CID Report: 0139-2004-CID259-80203

Detainee alleged being kicked and punched, shocked with a Taser, and threatened at knifepoint at Kheriolla House. Detainee said his face was covered with plaster until he almost suffocated. Medic examined detainee to determine if he was fit to undergo interrogation. Medical exam showed scar consistent with knife wound and scars consistent with electric shock injuries. All counts of aggravated assault, maltreatment and cruelty are unfounded. Claims were unsubstantiated due to a lack of evidence.

Doc_type: 
Investigative File
Doc_date: 
Friday, June 17, 2005
Doc_rel_date: 
Tuesday, February 14, 2006
Doc_text: 

-
-,
SECRET-ACCM-IIVIPLICITcriADOW-TIER 1- UNCLASSIFIED Wi1EiN1 TACHMENTS 7, 39, 42, 44, 45; 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE
DEPARTMENT OF THE ARMY
UNITED STATES ARMY CRIMINAL INVESTIGATION COMMAND
48TH MILITARY POLICE DETACHMENT (CID) (FWD)
3 MILITARY POLICE GROUP (OD)
CAMP VICTORY, BAGHDAD, IRAQ
APO AE 09342

17 JUN 2005
(U)
MEMORANDUM FOR: SEE DISTRIBUTION

(U)
SUBJECT: CID REPORT OF INVESTIGATION - FINAL/SSI - 0139-2004-CID259-80203 - 5C1C/5C1J/5Y2E/6X1

(U)
DATES/TIMES/LOCATIONS OF OCCURRENCES:

1.
27 APR 2004, 0130 - 25 MAY 2004, 0001; KHERIOLLA TOLFAHOCSE, TIKRIT, IRAQ (IZ)

2.
27 APR 2004, 0001 - 4 JUN 2004, 2400; KHERIOLLA TOLFAH. HOUSE, TIKRIT, IZ

(U)
DATE/TIME REPORTED: 1 JUN 2004, 1445

(U)
SUBJECT: (-

(U) INVESTIGATED BY: SA SA ,h6-I ) 10 ic-f l (9-1_-1 10 g -1 j b ic -1, b-z_---1
SA 4.-(,10 -ic -1, b-2--I
SA b6 -1) b ic -I, b-2, -
SA SA SA b(0-1. ) bic -1, L -2--­) b64 b1C-1, 6 -2-' 1 b6-I, 6-7c-t,ter­-1
SA 66 -f j hi c --/, b-2---) r--

1.
UNKNOWN, ; AGGRAVATED ASSAULT (UNFOUNDED), CRUELTY AND MALTREATMENT (UNFOUNDED), CONSPIRACY (UNFOUNDED) (NFI)

2.
UNKNOWN, ; AGGRAVATED ASSAULT (UNFOUNDED), CRUELTY AND MALTREATMENT (UNFOUNDED), CONSPIRACY (UNFOUNDED) (NFI)

3.
UNKNOWN, ; AGGRAVATED ASSAULT (UNFOUNDED), CRUELTY AND MALTREATMENT (UNFOUNDED), CONSPIRACY (UNFOUNDED) (NFI)

1 SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
•A 45, 47 THROUG0, A 59 ARE REMOVED
LAW ENFORCEMENTSENSITIVE 026621
000001

DOD-052120
SECRET-ACCM-11VIPLICITStIADOW-TIER 1 - UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE

4. UNKNOWN' ; AGGRAVATED ASSAULT (UNFOUNDED), CRUELTY AND
.
MALTREATMENT (UNFOUNDED), CONSPIRACY (UNFOUNDED) (NFI)
5.
UNKNOWN( ; AGGRAVATED ASSAULT (UNFOUNDED), CRUELTY AND MALTREATMENT (UNFOUNDED), CONSPIRACY (UNFOUNDED) (NFI)

6.
UNKNOWNg ; AGGRAVATED ASSAULT (UNFOUNDED), CRUELTY AND MALTREATMENT (UNFOUNDED), CONSPIRACY (UNFOUNDED) (NFI)

(U) VICTIM:
1. (TRIBAL N CW; 66-cf; k IRAQI; INTERNMENT SERIAL NUMBER (ISN) [ E; -cf WHITE; XZ; DATE OF CAPTURE: 27 APR 2004; AKA: 64-4, b7c-i
194 - etc 4
114 -44-, 1,7c - Le-b6,',lc --Lt
("HAITHEM"); AGGRAVATED ASSAULT (UNFOUNDED), CRUELTY AND MALTREATMENT (UNFOUNDED), CONSPIRACY (UNFOUNDED) (NFI)
2. (TRIBAL NAME: CIV; 6C -if, IRAQI; ISN: MALE; WHITE; XZ. DATE OF CAPTURE: 27 APR 2004; lo6 -q bic-fe AKA: 66 -4, hi c
10C.h7c--
b4-4,
AL NAME: AGGRAVATED ASSAULT (UNFOUNDED), b4 4 tft -ef
-1
CRUELTY AND MALTREATMENT (UNFOUNDED), CONSPIRACY (UNFOUNDED)
3. TRIBAL NAME: CIV; bg-q, hic-44 IRAQI; ISN: IKRIT, IRAQ; MALE; WHITE; XZ; DATE OFL6-q 6 ic-"( CAPTURE: 27 APR 2004; AKA: LC-4J b7c--`f
-se NAME: 6'ft -So (TRIBAL NAME: AGGRAVATED ASSAULT b -bic (UNFOUNDED), CRUELTY AND MALTREATMENT (UNFOUNDED), CONSPIRACY (UNFOUNDED) (NFI)
(U)
INVESTIGATIVE SUMMARY:

(U)
On 1 Jun 04, this investigation was initiated upon receipt of a Memorandum of Transmittal (MOT) (0042-04-CID789), from the 75 th Military Police (MP) Detachment (DET) (CID), Ba dad Central Confinement Facility (BCCF), Abu Ghraib, IZ (AGI), which reported

alleged he was abused while detained at the Kheriolla Tolfah House, Tikrit, IZ.
2
SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED

026622
LAW ENFORCEMENT SENSITIVE
0 0 0 0 0 2
DOD-052121

SECRET-ACCM-IMPLICIT kadA,DOW-TIER 1- UNCLASSIFIED VVITEIst ATTACHMENTS 7, 39, 42, 44, 45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE
(U)
On 6 Oct 04, during an administrative review of this investigation, it was noted ,)--11 17C-4 and were canvass interviewed at BCCF, AGI, on 25 Jun 04, in reference to their b6-4, knowledge of injuries. During the interview, both reported they were alai b6 -b1C -4 abused while detained at a detention facility in Tikrit, IZ. These allegations were inadvertently missed and left undocumented until this time.

(U)
Investigation determined andiallirwere apprehended on b6--4,- 47c-

27 A r 04, during a multiple unit raid which consisted of Operational Detachment Alpha (ODA) 1/18th Infantry (INF), 1/77 th Armor (AR), AOB 060, and C Company beC. 416-6
-
(Co), 2/10th Special Forces Group (SFG).
(U)
Investigation further determined an AR 15-6 Investigation into numerous allegations of detainee abuse was conducted between 15 May 04 and 10 Oct 04, in which was included the specific allegations made by and embers of the b4-4, 6--e.?-4-capturing units and involved interrogators were interviewed as part of the investigation: The allegations of abuse claimed by the listed victims were unsubstantiated due to a lack of supporting evidence.

(U)
On 7 Jun 05, this office coordinated with MAJ Office of the Staff b6 -`I Judge Advocate (OSJA), 10 th SFG, Special Operations Command, Forward Operating Base (FOB) Central, Baghdad, IZ, who opined there was no probable cause to believe the offenses of Aggravated Assault, Cruelty and Maltreatment, and Conspirady occurred as alleged; therefore, they are unfounded.

(U)
STATUTES:

(U)
ARTICLE 128, UCMJ: AGGRAVATED ASSAULT (UNFOUNDED)

(U)
ARTICLE 93, UCMJ: CRUELTY AND MALTREATMENT (UNFOUNDED)

(U)
ARTICLE 81, UCMJ: CONSPIRACY (UNFOUNDED)

(U)
EXHIBITS/SUBSTANTIATION:

(U)
ATTACHED:

(U)
1. Agent's Investigative Report (AIR) of SA 78th MP DET (OD), Camp Victory, Baghdad, IZ , 1 Jun 04, detailing Basis For Investigation .

(U)
2. AIR of Prisoner Interview/Interrogation Team (PIT , 75 th MP DET b 6 -1,11c -1 (OD), BCCF, AGI, 30 May 04, detailing Basis For Investigation; receipt of Jog 4, tac-

-
medical screen; interview of exposure of photographs depicting b J,-tc
3
SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED

• LAW ENFORCEMENT SENSITIVE

0266'1
OU0003
DOD-052122
SECRET-ACCM-IMPLICITSAADOW-TIER 1- UNCLASSIFIED WHEN 'ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE

1D6-4 ,b7c-4
injuries; coordination with Dr. (1LT)11Wiand interview of CPT 64 -Li, 6 -1--•([ 106 44, b c-
3, Detainee Pre-interrogation Evaluation (Standard Form (SF) 600), pertaining to 25 May 04, detailing his medical condition upon arrival at BCCF (USACRC h4 -4.) b "16 -+ and File copies only).
(U)
4. Chronological Record of Medical Care (SF 600), pertaining to 31 May bC.-cf, b 1c 04, detailing a complete physical exam at the request of this office (USACRC and File copies only).

(U)
5. Sworn Statement of CPT May 04, detailing the allegations of abuse as Lt --f, b lc- 4' reported by 64,11-1-,1
r-tc -f

(U)
6. AIR of SA 286th MP DET (CID), FOB Danger, Tikrit, IZ, 14 Jun 104 -ii ,h 7c-1 04, detailing receipt of RFA; receipt of Summary Interrogation Report (SIR) 1-04-0566; coordination with CW2111111111111Vd SSA... interview of SGTIMErand receipt of b6•-4, he--€1 Standard Operating Procedure (SOP) for the Division Collection Control Point (DCCP) for 1 st Infantry Division (1 st ID); canvass interviews; interviews of PV2 , SPC willf and 644 06--f SPC ; a brief to CSM interviews of SPC SSG bg -4 .b -1e 'Jr

PFC 1111.MPV SGT IIIIIIIIWPFC amSGT b 4-4, b lc -LI-Mr. and SFC b.6-ill hic ,F
-
(SECRET) 7. Summary Interrogation Report (SIR) 1-04-0566, pertaining to ,bg 19 -ic,e (USACRC and File copies only). ­
(U)
8. 1 st ID, DCCP, SOP, 15 Jan 04, detailing the Standard Operating Procedures for the Division Detention Facility.

(U)
9. Extractions from Medical Log Book, detailing recorded medical complaints and observations concerning upon arrival at (USACRC and File copies only). 104 4, b 1c--

(U)
10. Chronological Record of Medical Care (SF 600), 15 May 04, detailing medical treatment of 1111.11111111Wwhen he fell and injured his left ankle while at the DCCP (USACRC and File b6 -111 Vic- If copies only).

(U)
11. Waiver Certificate of Mr.11.11.11 14 Jun 04. IA - LIc-

(U)
12. AIR of SA 1111110111.111111., 48 th MP DET (CID), Fort Carson, CO 80913, 16 Jun 13641 bc­

te.---t
04, detailing receipt of RFA and interviews of SSG111111111MSG11111.and SFC
4
SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE

026624
000004
/
DOD-052123
SECRET-ACCM-IMPLICIT bAADOW-TIER 1 - UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED

LAW ENFORCEMENT SENSITIVE
(U)
13. Waiver Certificate and Sworn Statement of SSG , 10 Ju.n 04, wherein he h6 1.1---"f stated he interrogated11.1.111111but did not abuse or use violence when interrogating him. lab Lic --47

(U)
14. Waiver Certificate and Sworn Statement of MSG 10 Jun 04, wherein he stated 64-41,
he took part in the capture of .during whic grabbed his weapon. b6 47c-
MSG furtherstated he then utilized necessary force to su due b4.6' le -

(U)
15. Waiver Certificate and Sworn Statement of SFC 16 Jun 04, wherein he stated b6-he took part in the capture of 11111011M during which grabbed the barrel of 6 4--q, eie -V MSG 111111.weapon. SFC further stated he butt stroked 'n the head b6 to subdue him.

