Qasr, Iraq, APO, AE 09367
DATE/TIME REPORTED: 14 May 2003, 1100Z
INVESTIGATED BY: SA
PFC;d1111111111•111111.1111111111.1.11.1111111.11111111; M;

SUBJECT: 1.
BLACK; 822"d MP Company, Camp Bucca, Iraq; RC [RECKLESS ENDANGERMENT ] [FAILURE
TO OBEY ORDER OR REGULATON]

foCo -1-1
M;
Internee Identification Number

VICTIM: 1. NIADVE41%;//4/11/11CIV;
ARABIC; (NFI) ZZ [RECKLESS ENGANGERMENT].

2. U.S. GOVERNMENT (Camp Bucca, Iraq) (FAILURE TO OBEY ORDER OR
REGULATION]

INVESTIGATIVE SUMMARY:
This is an "Operation Iraqi Freedom" investigation. The delay in dispatching this report was due to the
lack of secure communications capabilities for CID at Camp Bucca, Urn Qasr, Iraq.

.12k3 This investigation was initiated based on information received from COL 1111=1111111110111 Commander, Camp Bucca, Iraq who notified this office of a possible fatal shooting of a civilian by a tower guard at the Camp Bucca Internment Facility, Iraq. COIAIMNI reported on 12 May 03, there was an incidentb1 41, b1.• where a tower guard observed an unidentified individual attempting to cross the south berm of the compound. A warning shot was fired and the individual was apprehended and appeared to have had an abrasion on his face. He was taken to the Battalion Aide Station for medical treatment where it was subsequently determined he suffered a gun shot wound to the face and was subsequently evacuated to an unknown location. COL MO explained he had heard information that suggested the individual hadIrle-s,i4r5
succumbed to his wounds and was deceased at the Medical Facility where he was treated.
j (4)
0114'7

15. REMARKS
-4-c,,-3, 6(v-3
(0

16a. TYPED NAME AND GRADE OF COMMANDING OFFICER
0 5
16c. DATE OF REPORT (YYYYMMDD)
TC 2003 0(402,1

01146
DODDOACID 007259