(U)
16. AIR of SA 111111111111.75 th MP DET (CID), BCCF, AGI, 25 Jun 04, detailing 1,6-41b1-1

receipt of RFA; coordination with CW4 interviews of LTC11.1111.11.1111111, b6-q, 4 7C-(f
and folc-4

(U) 17. AIR of SA 48th MP DET (CID), Fort Carson, CO 80913, 22 Sep 04, in6-1 )
detailing receipt of RFA; attempts to re-interview MSGINEWand SSG b6-44, bic
coordination to re-interview SFC11.11111brief to COL amp coordination with MSG b 6 4, 10 7c

attempt to re-interview SFC 111111. brief to LTC11111111. and coordination i9C -1, with SA 104-1, ­
(U)
18. AIR of SA 78th MP DETICII2LCamp Arifjan, Kuwait, 19 Oct 04, IAA, .-1

detailing receipt of RFA; coordination with SPC solorand SGT and interview of b(.---q 13/e "P toc-cf

(U)
19. Detainee Dossier and Personnel Report, pertaining to 19 Oct 04. 66-4. b

(U)
20. Chronological Record of Medical Care, pertaining to 23 Jul 04, detailing 66-4 , 19 7c`f

-medical examination of (USACRC and File copies only). /06 -if, bic
(U) 21. AIR of SA IT, 75th MP DET (CM), BCCF, AGI, 26 Oct 04, b6 -1 , iric -1
detailing receipt of RFA; coordination with SFC11111111. CPL and SPC b 7c —4 Mr, interview of coordination with CW3 amp review of Report of 66-4, b 7c -4 Investigation (ROI) 0068-04-CID789; and interview of SGT Lic -4
(U)
22. Detainee Dossier, pertaining to 18 Oct 04. bb- 'fib -tc--q

(U)
23. Medical records, pertaining to 25 May 04 through 17 Sep 04, which lot c -4

documented 111111111/10allegation that he was hit with a pistol by either CID or CIA 1A -4,10/c ­(USACRC and File copies only).
5
SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED

LAW ENFORCEMENT SENSITIVE
026625
000005
DOD-052124
-
SECRET-ACCM-IMPLICIT bfiADOWTIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE
(U)
24. Sworn Statement of , written in Arabic, 19 Oct 04, detailing his alleged b6 -141 101 C
abuse.

(U)
25. English translation of sworn statement, 19 Oct 04. 136.--4110c-

(U)
26. AIR of SA .1111Mallie48th MP DET (CID), Fort Carson, CO 80913, 17 Nov .13G-667c-I

04, detailing receipt of RFA; interview of MSGOINIMPand SFC coordination with bC -4, cb .rc-qMSG...and SFC interviews of SFCIIIMINand SSG...rand further W. -q", blc-cP coordination with MSG b 6 -4, to C-1
(U)
27. Non-waiver Certificate of MSGINIO10 Nov 04. b6-4, lole

(U)
28. Waiver Certificate and Sworn Statement of SFC111.1.1,10 Nov 04, wherein he b6-4, 10'1 14
denied any knowledge of detainee abuse.

(U)
29. Apprehension Team Roster, detailing who was on the apprehension team when sr 66-4, Lie-4 and 1111111111were apprehended. 106-4, L 7 c

(U)
30. Non-waiver Certificate of SFC11111.11 Nov 04. 16-4, Vic--4+

(U)
31. Non-waiver Certificate of SSG num 12 Nov 04. 66 -1{-

(U)
32. AIR of SA 87th MP DET (CID) (DSE), Fort Bragg, NC 28310, it 7e--/ 29 Nov 04, detailing receipt of RFA; interview of SSG brief to SFCIONNIF biL and interview of SFC MEW 1,‘, -4-, 101 c -

(U)
33. Non-waiver Certificate of SSG 17 Nov 04. 1)6 -4,

(U)
34. Non-waiver Certificate of SFC 29 Nov 04. b G -LA ( iolc -4

-
(U)
35. AIR of SA 78th MP DET (OD), Camp Victory, Baghdad, Iraq, 23 Dec bL -I, b7 c t 04, detailing coordination with LTC MEM brief to CPT review of this 14-4-. 131 c-- 4 investigation; query of the Biometrics Automated Toolset (BATS); coordination with SSG

review of and detainee files; coordination with CW5 M-(4, 6 1c---4 and review of section three of the AR 15-6 Investigation. bAblc -4

(U)
36. Typed statement, pertaining to 11111.11111detailing his allegation of being hit by a b6-4, 6 7e-Kurdish Translator and five or six Americans.

(U)
37. Detention Report, pertaining to 25 Jun 04. k,6- ific-q-

(U)
38. Photograph, pertaining to MEW" not dated. b b -ic

6
SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED

LAW ENFORCEMENT SENSITIVE
026626
0000d6
DOD-052125

SECRET-ACCM-IMPLICIT lf.ADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED

LAW ENFORCEMENT SENSITIVE
• (SECRET) 39. BATS File, pertaining tO 6 Oct 04, containing: Personal Data Report 66-16 ktc-4 (PDR); Detention Report; and EPW Screening Report (USACRC and File copies only).
(U) 40. PDR, pertaining to MOW 25 Jun 04.106-4,131
41. Photograph, pertaining to 11111111110not dated.
(U) 41.
(SECRET) 42. BATS File, pertaining to 6 Oct 04, containing -PDR; Detention b6--Ek b
Report; and EPW Screening Report (USACRC and File copies only).
(U) 43. Detainee File, pertaining to 20. Apr 04 through 21 Jun 04, containing icf, b Coalition Provisional Authority Forces Apprehension Form (CPAFAF); Capture Tag; SALUTE Report; Sworn Statements of SFC11111111111and MSG Summary Interrogation Reports; b6-4, 61C-1 Screening Report; Task Force Danger Intelligence Control Element Disposition Report; Detainee Disposition Worksheet; Detainee Tracking Form; Detention Review Authority (DRA) — 72 Hour
, Review; Notice of Geneva Convention Status and Appellate Rights, with Arabic translation;
Article 78 Board: Report of Decision; photographs pertaining to items discovered during the raid
and of b-tc

(SECRET//REL TO USA AND MCFI) 44. SPOT REPORT, contained in the Detainee File of
IIIIINF26 Apr 04 (USACRC and File copies only).

(SECRET) 45. Classified documents in the Detainee File of 14 May 03 through 25 g-4-6164
Apr 04, containing: Draft Intelligence Information Report and SPOT REPORTs (USACRC and
File copies only).
(U) 46. Detainee File, pertaining to 1111111.1.27 Apr 04 through 19 Jun 04,. containing: 64-q-, 1i C­CPAFAF; Capture Tag; sworn statements of SFC NOW and MSGR.. Screening L6-Lt, k1c-4 Reports; Detainee Disposition Worksheet; Task Force Danger Intelligence Control Element Disposition Report; Detainee Tracking Form; Detention Review Authority (DRA) — 72 Hour Review; Notice of Geneva Convention Status and Appellate Rights; Article 78 Board: Report of Decision; Memorandums For Central Criminal Court of Iraq: Date of Detention, Referral of a Criminal Case Involving the Possession of Illegal Firearms and Special Category Weapons, Summary of case, letter of information regarding and letter of intent to "produce', LG-1 L1c--51
nd witnesses (all with Arabic translations); contact information for SFC111.111,and b 6 -4, 101C-I( MSG and photographs of items discovered during the raid. b 6Ab.f-
11111111111.1111.011111.11.047. Classified documents in the Detainee File irk-fi
o 15 Apr 04 and 25 Apr 04, containing: SPOT REPORTs (USACRC and File b.1rtC -13 copies only).
(SECRET) 48. Classified documents in the Detainee File of 26 Apr 04 through 30 10.bie-1 Apr 04, containing Summary Interrogation Reports (USACRC and File copies only).
7
SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMO VED

LAW ENFORCEMENT SENSITIVE
026627
000007
DOD-052126
) SECRET-ACCM-IMPLICIT SHADOW-TIER 1 - UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44, 45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE
(SECRET//NOFORN) 49, Compact Disc (CD), 040139.259, containing the following documents
pertaining to the AR 15-6 Investigation conducted by BG FORMICA . Annex Content, AR 16-5
Investigation, Approval of Findings by GEN CASEY, and Legal Review of the AR 15-6
Investigation (USACRC and File copies only).

SECRET//NOFORN) 50. Article 15-6 Investigation of b‘ -4,13/c-4 conducted by BG FORMICA, 8 Nov 04 (USACRC and File copies only). (1,6, b1 c -6
(U)
51. Report Of Proceedings By Investigating Officer/Board Of Officers, DA Form 1574,
pertaining to the AR 15-6 Investigation conducted by BG FORMICA, 8 Nov 04.

(U)
52. Legal Review, pertaining to the AR 15-6 Investigation c t9nducted by BG FORMICA, 9
Nov 04.

(U)
53. Approval of Findings, pertaining to the AR 15-6 Investigation conducted by BG
FORMICA, 13 Nov 04.

(U)
54. AIR of SA , 15 Jun 05, detailing review of case file and enclosure of a Detainee bc-lj bic-i Dossier, Detainee P117,77

n• photograph, all pertaining tollallillrand PDRs, pertaining k,t,-EF, 61c-cP to 111111 and bt.-.14-, b -tc-4

(U)
55. Detainee Dossier, pertaining toll.11111.26 May 04. t)6

56. CD, 040139.259, containing the Detainee Lk,-Lf,
File of SACRC and File copies only).6c-4, b lc--q

(U) 57. Detainee File, pertaining to containing:h-4,
Sworn Statements of SFC 27 A r 04 through 29and MSG Summary 16 -4 , c

CPAFAF; Capture Tag; Swo Interrogation Reports; Screening Report; Task Force Danger Intelligence Control Element Disposition Report; Detainee Tracking Form; Detention Review Authority (DRA) — 72 Hour Review; Notice of Geneva Convention Status and Appellate Rights; and photographs pertaining to items discovered during the raid and of11111111111, 104-4, 101C -4 .
IIIIIINIIIIMIIIIIMIIIIIIP 58. SPOT REPORTs, contained in the .66-4, tic - `f Detainee File of 15 Apr 04 and 25 Apr 04 (USACRC and file copies only). lab -4, titc- 4
S9. Summary Interiogation Report, contained in the 1G-f, .61e--4 Detainee File of 5 May 04 (USACRC and File copies only). b 6 - 4, 6 --/c -`f
(U)
60. PDR, pertaining to 25 Jun 04. 136 -14, Lic ,- '4

(U)
61. PDR, pertaining to 25 Jun 05.13k -q, 101c -4

8
SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED

LAW ENFORCEMENT SENSITIVE
026628
0 0 d 8
DOD-052127

SECRET-ACCM-IMPLICIT s.HADOW-TIER 1 - UNCLASSIFIED WHEN''A'TTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE

(U)
62. Photographic Packet comprised of 5 photographs (photographs 1 through 5)
. bL-4,

(U)
63. Photographic Packet comprised of 7 photographs (photographs 1 through 7) bc 4, 7 c MOM k c -91b7 c -1 ­

(U)
64. CD, 040139.259, containing all photographic images and the originals of Exhibit 62 (USACRC and File copies only).

(U)
65. CD, 040139.259, containing all photographic images and the originals of Exhibit 63 (USACRC and File copies only).

(U)
Not Attached:

None:
(U)
The originals of Exhibits 1, 2, 5, 6, 11 through 18, 21, 24 through 42, 54, 60, and 61 are forwarded with the USACRC copy of this report. The original of Exhibit 3 is maintained in the files of 202nd Military Intelligence Battalion, Fort Gordon, GA 30905. The original of Exhibit 4 is maintained in the files of the Detainee Aid Station (DAS), BCCF, AGI. The originals of Exhibits 7 through 10 are maintained in the files of 1 st Military Police Company, 1 st Infantry Division, Wuerzburg, Germany. The original of Exhibit 19 is maintained in the files of the Detainee In-Processing Section, Camp Bucca, IZ. The original of Exhibit 20 is maintained in the files of the DAS, Camp Bucca, IZ. The originals of Exhibits 22 and 55 are maintained in the files of the Detainee In-Processing Section, BCCF, AGI. The original of Exhibit 23 is maintained in the files of the Patient Administration Division, BCCF, AGI. The originals of Exhibits 43 through 48, and 56 through 59 are maintained in the files of Detainee Operations, Camp Victory, IZ. The originals of Exhibits 49 through 53 are, maintained in the files of Headquarters, Multi National Corps-Iraq (MNC-I), III Corps, Camp Victory, IZ.

(U)
STATUS: This is a Final Report. Commander's Report of Action Taken (DA Form 4833) is not required.

(U)
Repo ared By: Report Approved By:

bh-4 ) )116 --ij
Special Age De ment Commander
9
SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
= 45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE

026629 000009
DOD-052128
SECRET-ACCM-IMPLICIT \64ADOW-TIER 1- UNCLASSIFIED VVHENLATTACHMENTS 7, 39, 42, 44,

45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED LAW ENFORCEMENT SENSITIVE
(U) Distribution:
1-DIR, USACRC, 6010, 6 th Street, Fort Belvoir, VA 22060-5506 (original)
1-Thru: CDR, 11 TH MP BN (CID) (FWD), APO AE 09342

Thru: CDR, 3RD MP Group (CID)
To: CDR, USACIDC, ATTN: CIOP-ZA, Fort Belvoir, VA 22060 1-Chief, Investigative Operations Division, USACIDC 1-Deputy Chief of Staff for Operations, USACIDC 1-CID Current Operations, USACIDC 1-PMO, MNC-I (e-mail only) 1-SJA, MNC-I (e-mail only) 1-Chief of Staff, Detainee operations, MNF-I 1-Detachment Sergeant, 48 MP Det (CID) (FWD) 1-CDR, 48th MP DET (CID) (FWD) 1-File
10
SECRET-ACCM-IMPLICIT SHADOW-TIER 1- UNCLASSIFIED WHEN ATTACHMENTS 7, 39, 42, 44,
45, 47 THROUGH 50, 56, 58, AND 59 ARE REMOVED
LAW ENFORCEMENT SENSITIVE

026630
000010
DOD-052129
,

ROI NUMBER

AGENT'S INVESTI6 A TIVE REPORT
0139-04-C1D259-80203
CID Regulation 195-1
PAGE 1 OF 1 PAGE
FOR OF,pcIAL USE ONLY-LAW ENFORCEMENT F1ISITIVE
DETAILS
BASIS FOR INVESTIGATION: About 1445, 1 Jun 04, this office received Memorandum of Transmittal
(MOT) 0042-04-CID789, from the 75th Military Police Detachment (CID)(FWD), Baghdad Central
Confinement Facility (BCCF), Abu Ghraib, Iraq, which re orted Mr. b6 --(1 , b .-74—'1
Internment Serial Number (ISN): reported he was a used by U.S. Forces106-4 while he was detained at the Kheriolla Tolfah House, Tikrit, Iraq, after he was captured (See AIR of SA big- -J ,t MEM dated 30 May 04, for details).///LAST ITEM/// ba-I, lolc-(
TYPE AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION
lot 41 .../1 6-2=1 78th MP Det (CID), Baghdad, Iraq, APO AE 09342
SIGNATURE,
DATE EXHIBIT 046631
g:., 19 -1 j c -
1 Inn 04A
CID FORM 94
FOR OFFICIAL USE ONLY-LAW ENFORCEMENT SENSITIVE
0 0 0 01 1
DOD-052130

(ff-,._()1/--c_vel, 20- Z(OZ,93
ROI NUMBER Ix:0,-0 9 -04 - C I D2 5 9A020
AGENT'S INVESTIGATION REPORT
0042-04-CID789
CID Regulation 195-1
PAGE 1 OF 1 PAGES
DETAILS
BASIS FOR INVESTIGATION: On 26 May 04, this office was notified by LTC J6'-'f
111111111111Joint Interrogation Debriefing. Center (JIDC), Baghdad Central Confinement Facility g. Able' (BCCF), Abu GhrUyeb, Iraq (AGI , that Detainee National Detainee b4-4)6 Reporting System (NDRS) # Tikrit, Iraq; reported he was physically abused by USS` 4F Forces, while in the area of F nt, Iraq.
About 1310, 26 May 04, LTC provided this office with a Medical screening of Detainee th.-% written by CPT ( 202nd Military Intelligence (MI)1:“,b 1c-' BN (USAF), BCCF, AGI, detailing the abuse allegations. (See Medical File)
61,- G '57(0-6 About 1400, 27 May 04, SA with the assistance of (nterprete ISHO, 194 -)) 191c -i interviewed Detainee who provided an oral statement. He sated he was captured h6--ttic-1 about 0200, 27 Apr 04, while at his home in Tikrit; Iraq, He was taken to the Saddam's uncle's hbuse in Tikrit,• which is .now used as a American military post. He stated he was detained and interrogated at the hOuse for eight days before being transferred to a local Islarnic SchOol in Tikrit. He said he arrived at Abu Ghruyeb on 24 May 04. When he arrived at the house, he was blind folded, hands tied behind his back, and stripped naked. He could see below his blindfold, one white male in an American uniform and one Kurdish interpreter. When they would interrogate him, he would be lying on his stomach with his hands behind his back. During the first days of interrogation, they would only slap him. As time went on, they would kick him in his ribs and face, When he would deny the allegations. He stated the Kurdish interpreter mostly kicked and hit him, but the American was present and sometimes' participated. He stated that at some point during the seven days, he suffocated to the pOint he passed out When he awbke, moUth-to-moUth resuscitation was being performed on him. They would also step on his shoulders and pull his head back until head became unconscious. On the second day he stated he was shocked with a tazer type device on his leg. At one point, the Kurdish interpreter held a knife to his arm and threatened to cut him. Although he received a cut, he stated it was an accident. He continued to state he was naked the entire seven days with no food or water. He stated his abuse caused a large dark bruise on his ribs, blood in his urine, blackened eyes, and a bruise on his nose. He said he reported the abuse to the American head of all interrogators at the School, which is called Abu Mohamrned, but was told that nothing could be done. He said he was not abused or mistreated at the school or Abu Ghruyeb. icic-q AGENT'S COMMENT: 11111111=eferred to thq American as Captain. He recalled a star shaped object on his collar, but not a star. This agent believes it could possibly be a MAJ or LTC. Detainee could not write Arabic well; therefore a verbal statement was taken.,66-4, b --tf bic--1 About 1450, 27 May 04, SA exposed photographs of alleged injuries. (See Photographs) b 6 - ie.
TYPE AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION PRISONER INTERROGATION TEAM (PIT)(C10)
sA
b4 -I c-i Baghdad Central Confinement Facility, Abu Ghruyeb 49312 0 2 C C 3
SIGNATURE ` DATE, EXHIBIT 30 May 04 0 0 0 0
CID FORM 94

FOR OFFICIAL USE ONLY
EXHIBIT
DOD-052131
ROI NUMBER --112 13q-0V-cer02c~? -8 0 to
AGENT'S INVESTIGATION REPORT
0042-04-CID789
CID Regulation 195-1
PAGE 2 OF 2 PAGES
DETAILS,
L4-1, 107C..-1
About 1300, 29 May 04, SA coordinated with 1LT (DR.) k.0 ,b/c-
111M391 st MP BN Aid Station, BCCF, AGI, and requested a complete medical physical be 19C -cf, 101 conducted on Detainee 11111111111111.(See Physical Report) 1A-4, 6 -ic -4• -q
About 1530, 30 May 04, SA ummirnierviewed CPT.Who provide a swam statement ifte-
detailing the allegations made by Detainee (See Sworn Staternent)166-4,
////////////////////////////////////////////////////////////////////LAST ENTRY/////////////////////////////////////////////////////////////////////

TYPE AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION PRISONER INTERROGATION TEAM (PIT)(CID)
SA
bc-i bic.--2.-Baghdad Central Confinement Facility, Abu Ghruyeb 09342 0 2 G 3 3
SiGNATURE DATE, EXHIBIT,30 Mav 04
0-0001
CID FORM 94 .
FOR OFFICIAL USE ONLY
EXT4BIT t
DOD-052132
Page(
14 - Lk
Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD AT11N : CCJ6-DM MACDILL AIR FORCE BASE. • FLORIDA 33621-5101

Master Sergeant Pamela Andrews

andrewsp@centcom.smil.mil
(813) 827-5341/2830
026634

(ie-7LO -6 1-1 C .
0:6= $91'3-701,C:rd) visT-4(0-txis
0139 -04 - C I D 2 5 9 - 8 ,0 2 03
SWORN STATEMENT
File Number: 0042-04-CID789 - _ 41.1. ....,A.... " Location: Abu Ghruyeb, Iraq Date: 30 May 04 Time: /5----3 °.664, b 1c - tf Statement of 1:16-4, --tc----'I IIIIF SSN: 1111111.1111. b6-LE, bic - if Grade/Status; 0-3/USAF OrgiAcidress: Joint Interrogation Debriefing Center, Abu Ghruyeb, Iraq
L, rwant to Make the following statement under oath: I am making this ,h44, (/c--,P statement freely. On 25 May 2004 I talked to a 34 year old detainee NDRS # empwho came to me for routine g-41 medical screening to determine if he was medically fit to undergo interrogation, During the course of the evaluation, the patient reported 28 days prior experiencing physical abuse while in Tikrit, at the "Kheirolla tolfah" house. The patient reported he was hit in the head, abdomen, shoulders, and back: He also stated that food was withheld from him for 7 days. He stated that following the injuries, his urine was red for 7 days and one time he passed blood out of his rectum. He stated that the injuries were inflicted by 5 Americans and one Kurdish person. He said that the abuse took place at the Kheriolla tolfah house. The patient initially talked to the in processing staff prior to seeing me and a report was initiated. The patient also said he was interrogated at that time with his face covered with "plaster". He said that at one point he became short of breath and required "mouth to mouth" resuscitation. He also stated he was hit with "power" on different parts of his body. He indicated this was a device of some kind that produced electric shocks. He also Stated he was cut in his left arm area with a knife. His exam showed a linear scar in the left arm that was consistent with a knife injury. He also had multiple circular scars on his extremities consistent with the electric burn injuries the patient described. He also had handcuff abrasion marks on his wrists. Pictures were taken of all visible injuries. He complained of a headache. After my exam, it was determined he was fit for interrogation. He was given Tylenol for as needed headache relief, and discharged to the Vigilant prisoner camp.
Q: SA b4-1,b/C---1
A: CP bC-L1-,k7c-14-
Q: Were the injuries consistent with his allegations of abuse?
A: Yes, everything he described he had on his body?
Q: Did he describe any of the suspected abusers?
A: The most description he gave was that they were five Americans and one Kurdish.
Q: Given that the detainee's period without food and water was approximately 30 days prior, would be able to determine whether or not he had recently been malnourished?
A: No I would not be able to tell that without prior medical records.
Q: Do you have anything to add to thint?
A: No. ///END. OF STATEMENTN
lo7c-q
bc,,b1 -026635
INITIAL Page 1 of 2 FOR OFFICIAL USE ONLY
000017
EXHIBIT
FOR OFFICIAL USE ONLY
Eaw Enforcement Sensitive
EXHIFITY
DOD-052134

rot/a -e,f-ciE9 7gi
• 03 9-ase c.,r0 217--rbzie3
. 01 3 9 m 0 4 -CID 2 5 9 - 8 0 2 0
STATEMENT OF: DATED: 30 May 04 CASE #: 00L0.-04-CID784

—156,-4446 4 -AFFIDAVIT 1, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON
ND ENDS ON PAGE 1. I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT IS TRUE: I HAVE NitIALEp 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 UNLAWFUL INDUCEMENT.
b te -
ure erso aemen
scribed and sworn Abu Ghru -b efore me, a person authorized b y law to administer oaths, this 30th day of May 2004 at

,
b6 f bic-
(Si nature of Person Administering Oath)
Special Agent,11111111.11111. hd— (Typed Name a ersbn Administering Oath)
Article 136 (b)(4), UCMJ (Authority to Administer Oath)
b4-q,
Page 2 of 2
INITIALS
FOR OFFICIAL USE ONLY
EXHIBIT 0 liaIi6i
FOR OFFICIAL USE ONLY
Law Enforcement Sensitive
DOD-052135

ROI NUMBER
AGENT'S INVESTIGATION REPORT 0139-04-C1D259-80203
CID Regulation 195-1
PAGE 1 OF 4' PAGES
DETAILS
BASIS FOR INVESTIGATION: About 0945, 3 Jun 04, this office received a Category I, Request For Assistance (RFA) from 78th Military Police (MP) Detachment (CID), Baghdad, Iraq, requesting this office locate fully ID and conduct subject interviews on , person(s) involved in the suspected prisoners abuse of Mr 111111.1111.111111111111111111111111111.tNDRSwhile 176-ia detained in US custody. Further requested this office obtain any medical records pertaining to Mr 66 ..4), bit 4
b6-4 , 6164 _-‘ ­About 1130, 3 Jun 04, SAAAND SA his office coordinated with SFC 11111111.1.1111111111gDivison Collection Control Point (DCCP), Military Police (MP) Company (Co), 1 ST Infant Division , orward Operating ,
-4-li ase (FOB) Danger, Tikrit, IZ, who quearied the DCCP database and confirmed Mr as processed through FOB bic-Danger, APO AE 09392, DCCP on 4 May 04. SFC INNIprovided a copy of the Summary Interrogation Report (SIR) 1-04-0566,b " 4-1;b ie dated 5 May 04, which detailed the interrigation of Mr conducted by Military Inteligence (MI) Agent 11.111r It 6-4,4g was further determined that Operations Detachment Alpha (ODA) #065, located in Tikrit at a "safe house" (AKA) "Saddam's uncles , house" had been the detaining unit, which turned Mrallillirover to the DCCP in Tikrit. (See SIR 1-04-0566 for details) Job-
66-I b-te--1
About 1220, 3 Jun 04, SA skicoordianted with CW2 Officer In Charge (OIC), 101' Military Inteligence,b4 FOB Danger, APO AE 09392, w o confirmed MI Agent did conduct the interview and would be available for interview on4A-1,123c 4 Jun 04. Additionally, Mr 111111111111Prelated 101' MI, SOP consisted of all detainees receiving a phyical exam upon being entered inbk 1070. the DCCP, therfore Mr 11111111111111whould have a record of his phyical conditions on 4 May 04. b L 4-1 lo I C -q-
_Ig,Th_t 19 -/c..--f 06-4, bic--‘f About 1420, 3 Jun 04, SA and SA IIN. this office coordinated with SSG wort who provided a verbal statement in which he related he was the Non-Commissioned Officer in Charge (NCOIC) of tfie-bC-iiilac--L Division Central Collection Point (DCCP). SSG IIIIIIIII.Prelated he did not have any information pertaining to the investigation i if/C-1
I SSG IMMO. directed SAIIIIIPand SA 1.11Pto SGT 11111111111111pand SSG Imoboth of 1 st MP Co., ld ID, FOB b4 -4 b 1c---4A It -CP Danger, Tikrit, IZ, both NCOIC's of the DCCP during shift work. b6-4-,b-te--q ,b6'" .1 leric - Li-
lot. -I b7c4 bL-1 Irtc-1 04 --i( bic-,t
About 1430, 3 Jun 04, SA rind SA nterviewed SGT who related he was the NCOIC of the niglA shift durin the early part of May 04. SGT researched the detainee database for Mr bd-4, (91,.:-.-NDRS ISN Mr detainee number at the DC was 7245. According to DCCP records, Mr as broug t to the facility at 0751, 2 May 04 by Operational Detachment Alpha (ODA) 065. Records
)-4)
indicate Mr was then transferred to Abu Ghraib prison on 23 May 04. SGT 1111•1111111showed SA11111111Pa picture taken of Mr111111111111•111111111Pupon Mr 1111¦1111 arrival at the DCCP. SGT SA with an electronic 1C-4 copy of the Standard Operating Procedure (SOP) pertaining to the DCCP operations. (See SOP for details) ­imi1,C-ttidminic-ao
AGENTS COMMENT: The picture of Mr depicted what appeared to be bruising under his eyes. The photograph
was only a headshot. The day shift starts work at 0700 daily.

1o4-1,16-tc-t
About 1430, 3 Jun 04, SA 111111 conducted canvass interviews of SPC.11.1111111.11111.111 ¦11 SGTEINIIIIIIIMPtt -(t 6•-leJ 1111011.... and SPC all assigned to the 1 st Military Police Company, who related they104-it did not recognize the detainee depicted in the photograph. 4_1_4 1910-( About 1445, 3 Jun 04, SAIMIlp conducted canvass interviews o and SPAN/. gA IIIIIIIMIIIIIMIIIIIIIIIIIB both of 1 st MP Company, who related they did not recognize the detainee depicted in the photograph. 1.) 6,-l4itc___ (,viiiiiiiiiit iiiiisam
f
About 1450, 3 Jun 04, SA interviewed PV2 lL't MP Company, who related she remembered the detainee depicted in the photograph. She further related the detainee was injured on his wrists, which she believed were from the detainee trying to escape from his handcuff.
286m Military Police Detachment (CID) FOB DANGER, TIKRIT, Iraq APO AE 09392
A
DATE • EXHIBIT
026631
14 Jun 04
i1 00 1:P(11
ORM 94 FOR OFFICIAL USE ONLY k
6tot=)tifb2o-btcfr sZIVS (2 . (;)
DOD-052136

1 -1C-4
ri,
te
ROI NUMBER
AGENT'S INVESTIGATION REPORT
0139-04-C1D259-80203
CID Regulation 19-54
PAGE 2 OF 4 PAGES.
DETAILS,
1)41 biC -I b‘ -`4, bic-"1
About 1450, 3 Jun 04, SAINIIIIPinterviewed SPC PI MP Co., 1' ID, FOB Danger, Tikrit, IZ,
Medic at the DCCP, who provided a verbal statement inwhich he related-whenever a detainee is in-processed to the DCCP a
medical screening is completed. SPC ASAINIPa medical log book which is utilized to record all medical b 4--(,,.6
complaints and observations when a detainee arrives at the DCCP. Additionally, SPC L provided a copy of Standard Form t.t
(SF) 600 pertaining to a medical review, of Mr ¦1111111 on 15 May 04 pertaining to a fall which resulted in an injury to MR,bC,

INNIONIMIM SPC further related every morning at 0700 ; sick--call is conducted for all detainees at which time they W- 4 can log medical complaints. (See copy of medical log page and SF 600 for details) Ick-__1 ic- ,
1 LIc-I
About 1500, 3 Jun 04, SAIIIMp interviewed SPC -4 1 st MP Company, who related he remembered
the detainee depicted in the photograph. He further related t e detainee was-injured on his wrists ; which he believed were from the
detainee trying to escape from his handcuffs.
/64-1 ic-1 _ , _• /t -4 ______,_C-4

6C t IOC- t 4.‘C-4 i About 1945, 3 Jun 04, SA and SAMEMpbriefed CSM d MAJ NM both assigned to Alpha Company, 3 Battalion, 5 lima' Forces Group, (A-3-5) who confirmed the Tikrit SF team maintain a residence in downtown Tikrit AKA "Saddam's uncles house." However the operations which detained Mr1111111.1111rn 27 Apr 04, was conducted under the 10th Special Forces Group, which have since rotated back to there home R-otation of Fort Carso Colorado. It was confirmed that statements SFC and MSG here assigned to 10th SFG. CSM -did confirm the Kurdish Interpreter, Mr
as still employed as the interpreter for 5 SFG; however, he was on leave and would return on 8 Jun 04. b6­CSM related both SFG had an SOP for detainees; however 5 1h SFG's SOP was not the same as 10Th SFG. 66 -`1 , b
About 2035, 3 Jun 04, SA and SAAinterviewed SGT A 1 st MP Co., 1 st ID, FOB -
Danger, Tikrit, IZ, who provided verbal statement in which he related he recalls the detainee in question. SGT ated 6
the detainee had lacerations on his wrists apparently from handcuffs prior to his arrival at the DCCP. SGT further 4,
related the detainee never made any complaints to him regarding injuries.

__ kic-- 61 c 4
About 2045, 3 Jun 04, SAIIIIIMPinterviewed SPC 1 MP Company, who related she did not remember the individual who was depicted in the photograph.
g-q b c- L('About 2047, 3 Jun 04, SA interviewed SSG who 'rovided a verbal statement in which he related he was not on duty in the DCCP from 9 m Apr 04 through 2 Jun 04. SSG checked the DCCP log and the Department of the Army 194 -4, lc --(f (DA) 6 to ascertain who was on shift the morning MR arrived at the DCCP. The individuals on duty that morningb6 Olc-were SGT FC
SPC PFC --1 , WeelfPVT all of 1 MP Co., 1 ID, FOB Danger, Tikrit, IZ. 6-4, lc --q-
bC. -1 tlicI b6---ili 41C -11
About 2100, 3 Jun 04, SA ­
interviewed PFCIIIIIMIN.who provided a verbal statement in which he related he recalled Mr IIIIIMIMIIIIIP being processed into the DCCP. PFC Willarrecalled lacerations to the detainee's wrists and being told he was bg Lti Inc-hostile. There were no other injuries PFC could recall seeing. PFC allirrelated the detainee was treated by the 196 Al­
, 191c-' medics and did not log any additional complaints to him.
k6-1 frrt-t.bc-q, bit-4,.
About 2110, 3 Jun 04, SA interviewed PVT ho provided a verbal statement in which he related he remembered Mr having some scratches an cuts on his wrists apparently from flexi cuffs. PVTINIMPstated6 6-fehic -I
he never received any complaints from the detainee. About 2115, 3 Jun 04, SAWN/interviewed SGT , Medic, l st MP Co., ell), FOB Danger,b6 bic.--•1 Tikrit, IZ, who related he was the medic on duty the morning of Mr arrival to the DCCP. After reviewing the lo‘ --`1 flobc--(1 logbook, SGT impstated he screened Mr 1.1.1111111md noted lacerations on his wrists apparently from flexi cuffs. bc -"II hie -'
286th Military Police Detachment (CID) FOB DANGER, TIKRIT, Iraq APO AE 09392
DATE
14 Jun 04
FOR OFFICIAL USE ONLY
69azglicae6-2,7)r-,5-71;5;7,0c
EXHIBIT 'G
DOD-052137

ROI NUMBER
AGENT'S INVESTIGATION REPORT
0139-04-C10259-80203
CID Regulation 195-1
PAGE 3 OF 4 PAGES
DETAILS, 61C - I, h4,bIC'
About 2115, 3 Jun 04, SAIONIFinterviewed SGT edic, 1' MP Co., lgt ID, FOB Danger,
Tikrit, IZ, who related he was the medic on duty the morrun arrival to the DCCP. After reviewing the 6.-4,,
logbook, SGT stated he screened Mr and noted lacerations on his wrists apparently from flexi cuffs. Rv-it
SGT ated he asked the individuals about any other injuries or medical conditions and the only thing Mr bL -4, toic ­
stated was that his kidneys/lower back had hurt for the past two months and the medication he was taking was at b6-
his residence. According to SGT IIIIIIIIIIS Mr never further complained about his kidneys and no action was156-4,
taken. Additionally, SGT-stated he treated Mr on 15 May 04 for an ankle injury. Mr bb
told SGT at he had no feeling in his leg due to an injury he sustained 19 days prior when he was kicked. SGT -(1; 6
stat uring the exam on 15 May 04 he did not note any injuries or bruises on the detainees legs. 4)6 -4, hi c if
106-4, Joie- -4
AGENTS COMMENT: SGT stated he would have noted any facial injuries, lacerations, or bruising during the initial
medical screening in the logbook.
6-1 1 61c 4 ht. -1c-4
About 1935, 4 Jun 04, SA 1Mlinterviewed PFC who provided a verbal statement in which he related he remembered the
detainee in question and recirrathe detainee had injuries o his wrists apparently from cuffs. PFCelated he was told thed
detainee had given the capturing unit trouble, but PFC stated he did not receive and trouble orriler detainee once he was atih
the DCCP. PFC ! stated the detainee never comp acne about anything other than his wrists. The detainee never complained
while he was at the DCCP about any abuse he suffered there or by the capturing unit.
/6_____b.d --116 lc-f
-1 otic- (
About 1935, 9 Jun 04, SA MINNi nterviewed SGT ho provided a verbal statement in which he related he recalled the detainee in question being brought into the DCCP. SGT stated ODA told him the detainee was uncooperative and16-It combative. The wrists of the detainee, according to SGT were cut and chaffed. SGT MM. stated that during
the detainee's stay at the DCCP, there were no problems and he made no complaints, tazers were never used. The detainee only
asked for medical care regarding his wrists.
b6-1 064.b4-41101-((
advised Mr
statement, fingerprints or mug shot. Mr amantly denied any allegation of abuse, claimed his loyalty was to U.S. Forces,
rather then Iraq. Mr 1111111.related he is a college professor and quit his job to assist the American forces when the war began. b
Mr as from Kurdistan and was extremely disturbed when he found out about the false atrocities made against him. Mr
did confirm he was the interpreter for the interrogation conducted by 5 th SF Group of Mr Mr related Mr attempted to escape on two separation occasions, which could explain the bruises Mr claimed to have. Mr denied the use of or witnessing any U.S. personnel use a tazor device to electrically shock anybg .4 prisoner, and further denied accidentally cutting the arm of MR111 ¦11111111or witnessing any US Forces administered mouth tomouth on Mr 1111111.1. Mr related that he would quit his job if the U.S. Forces did not trust or believe him, as he g puts his own life and that of his families in much danger for the same reasons U. S. Forces do. Mr 11111.111stated, "I love theb‘ -About 1430, 14 Jun 04, SA advised of his legal righ6which he waved, but refused to provide a sworn
U.S. and would not violate their laws". Mr1111110111111elated that Mr killed three U.S. Soldiers in three I.E.D attacks and the reason Mr____
$0111111111was kept fOrrlonger period of time was because of Intel value. (Seeiaeri-wavier certificate forb4details) tt-/416-4-110/c--
About 1620, 14 Jun 04, SA MP interviewed NCOIC, SFC Atha Team, A-3-5, Tikrit Iraq, who related a search of the former 065 ODA house would be fruitless., as any and all equi ment 10 SFG may have had was MTOE and therefore not in the ODA house (i.e. tazor). SFC -added that Mr as an outstanding interpreter and b&
had never witnessed him abuse or strike a detainee in any way since they took over for 10 SFG in May 04. Additionally, SFC 11M related Mr 1111111111was very loyal to the U.S. and was a dedicated hard worker. h‘--4)
SAA TURE 286m Military Police Detachment (CID) FOB DANGER, TIKRIT, Iraq APO AE 09392 EXHIBIT 026639DATE
14 Jun 04 • 000021
CI i FORM 94A FOR OFFICIAL USE ONLY igtoe-flevrceiveril 5e451.47.`''e EXHIT3IT

ROI NUMBER
AGENT'S INVESTIGATION REPORT 0139-04-CI D259-80203
CID Regulation 1954
PAGE 4 OF 4 PAGES
DETAILS
STATUS: This RFA is being closed within the files of this office. No further investigative activity is anticipated. ///LAST ENTRY//
286m Military Police Detachment (CID) FOB DANGER SA TIKRIT, Iraq APO AE 09392 026640
DATE EXHIBIT
h6-1 )
000022
14 Jun 04
FOR OFFICIAL USE ONLY ula/O-Av.ineere Sc, EXHIBIT 6
DOD-052139
Page(s)

Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101
Master Sergeant Pamela Andrews andrewsp@centcom.smil.mil
(813) 827-5341/2830
026641
Pages)

Referred to:
U.S. ARMY MEDICAL COMMAND FREEDOM OF INFORMATION/
PRIVACY ACT OFFICE ATTENTION: MCFP 2050 WORTH ROAD, SUITE 13 FORT SAM HOUSTO1N, TEXAS 78234-6013
MR. JOHN PETERSON John.P etersonl@c en. amedd army.mil
(210) 221-7826
026642r
RIGHTS. Wei: G PROCEDTJREAVAIVEkIRTLFICATE

AUTHORITY: Title 10, United States Code, Section3012(g)A-PRINCIPLE PURPOSE: To provide commanders and law eilfOrcement officiali with means by which infoimatiOn may be accurately identified, ROUTINE USES: Your Social Security is used as an additional/alternative means of identification to facilitate filing and retrieval. DISCLOSURE: Disclosure of your Social Security Number is voluntary.
LOCATION: r-0/3 al-, kbo9c"c1)ATE:ricSundlIME: 1t1 3O PILE NUMBER: crfy -‘../ cf NAME (Last, First. SAN: x/iftt GRADE / STATUS: a v ORGANIZATION OR ADDRESS: 06(5' pl. Pi 6171 SC: 61. /7i570,,oye",z
Fe6
RIGHTS WAIVER/NON-WAIVER CERTIFICATE The investigator whose name appears below told me that he/she is with the United States Army Criminal InvestigationCommand as a Special Agent and wanted to question me about the following offenses) of w•• h I a .
b6 --q , kr( e.- -tr
suspected/aceused: isc\-›..ne cc . e..4:0-41.1nee5, rctax.4e. osso 14 , /
Before he/she asked me any questions about the offense(s), Powe ver he/she made it clear to me tha ve the
following rights:

1.
I do not have to answer questions or say anything.

2.
Anything I say or do can be used as evidence against me in a criminal trial.

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

or
(For civilians not subject to the UCMJ) I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me during questioning. I understand that this lawyer can be one that I arrange for at my own expense, or if I cannot afford a lawyer and want one, a lawyer will be appointed for me beforeany questioning begins. .
4. If I am now willing to discuss the offense(s) under investigation, with, or without a lawyer present, I have the right
m ilorio waiver below. bG 4-b-te_ Eto stop answe • • at any time or speak privately with a lawyer before answering further, even if I sign the
5. COMMENTS: VE OU BEEN ADVISED OF YOUR LEGAL RIGHTS WITHIN THE PAST FIVE YEARS

AND REQUESTED AN ATTORNEY? YIN
I understand my rights as stated above. I am now willing to discuss the offense(s) under in statement without talking to a lawyer first and without having a lawyer present with me. • ako a b‘ -q, lc-
Witness# 1 to,b7c-t
bc-t ,b1-1 Si

Witness# 2
Signature of Witness
286th !v Det (CID)(FWD) Tilait, Iraq APO AE 09329
NON-WAIVER. CERTIFICATE
I do not want to give up my rights: I want a lawyer: 0 I do not want to be questioned or say anything:
Signature of Interviewee:
DA Form 3881-E
026643
FOR OFFICIAL USE ONLY Oq0085
Lilco En&e2.4 en -6 5-ctudv, EXHIBIT 11-
DOD-052142

0139-04-C1D259-80203
AGENT'S INVESTIGATION REPORT
ROI NUMBER
0238-04-CID056
CID Regulation 195-1 •
PAGE 1 OF I PAGES
DETAILS
BASIS FOR INVESTIGATION: About 1030, 10 Jun 04, this office received a Request for Assistance (RFA) from the 78th Military Police Det (CID), Baghdad, IZ, requesting this office identify and conduct suspect interviews of the individuals in 10th Special Forces Gro46415-k
iiiirt Carson, CO (FCC , who aIle edly beat and abused prisoner DRS ISN AL-4 k "le -4 ,4-4 iolc-f
.66--I, 7c.1 bout 1103 , 10 Jun 04, SA dvised SSG 10th Special Forces Group of his legal rights. SSG aived his rights, and rendered a sworn statement in which he stated he recalled Mr.b4-40c-4 hen he was in his custody, but SSG did not take part in the capture of MR. Le-tir frk„ denied ever beating MR. SSG stated they did subdue MR. 14, by grabbing him and bringing him down to the ground wit,h minimal force.
ble b6I rtc,r 136-4 iac-+ -
bout 1221, 10 Jun 04, SA -dvised MSG 10th Special Forces Group, FCC, of his legal rights. MSG waived his rights, and rendered a sworn statement in which he stated that he took part in the4 ,--4-irt L
arrest of MR. During the arrest MSGellatonly used the force necessary to subdue MR.MMINIMPI hen MR. rabbed for MSGINIMIPM-4. MSG -tated that when MR. as handed 4-b-i` over to the Sensitive Site Exploitation Team, MR. as not seriously injured. 66-
bout 1747, 10 Jun 04, SA IMINIIIPprovided SA 78th MP Det, Baghdad, IZ, the first I:6-11 19 c- 1 information report documenting the interviews conducted to date. L-i.j....kte -(__ -/c -24-106-4 bout 0944, 16 Jun 04, SAME" advised SFC C Co, 2nd BN, 10th SFG, FCC, of his
legal rights. He waived his rights and rendered a sworn statement in which he stated the only dealings he had with Mr lc-4 was during the arrest. SFC11111111111stated during the arrest, Mr111111111111111Pgrabbed the barrel of MSG a t -4 1C.-Et M-4 at which time SFC hit him in the head twice with the butt stock of his weapon. He stated once Mr b6-'-I 1a-, was on the ground he was flexi-cuffed and under control. SFC stated he did not require medical L.C- 4
attention, and at no time did he see abuse take place, nor did he abuSe Mr h4.-it, hi c-4
.•
STATUS: This RFA was closed within the files of this office, and no additional investigative activity was
anticipated.///LAST ENTRY///

TYPED AGENTS NAME AND SEQUENCE NUMBER ORGANIZATION
48h MP Det CID (CSE)
6th MP Grp (CID, USACIDC
10C -1, bic-i
Fort Carson, CO 80913
02664
DATE EXHIBIT
16 Jun 04
0
B
FO ALUMS DElkILY bit
1 FEB 77
Law n orcement Sensitive EXHIRE I
DOD-052143

)
h.j1-k . - W1,-..,NING PROCEDURE/WAIVER , ..A.„...,:.:A. -0139-04-CID259-80203 For use of this form, see AR 190-30; the proponent agency is ODCSOPS iez -, -
D t, -*Pi-0 r n i.5,‘
DATA REQUIRED BY THE PRIVACY ACT
AUTHORITY:ATitle 10, United States Code, Section 3012(g)
PRINCIPAL PURPOSE:ATo provide commanders and law enforcement officials with means by which information may be accurately identified.
ROUTINE USES:AYour Social Security Number is used as an additional/alternate means of identification to facilitate filing and retrieval.
DISCLOSURE:ADisclosure of your Social Security Number is voluntary.

1Dtm -11 1 b 7c -4
1. LOCATION 2. DATE 3. TIME 4. FILE NO.
0\ bc. t o /1 C
5 t, Firs ' 8. ORGANIZATION OR ADDRESS

,194 ,41 bic-4 C,C__.6,2,GAr,f• o )4-)
i
GRADE/S ATUS /
---CP 12-4 5 e e (L:11 Pe rC e s 6 Ir-c .1 p (' -41 Ia--.' PART I -RIATS WAIVER/NON-WAIVER CERTIFICATE
Section A.ARightsA.A ,
• ,
..A.
The ipukstigatqrwhose name appears below told me that he/she is with the United States Army i)--) i in e./\ --1-41v.-e S 1 ( Cl
( -
1. )(\..o 5 i O.\ " and wanted to question me about the following offense(s) of which I am
suspected/accused:-- 419 ro(VrAt( /1-5. 0 4e %,\ it
Before helshe asked me any questions about the offense(s), however, he/she made it clear to me that I have the following rights:

1.
I do not have to answer any question or say anything.

2.
Anything I say or do can be used as evidence against me in a criminal trial.

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

Or
(For civilians not subject to the UCMJ) I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with
me during questioning. I understand that this lawyer can be one that I arrange for at my own expense, or if I cannot afford a lawyer and want one, a lawyer
will be appointed for me before any questioning begins. .

4. If I am now willing to discuss the offense(s) under investigation, with or without a lawyer present, I have a right to stop answering questions at any time, or/
speak privately with a lawyer before answering further, even if I sign the waiver below. '

5. COMMENTS (Continue on reverse side)
Section B. Waiver
am illing to dis uss the offense(s) under investigation and make a statement without talking to a lawyer first andI understand my rights as stated above. I am without having a lawyer present with me. g.--141 "1C-- g-
WITNESSES (f available) 3. SIGNATURE OF INTERV
c_-4-f-
C -4. 6-t
t
1 a. NAME (Type or Print)
b. ORGANIZATION OR ADDRESS AND PHONE 4. SIGNA RE OF INVESTIGATOR .

• 5 All11111111p1W
1
2a. NAME (Type or Print) 5. TYPED NAME OF INVESTIGAT, I..., CO. ..1 IC '..
' 5A
b . ORGANIZATION OR ADDRESS AND PHONE 6. ORGANIZA
(4 g 14-‘. me,. -o,i--Cc. 1
Section C. Non-waiverA •
1. I do not want to give up my rights , • .
. I want a lawyer ¦,I do not want to be questioned or say anything • --,
zae_645
2. SIGNATURE OF INTERVIEWEE
ATTACH THIS WAIVER CERTIFICATE TO ANY SWORN STATEMENT (DA FORM 28231 SUBSEQUENTLY EXECUTED BY THE SUSPECT/ACCUSED o o 0 d 8 ?
-
-
-
tam L,PC V7.00
DA FORM 3881, NOV 89 EDWION N NOV 84MATE
Law Enforcement Sensitive
EXHIBIT / 3.
FDP__ OFF! CI Al_ )3e (:)IM
DOD-052144
0139-04-C1D259-80203
SWORN STATEMENT
,Z -2,(6f'5'- ci:toes‘
FILE NUMBER : 0238-04-CID056
LOCATION : Bldg 1816, Fort Carson, CO

DATE : 10 Jun 04 TIME: 12,0 lir 16-4, 10 -tc-4
NAME i96-4

SSAN b6.j,lc-1-Grade/Status: E-6/RA ,agiORG/ADDRESS : C CO, 2BN, 10 TH SFG, FCCpli,ommot WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH: 1C.-4
I recall hen he was in our custody. He was in our custody for at the b4 most 72 hours. We only kept them for 72 hours then we took them to the 1 st Infantry Division detention facility in Tikrit, IZ. I saw Mr daily while he was in our custody. b.b More than once a day. We had to feed the prisoners, check on them. I interrogated Mr 1111111111.about two or three times. I never touched him, or used violence while b -'f, LYC
-
interrogating him. A lot of times during my interrogations I had a medic with me. I recall one time when we got him out to feed him, he started to fight us. All we did was subdue him by grabbing him and bringing him down to the ground. We always used the minimal amount of force. I never saw any injuries on Mr except for the self-inflicted injuries on his 14 6 -4, kic -4 wrists from the flexi-cuffs. I never saw anyone on my team abuse or beat Mr b 7
11111.b
Q: W6-/) bic -/
A: b4 -
Q: Was Mr ,_-ever unconscious while in the custody of 10 1hSFG? -t
A: Not that I know of. I never heard he was or saw it.
Q: Did you ever see any scars on Mr h 6-4, b 1 c -
A: No, he wore a dish-dasha all the time.
Q: What was Mr 111.111111111condition when he was released to 1s t ED detention facility? .66- 4", b1c
A: Good.
Q: Did you get significant information from Mr1111.1111Wwhen you interrogated him. b
A: No, he denied all allegations against him.
Q: How often was he fed?
A: Three times a day, the same food we ate. And they got plenty of bottled water. If anyone
complained of medical problems, we had our medic see the detainee and ensure he was ok.

Q: Were you directly involved in the capture of Mr bC -4 1 19 -1c-If •
A: No.
Q: Do you want to add anything to your statement?
A:lioiEND OF STATEMENT///

INITIALS OF PERSON MAKING STATEMENT: Page I of 2 Pages 026646
FOR OFFICIAL USE ONLY 000088
For Official Use Only Exhibit
Law Enforcement Sensitive EXHIBIT

DOD-052145

1 0139-04-C1D259-80203
loC -4i 61 e--Case No. )? a 3 8 -cr s
"Statement of Fort Carson, CO, continued:"
AFFIDAVIT
L -Lti 1C- 4-
I, 11111111111111111WHAVE OR HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE 2 . I FULLY UNDERSTOOD 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, WITHOUT
COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT.
bL-Lfr inic-
WITNESSES: Signature o erson 'a rng
Subscribed and sworn to before me, a person authorized by law to ad • , this 10 day of Jiinr t Fort Carson,
CO
ORGANIZATION AND ADDRESS
.136-1 big.-1
SA111111.1111.1.
ype Name of Person Administering Oath)
INITIALS OF PERSON MAKING STATEMENT: bi- 7,1lic-4 Page 2 of 2 Pages n 26647
000089
FOR OFFICIAL USE ONLY For Official Use Only Law Enforcement Sensitive EXHIEAl
ft rs
DOD-052146

t— .i i , 1 0139-04-CID259-80203
NIGI-i, ....,VV,...iNING PROCEDURE/WAIVER ...:R1.. (CA..:
For use of this form, see'AR1B0-30; the proponent agency is ODCSOPS
OP. I fa) —70a2,1 - cilp e_5-6
DATA REQUIRED BY THE PRIVACY ACT .
AUTHORITY: Title 10, United States Code, Section 3012(g)
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 additional/alternate means of identification to facilitate filing and retrieval.
DISCLOSURE: Disclosure of your Social Security Number is voluntary.

,b6-4-t Lie -(1-
2. DATE 3. TIME 4. FILE NO.
1. LO TIO :7'
1
Mt I ° I/ r-) • - ,-
AO i all _4(
5. 'N • Fir I .4 8. ORGANIZATION OR ADDRESS
-6,
bit!ly .,. . •
6 ., RA7/STAT S
PART I -RIGHTS WAIVER/NON-WAIVER CERTIFICATE -
Section A. Rights . . .
. j_. The ikvestigatorwhosename appears below toldrne that he/she iS , WiththeUnited States Army Cle-(V 1--)t 4-a I ie7V't S-1161. \.) \ \i'l,'Irs., 10-- " '' ' ' ' ' '•' '' " ' - • • • •••-• - • '' ' and wanted to question me about the following offense(s) of which I am .., .
,
suspectec‘egsetk:' ''''' '' -At. . Vat ITZIIMEMMIM
Before he/she asked me any questions about the offense(s), however, he/she made it clear to me that I have the following rights:
. •
1.
I do not have to answer any question or say anything: ,.. ::',._

2.
Anything Isay or do can be used as evidence against reeiina criminal trial. .

3.
lf-o;: erSdnnel subject othe UCMJ I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me during questioning. This lawyer can be a civilian lawyer I arrange' for at no expense to the Government or a military lawyer detailed for me at no expenseto me,

or both:
. , - or -. . (For civilians not subject to the LICMJ1 I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with '-me during questioning. I understand-that this -lawyer can be one that I arrange-for at my own expense, or if I cannot afford a lawyer and want one, a lawyer--
will be appointed for me before any questioning begins. .
4. If I am now willing to discuss the offense(s) under investigation, with or without a lawyer present, I have a right to stop answering questions at any time, or,' • speak privately with a lawyer before answering further, even if I sign the waiver below.
,', ,••• ' -. -• . 1 -2! !!. • .. . . - ..1•' $y,-; • • . ¦,,
5..COMMENTS (Continue on reverse side) . . .1.• ,
.,;,rn..?-ipil , ,
::n
Section B. Waiver .,
I understand my rights as stated above. I am now willing to discuss the offense(s) under investigation and make a statement without talking to a lawyer first and -
without having a lawyer present with meal" b6:3 _ a. Epic _4. • WITNESSES (If available) , r 3. SIGNATURE OF INTERVIEWEE •
--1-1- bic.- 4
1 a. NAME (Type or Print) b`. i •
NICIOW...we IS , • US•1111..r.
b. ORGANIZATION OR ADDRESS AND PHONE 4.
• -f 1itle• -
2a. NAME (Type or Print) 5. TYPED NA • , • • • -J 6 ---1 licici
4
..• • 1 e ,.. • .
b. ORGANIZATION OR ADDRESS AND PHONE 6. ORGA
-41 /P ) Section C. Non -waiver
,
1. I do not want to give up my rights
¦,I want a lawyer 0 I do not want to be questioned or say anything
4 Ii
2. SIGNATURE OF INTERVIEWEE
. 0 2 6 6
ATTACH THIS WAIVER CERTIFICATE TO ANY SWORN STATEMENT (DA FORM 2823) SUBSEQUENTLY EXECUTED BY THE SUSPECT/ACCUSED 01 '-1
--_
1,PPC V7,00
EDITION 8 0 TE
DA FORM 3881, NOV 89
Law Enforcement Sensitive
F- tXHIBIT ttA
6a__Or F %oil-A, the Doof
DOD-052147

0139-04-C1D259-80203
SWORN STATEMENT
af23 9 - T,efjoy —cif)05‘
FILE NUMBER LOCATION : Bldg 1816, Fort Carson, CO DATE : 10 Jun 04 gp TIME: 4251' IMF IA- 4, NAME h7c-SSAN : =Wide/Status: E-8/RA bb ORG/ADDRESS : C Co, 2 BN, 10 th Special Forces Group, Fort Carson, CO 80913
EmlimmikWANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH: h 6-11; 6 I recall Mr well because he was on the ODA most wanted list. He was 66 -4 b' '--in the top ten. The night we raided his house, myself and SFC arrested lob.6 7e----4
When we located him in the house, he was sleeping and we kicked down the door to his room and asked him his name. He told us his name was IOW That's when I told SFC111111111111N5‘. -4, 61c `f that he was our guy, and while he was still laying down, he grabbed for my M-4. At this point, I made a decision not to shoot him because his wife was in the room and I didn't want to traumatize her. I used the force necessary to subdue him and get him in flexi-cuffs and blind folded. At that time, we handed him off to the Sensitive Site Exploitation team. They come in the house behind us and take control of whoever we arrest because we have to move on to the next target. At the time of Mr rrest, he was not seriously injured. While he b 6 1, 1)16-was detained in our facility I interviewed him twice and never used force. He was combative at times, so when I interviewed him, I kept his blind fold on and his flexi-cuffs on. I never beat him or abused him I never electrocuted him and he was never starved. He was fed three times a day the same food I ate. If any of the detainees needed medical attention, the medic was standing by.
Q: MEWbb---1 ) 10-r -1
A: Mir b 6 -4 1 Idle- -4
Q: At any time while Mr was in your custody, did you abuse or beat him 9 bC-41 b/c--
A: No.
Q: Did you ever see, anyone abuse or beat him?
A: No.
Q: How long was Mr in the custody of 10 th SFG? G --(4, 191 c -
A: I think it was three days. We had so many coming in and out of there, and when they got to their third day, we'd move them to the 1 st ID detention facility.
Q: What condition was he in when he was transported to the 1 St ID detention facility?
A: Other than the marks on his wrists from the flexi-cuffs, he was fine. And when I handed him over, I even informed the NCO at the in-processing desk of the injuries on his wrists. I also warned them that Mr was combative and to keep two guys on him. to -A-
Q: When you arrested Mr did you ask if he was taking any medications or had 1064 k/C -te any medical problems?
A: Yes, and he said he had no medical problems and was not taking any medications. That was standard practice for us to ensure that if we did find any medications in the house, we would find out who they belonged to, and if they belonged to the person we were arresting, we would take it with us.
Q: Was Mr.= ever suffocated that you saw or heard of? bi-Lf,
INITIALS OF PERSON MAKING STATEMENT.. lob -4 , 191 C-If Page
"f 2 Pagel) 26649FOR OFFICIAL USE ONLY
000091
For Official Use Only Exhibit Law Enforcement Sensitive
k`A.
DOD-052148

0139-04-C1D259-80203
Case No.
/6 2. 3 -2425.c_s,p
"Statement of , taken on 10 Jun 04, at Fort Carson, CO, continued:"
A: No way.
Q: Do you want to add anything to your statement?
A: Eo.///END OF STATEMENT///
1111 b6-'f, bic-4
AFFIDAVIT
I, WAVE OR HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE 3 . I FULLY UNDERSTOOD 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, WITHOUT
COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL, INDUCEMENT.
026650
INITIALS OF PERSON MAKING STATEMENT'''. 10 6 Page 2 of 2 Pages
FOR OFFICIAL USE ONLY 000032 For Official Use Only Exhibit Law Enforcement Sensitive
EXHIBIT
1
DOD-052149

LJ Co ovv I. te— • •
0139-04-C1D259-80203
Case No.
11.101,-4,
"Statement 0111111.1.1.taken on 10 Jun 04, at Fort Carson, CO, continued:"
,bi -41 d-k-WITNESSES: (Signature o.ng Statement Subscribed and sworn to before me, a person authorized by law to administer oaths, this 24 th day of February, 2004, at Fort Carson,
C
ORGANIZATION AND ADDRESS (Signature o Tersol minis enng at
b-/, blc-I
SA
(Typed Name ofTerson Administering Oath)
(Authority to _Administer Oath)
INITIALS OF PERSON MAKING STATEMENT:1W 66-4, 4. Page 2 of 2 Fag() 26651
FOR OFFICIAL USE ONLYA
. 000093
For Official Use Only Exhibit Law Enforcement Sensitive .
EXHIBIT -1(1
DOD-052150
RIGS.., WARNING PROCEDURE/WAIVER CEN.,..ir41CATE° 139-04-C10259-80203
For use of this form, see AR 190-30; the proponent agency is ODCSOPS
,2 M -2Ase ,51 -c r v.of.s74
DATA REQUIRED BY THE PRIVACY ACT
Title 10, United States Code, Section 3012(g)
j2RINCIPAL PURPOSE: To provide commanders and law enfOrcement officials with means by which information may be accurately identified.

.../.
- ROUTINE USES: Your Social Sedurity Niimber is used as ari additional/alternate means of identifiaation to facilitate' filing and retrieval. DISCLOSURE: , Discloture of your &tidied Sedulity Number is voluntary.
M-4 Lic 4 -,15‘4 -7c-4
1 . L • C • TI DA 3. TIME 4. FILE NO.
GI / ... 0.L.Ar1 0 05 q

ME (Last, First Ml) 8. ORGANIZATION OR ADDRESS
14-(1 t bre-Li

t Co,g Ali I 0 - th.,5 il L
-,-7. GRADE/STATUS
WIt74 -; -7,V e C c PART t - RIGHTS WAIVER/NON-WAIVER CERTIFICATE
Section A. Rights
. . . ,. 1 .,-,-., i
The investigator whose name appears below told me that he/she is with the United States Army CitiVin 1 1/7 01 1 j_....An v g ;figN/).
Ply ic I 0 n. ..and wanted to question me about the following offenses) of which I am
suspected/seemed' A-93,-- rAvoki=e c-A-,4 rj.(Pt. '11. el 4".-
Before he/she asked me, any questions about the,offense(s), however, he/she made it clear to me that) have the following rights:

1.
. I do not have to answer any question or say anything. • .

2.
Anything I say or do can be used as evidence against me in a criminal trial. ..

3.
(For personnel subject othe UCMJ I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me

during questioning: This lawyer can be a civilian lawyer:I arrange for at no_ expense to the Government or a military lawyer detailed for me at no expense to me, . or both.. •'' . . -: -
•Or • . . (For civilians not subject to the UCMJ) I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me during questioning: I understand that this lawyer, can be one, that I arrange for at my own expense, or- if I cannot afford a lawyer and want one, a lawyer will be appointed for me before any qUestioning begins. ' If I am now willing to discuss the offense(s) under investigation, with or without a lawyer present I have a right to stop answering questions at any time or
....... . . ..... _...,. . . _ ... ... .._ ....„..... ..._. _ . .._• .• .... _ ......_„, ... .... _... .,.... . . „ . .. .... • . .... .._ ....
speak privately with a lawyer before answering further, even if I sign the waiver beloV4 •

5. COMMENTS (Continue on reverse side)
Section &• Waiver-
! understand my rights as stated above. I am now willinito discussge offense(s) under investigation and make a statement without talking to a laWyer first and
im
withOut having a lawyer present with me. bg....4lc ...4
i .
,
-
WITNESSES (If available) 3. "SIG• • • -• • LN4 4 101. C-4.
la. NAME (Type or Print) ..r....
b. ORGANIZATION OR ADDRESS AND PHONE • • • STIGA • •
A w
I 114.'1
2a. NAME (Type or Print) 5. • • -
lir NEM h -ii kic-1
b. ORGANIZATION OR ADDRESS AND PHONE 6. ORGANIZATION OF INVESTIGATOR
lit
(--)7 . ple Do- (co
Section C. Non-waiVer
1. I do not want to give up my rights
026652
¦ I want a lawyer ¦ I do not want to be questioned or say anything -'
SIGNATURE OF INTERVIEWEE 0 0 0 0 9 4
ATTACH THIS WAIVER CERTIFICATE TO ANY SWORN STATEMENT (DA FORM 2823) SUBSEQUENTLY EXECUTED BY THE SUSPECT/ACCUSED
SU APA 2.01
DA FORM 3881, NOV 89 nireff1Fdaverteseffk ETE Exhibit Law_Enforcement Vre F ,bFr-CAM., US
EXHIBIT IS-
DOD-052151
0139-04-C1D259-80203
SWORN STATEMENT
M38 -,c's,1) seC,6
FILE NUMBER :
LOCATION : BLDG 1816, Fort Carson, CO

DATE : 16 Jun 04 TIME: 10:41 WM A-Li( b ."
NAME 64-4, b 7c-LA

61c
SSAN Grade/Status: E-7/RA 64--L
ORG/ADDRESS : C Co, 2BN, 10th FSG, FCC

'
, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH: 14-lc blc ­Myself and MSG imp were the two that arrested It was about 0200 1) 6 4, 7c -"I
in the morning and we went in to the house. He was sleeping on the floor with a pregnant woman. As soon as we went in to his room, lie became belligerent and we were telling him to put his hands on his head. He would not comply with what we were saying, and he grabbed the barrel of MSG IMISM-4. When he did that, I immediately butt stroked him in the side/back ig-6 k 7c -V of his head. He was still holding II= barrel so. I came around to the front and butt stroked 66 -q, b1 c -1-f" him in the front of the face, then I hit him with my forearm to get him down on the ground. He was on the ground and we were trying to detain him, he was resisting so I hit him in the back of the head with my forearm. We were finally able to flexi-cuff him, at which time I did not hit him again, because he was under control by that point. We took him outside, put him on his knees facing the wall and we moved on to the next house. When we left him, he was not injured other than he may have had a small cut above the nose.
bt.-1 h7c--(
Q:

Q:
Did require medical treatment after you detained him? k, -(f, k1c-4

A: No.
Q: When he was detained, was he on any medications that would have been required to be transported with him?
A: Not that I know of.
Q: Did you have any dealings with after the night you arrested him? lot `1",
A: No, other than a couple times I may have guarded when he was being brought food. I also helped guard when they took him to the vehicle to take him to the DCCP.
Q: When he was released to the DCCP, what was his condition?
A: I was not there when he actually arrived at the DCCP, but I saw him walk to and get in the vehicle that took him, and he was fine.
Q: How long did he stay on the compound with your team?
A: I'm not sure, but I think only three days.
Q: Do you know who may have suffocated leaving him unconscious? 106 -61/ bic -
A: I'm sure that did not happen. And if he did require resuscitation, the medics would use an oxygen mask, they would not perform mouth to mouth.
Q: Did you ever hear of anyone electrocutinglilffing or did you ever do this yourself? 4C -4, II c-4
A: No.
Q: Would your unit have any of the medical screenings or records for these detainee's?
A: No, I don't know where they were turned in to.
INITIALS OF PERSON MAKING STATEMENT:Mil
Page I of 2 Pages 0 2 6 6 5 3
FOR OFFICIAL USE ONLY
000t)95
For Official Use Only Exhibit Law Enforcement Sensitive EXHIBfir
DOD-052152

0139-04-C1D259-80203
1^4, j^ Z G Case No. a 3 3 - o /-(5.6"Statement of taken on 16 Jun 04, at Fort Carson, CO, continued:"
Q: How often was fed, and what was he fed?k,C.-4,191c-`f
A: I never personally fed anyone; I just saw plates of food being taken out to the detainees. I know the detainee's got the same food we ate. I could not tell you how many times a day, because I never fed them.
Q: Do you want to add anything to your statement?
A: No.///END OF STATEMENT///
1o16-1
AFFIDAVIT
b6-41 hiC -4
HAVE OR HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE 2 . I FULLY UNDERSTOOD 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, WITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT.
WITNESSES:
Subscribed and sworn to before me, a person authorized by law to administer oaths, this 24 th day of February, 2004, at Fort Carson, CO.
ORGANIZATION AND ADDRESS
nak 1 loic—t
SA
(Typed Name c f Terson Administering Oath)
Art 136 (b) (4)
(Authority to Administer Oath)
026654
INITIALS OF PERSON MAKING STATEMENIIIIIIII bC-14, ITIc-4 Page 2 of 2 Pages
. 000096
FOR OFFICIAL USE ONLY
For Official Use Only Exhibit Law Enforcement Sensitive
EXHIBIT /5-
DOD-052153

0139-04-C1D259-80203
AGENT'S INVESTIGATION REPORT
CID Regulation 195-1
PAGE 1 OF 2 PAGES
DETAILS
BASIS FOR INVESTIGATION: About 1430, 17 Jun 04, this office received a Category I, Request
For Assistance (RFA) from the 78th Military Police (MP) Detachment (CID), Baghdad International
Airport (BIAP), APO AE 09342 requesting this office conduct canvass interviews of Detainees

DRS DetaineellIMIVNDRS, /01 Detainee NDRS Detainee NDRS and toC-At, Detainee NDRS in reference their knowledge concerning the assault on b6 191c--Detainee NDRS Also interview LTC C-'(
11111/Joint Interrogation Debrie ing Center (JIDC )
) Baghdad Central Confinement Facility (BCCF),b6--Abu Ghruyeb, Iraq (AGI), and CPT (DR) JIDC, BCCF, (USAF), as to their knowled e of the alleged abuse. In addition conduct canvass interviews of MP guards in regards to injuries. b6-4, 6 -1c. -4
ICA joie bg-Li h/e-cc
About 1000, 24 Jun 04, SA coordinated with CW4 , Senior Interrogator, BCCF who stated once CID is notified of an abuse allegation he no longer requires interrogators to prepare sworn statements or go into details concerning the incident.. There were no reports of abuse in Detainee file. 1 674G 11-1C-' 1-
bbl le_-I 116-1( bic-4-About 0900, 25 Jun 04, SA interviewed LTC who Stated he had no further knowledge concerning abuse allegations made by Detainee 106-4,16 -1c-4
10C3-1 1D1c4 About 1330, 25 Jun 04, SA with e assistance Interpreter this office, interviewed Detaine NDRSIIIIIIIPwho stated he knew of Detainee L6-4, Lie--
NDRS from the local neighborhood but was not ca tured with him. Detaine
related he saw scars on both wrists of Detainee He believed the injuriesh were caused by the flex cuffs that were too tight. Detainee informed him that thek-V3 injuries were caused by flex cuffs. Further, he did not obserye any abuses or assaults by Coalition . Forces during his capture. Lastly, he was unaware of any scar On Detainee left arm., .-4F)Detainee was at a detention facility in Tikrit for 38 days: :1064, -tc. _q le-44
i kic 4, ,66-it 76-
About 1430, 25 Jun 04, SA with the assistance this , office, interviewed Detainee NDRS111114who stated he knew of Detainee,b--4,bc-NDRS,from the local neighborhood but was not captured with him. Detaineeb 4)
lc -cf
related he saw scars on both wrists of Detainee He believed the 1,4-4,b7c injuries were caused by flex cuffs. He did not discuss the injuries with DetaineellIIIIIMIIrg-cf, -tc-ti Further, he did not observe any abuses or assaults by Coalition Forces. Lastly, he was unaware of any scar on Detainee left arm. Detainee was at a detention facility in .136
197 Itt
Tikrit for 36 days.
0 ific-t
0 1 104--q kic-4
About 1530, 25 Jun 04, SA Miwith the assistance Interpreter , this , office, interviewed Detainee NDRS UMW who says he knew of Detaine ---q, 7c 4-b6-11, b -tc (1IIIIIIIIIIIIFDRSIMIIIIFrom the local neighborhood but was not Captured with him.
TYPE AGENT'S NAME AND ,UENCE NUMBER ORGANIZATION PRISONER INTERROGATION TEAM (PIT)(CID),r) a
k,6-1 ) ,b7c b
Baghdad Central Confinement Facility, Abu Ghruyeb,LY V
DATE EXHIBIT
25 Jun 04 000097
CID FORM 94
AWIL9'81-Als_ bgt-6N LY EXHIBIT \\Q. ,
Law Enforcement Sensitive
DOD-052154

0139-04-CID259-80203
ROI NUMBER
AGENT'S INVESTIGATION REPORT
0068-04-CID789
CID Regulation 195-1
PAGE 2 OF 2 PAGES
DETAILS
Detainee related he saw scars on both wrists of Detainee He k4--4), ,k,_
believed the injuries were caused by flex cuffs. Detainee informed him that the 06-, "1-1
injuries were caused by flex cuffs. Detainee elated he was assaulted by a Kurdish b6
translator, while in the detainment camp at Tikrit. The assault involved being pistol-whi ed and
humiliating communication. Lastly, he was unaware of any scar on Detainee left b6 -4,
arm. He could not identify the Kurdish translator due to being blindfolded, but knew he was Kurdish
based upon the accent. Detainee as at a detention facility in Tikrit for 33 days. LC-4

14.-1 bie-1
About 1630, 25 Jun 04, SA this kA-41)
with the assistance Interpreter ,
office, interviewed Detainee , NDRS alliewho says he knew of Detainee b6--4 / 1176-4
NDRS from the local neighborhood but was not captured with him. b 6 ``fir
related he saw scars on both wrists and bruises on Detainee 19 4-4 , 11 /c -*

body. He believed the injuries were caused by flex cuffs. DetaineelIMINIAC-informed him that the irfuries were caused by flex cuffs and his bruises were from torture. Detainee was unaware of the specifics of torture but related he was assaulted by alo6 chle -Kurdish translator, while in the detainment camp at Tikrit. The assault involved being pistol-whipped and humiliating communication. He could not identify the Kurdish translator due to being blindfolded, but knew he was Kurdish based upon the accent. Detainee as at ai9C-4 ki detention facility in. Tikrit for 38 days.
bic:tde AGENT'S COMMENT; CPT played, thereford a re-interview could not be conducted. -complaint was taken during in processing, therefore he had no contact with MPI ,54-4 guards prior to his complaint of abuse. No canvass interviews of the guards were conducted due to this reason.
Status: Your RFA has been completed in the attached enclosures. No further investigative activity
is anticipated by this office. ///Last Itern///

TYPE AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION PRISONER INTERROGATION TEAM (PIT)(CID)
SA 16.--1 ) ,i/e -1 6 -2A
Baghdad Central Confinement Facility, Abu Ghruyeb 09342 SIGNATURE DATE EXHIBIT
25 Jun 04
CID FORM 94
FPB RF6 NA! OTEYON LY
I aw Eninrr.prripnt Scancitiwa+ EXHIBIT-
DOD-052155

AGENT'S INVESTIGATION REPORT
ROI NUMBER
0238-04-CID056 0139-04-CI D259-80203
CID Regulation 195-1
PAGE 1 OF 1 PAGES
DETAILS, ,b6-1 hlinie-1
BASIS FOR INVESTIGATION (RE-OPEN): On 31 Aug 04, this office was contacted by Special Agent (SA)
78th Military Police Detachment CID re uesting that this office re-open this Request for Assistance and atterMr:,
interview SFC C Com an (Co , 2nd Battalion (Bn), 10th Special Forces Group (SFG),(061
Fort Carson, C FCC), MSG C Co, 2nd Bn, 10th SFG, FCC, and SSGIMIlib

C Co, 2nd n, 10 SFG, FC . k,6-41 --te_-(‘ 64 le---1 h4-4 1 ie.-c(
• bout 1045, 31 Aug 04, SA attempted to re-interview MSG imp who declined the offer.
-kJ bic-i jat-eljo 7C 4
bout 1405, 31 Aug 04, SA IIIIIIIttempted to re-interview SSG who declined the offer.

14-1 1 157c-f ____„b4-4,LIc-,14
• bout 1450, 31 Aug 04, SAMMOIrcoordinated with SFCREinfwho agreed to come to this office to be re-
interviewed. -4,10 1C-tt
s 164 bie -r b6
• bout 1415, 9 Sep 04, SA briefed COL ommander, 10th SFG, FCC (NFI), on all aspects of this RFA. COL re a e at BG FOR FI) conducted a 15-6 Investigation on this incident in Iraq in b‘--4 2003, and that no evidence of criminal activity was found. COL IIIINrfurthr requested that he be briefed often on this
J36-it to le -it-
investigation. it,,g -4, (p -1C-Lt 66-4, klic-4
• bout 1040, 13 Sep 04, Investigative Assistant (IA), his office, coordinated with MSG11111111110C CO, 2nd Bn, 10th SFG, FCC (NFI), who related that S as out of the country and would not be available for re-interview until 20 Sep 04. 1944, p lc-`f
g-I b-tc-t -b6 4101
-
• bout 0955, 22 Sep 04, SAIIIIINattempted to re-interview SFC who related that he changed his mind and
declined the offer. iDC-1 b 1t-1 iiiiiii‘
• bout 1020, 22 Sep 04, SA briefed LTC Deputy Commander, 10 th SFG, FCC, on this investigation.
,b6-14 b7e -4
GENT'S COMMENT: COL was unavailable due to a temporary duty mission.
LL-1 101c 196-1 h7c--1
On 22 Sep 04, SA coordinated with SA ho requested that electronic copies of documents pertaining to his RFA be sent to him prior to closure. SA also related that no further investigative activity was required by this office.///LAST ENTRY/// 1)6 --1) bIC -(
TYPED AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION 48th MP Det (CID) (CASE) 6° MP Grp (CID), USACIDC
SA Fort Carson, CO 80913 C S A51
SIGNATURE, -1 DATE EXHIBIT
10 -I 17 -2--\
For._.. i 22 Sep 04
000039
CID F FOR OFFICIAL USE ONLY
LAW ENFORCMENT SENSITIVE

1 FEB 77,
EXHIBIT 1 -7
DOD-052156
4139 04 -C/D259-80203

ROI NUMBER
AGENT'S INVESTIGATIVE REPORT

0151-04-C1D519
CID Regulation 195-1
PAGE 1 OF 2 PAGES
DETAILS
ASIS FOR INVESTIGATION: About 0900, 16 Oct 04, this office received a Request For Assistance (RFA) from the 78TH Military Police (MP) Detachment (DET) (CID), Camp ctory, Iraq to conduct an interview of
r. Internment Serial Number (ISN): 160 obtain records maintained at Ca
4 /641
ucca in reference to his initial detention at the detention facility in Tikri , IZ, and obtain medical records detailing treatment for injuries sustained from alleged abuse.
4 bic-t 1:4-4 ,.-4-bout 0900, 19 Oct 04, SA oordinated with SPC 105TH MP attalion (BN), Detainee Processing Section, Camp Bucca, Iraq, who provided in-processing records of Mr.
(See In-Processing Records for detail)ti,- 4, kic bc-i bc-zt .tic bout 0910, 19 Oct 04, SA liaarcoordinated with SGT 520TH Medical Company, Camp Bucca, Iraq, who provided the medical records of Mr.111111111, (See Medical Records for bd (fi detail) hi -4 44 1376-/ bout 0930, 19 Oct 04, SA interviewed Mr. 111111111who stated he was captured from his home for easons unknown by two unidentified U.S. Soldiers. He was blindfolded and his hands were tied behind his ack with plastic ties and he was transported to a military base in Tikrit, possibly to an Iraqi Military eadquarters Compound. Mr. stated he was placed in a room, where he was left for two days withic.6 approximately 30 unidentified people. After the second day, six unidentified American intelligence individuals arrived and transported five detainees, including Mr. FIllindfolded with their hands tied behind their b6 ack, to the former Ministry of Defense house. Mr. stated the house was only a couple of minutes 1)6-away. Mr. MN was taken to a 120cm x 60cm x 120cm room, where he spent three days with his hands b4- loic ied behind his back, blindfolded, humiliated, and beaten. He was not released to go to the bathroom, was not fed or given anything to drink. He would be beaten if asked for food, water, or to go to the bathroom. Mr. was beaten on two occasions for a couple of minutes. The individuals who beat him were not106-4,,13• erican soldiers. The individuals spoke Arabic and Kurdish and were from the Iraq Civil Defense Corp (ICDC). A Kurdish translator was also present. The beatings consisted of being hit with a square, wooden stick on top of his head, across his back, and on his legs. He did not suffer any injuries from the beatings. Mr. stated he did not see the individuals due to being blindfolded. After the third day, he was taken to b6.-another room where an English-speaking civilian, who looked like an Iraqi, with a beard and stocky build, nterrogated him with the assistance of a Kurdish translator. He was untied, but the blindfold was left on. He as able to see the interrogator due to one time he removed the blindfold, but was hit on the head and told not
o turn around. Mr. - was not able to identify the translator. The interrogation lasted about an hour. t6
fter the interrogation, he was taken to South Tikrit to seek medical attention for his shoulder joints. U.S. soldiers evaluated him and provided medicine for the pain he had in his shoulder joints due to having his hands ied behind his back. Mr. gm"was interrogated a second time, however there were no beatings that h6 -4-ti occurred. The interrogator was a tan American wearing civilian clothes and the interpreter was wearing
gyptian clothes. He could not recall any other details. Mr. -stated he was never hit with a pistol. It L t
TYPED AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION
SA .1344 hic -1 d 78TH MP DET (CID) (FWD) Camp Arifjan, Kuwait, APO, AE 09366 02665
SIGNATU DATE EXHIBIT
e7­1 19 Oct 04

000109
FOR OFFICIAL USE ONLY
1 FEB 77 Law Enforcement Sensitive
\T,

DOD-052157

0139-04— CID259-80203
ROI NUMBER
AGENT'S INVESTIGATIVE REPORT
0151-04-C1D519
CID Regulation 195-1
PAGE 2 OF 2 PAGES
DETAILS
was his brother that was hit in the back of the head with a pistol. Mr. II.Nrsuffered no scars from the b6-4, 1C-4 abuse. He declined to provide a written statement because he stated he did not or is not suffering from any wounds from the abuse. Mr.11111111.stated the people who abused him were out of their mind. b6-q-, 11C - 4
STATUS: All investigative activity within the jurisdiction of this office is complete. This matter is closed within the files of this office.///LAST ITEM///
TYPED AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION
fA78TH MP DET (CID) (FWD)
026654
1DL --q to 1c-b -2*-1 Camp Arifjan, Kuwait, APO, AE 09366
DATE EXHIBIT
SIGNATURE
0 0 1 0 1
1 9 Oct 04
CID FORM 94 FOR OFFICIAL USE ONLY
1 FEB 77 Law Enforcement Sensitive
DOD-052158

Page(

Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101
Master Sergeant Pamela Andrews andrewsp@centcom.smil.mil
(813) 827-5341/2830
0266R0
Page(s)

Referred to:
U.S. ARMY MEDICAL COMMA1\
FREEDOM OF INFORMATION/

PRIVACY ACT OFFICE ATTENTION: MCFP 2050 WORTH ROAD, SUITE 13 FORT SAM HOUSTON, TEXAS 78234-6013
a
MR. JOHN PETERSON John.Petersonl@cen.amedd.arrny.mil
(210) 221-7826
026661
,
RO. NUMBER
AGENT'S INVESTIo:4TION REPORT'
0211-04-CID789
CID Regulation 195-1
PAGE 1 OF 2 PAGES
FUR USt ONLY-LAW hNI-VKL;EIVIENT 0139-04-CID259-80203
DETAILS
BASIS FOR INVESTIGATION: On 15 Oct 04, this office received a Request for Assistance (RFA)(0139-04-CID259-80203) from the Detainee Abuse Task Force (DATF), 78 th Military Police (MP) Det. (CID), Camp Victory, Baghdad, Iraq, to interview Detainee1111111111111111111111.111041 ,He-4
Internment Serial Number (ISN) pertaining to his abuse allegations and obtain all
detention documentation. GA
blc-I

About 0900, 18 Oct 04, SAIIIIIII.coordinated with SFC 391 st MP Battalion (BN), Detainee In-Processing Section, Baghdad central Confinement Facility (BCCF), Abu Ghraib, Iraq (AGI), who provided a, copy of the dossier pertaining to (See Dossier)
106-Ll b lc- it About 1035, 18 Oct 04, SA 111111coordinated with CPL Mg Patient Administra
m6PAD), BCCF Hospital, AGI, who provided a copy of the medical 44-4, records pertaining to (See Medical Records) b4 b 1 c-'1
,

AGENT'S COMMENT: medical records indicate a gunshot wound to the face while detained at BCCF. sustained minor injuries in a riot in which lethal force was used, ROI kit,kle---
-
0139-04-CID789-83995.
IOC "I I 101C-
About 1045, 18 Oct 04, INV IMMInifcoordinated with SPC Magistrates Cell Legal Specialist, BCCF, AGI, who stated detainee file was located at CCCI, Camp Victory, Iraq.
6.1c 4 10 -16-4 About 1030, 19 Oct 04, SAME. with the assistance of Linguist his office, interviewed MS who provided a written' statement detailing his abuse allegation. 11/111111,6_iti Lte.-1 stated he was born on 18 Aug 78 in Tikrit, Iraq, where he currently lives. The description of the mask worn by the Kurdish Linguist is possibly what is commonly known as a ski mask. The question in reference to ever being abused by a CID Agent was prompted by a medical exam, dated 25 May 04, which reads, "p-1 states was hit with pistol by CID or CIA...". liallitwas asked if he LC--tilt has ever provided a written statement to any one about his abuse. He stated he had never told anyone other than a "black CID", identified as SA When shown and read the 1044, lo unidentified statementalMstated he did not now where it came from. Photographs were b6At exposed of 11111Malleged injuries using a Sony Cybershot Digital Camera. (See Staternent,14 -41 Translation, and Photographs)
16 4 loic-4-AGENT'S COMMENT: This entry was made to clarify certain aspects of statement. ,)0 -I, 10 -ic -t, toi. -if • . About 1215, 19 Oct 04, SA =coordinated with CW3 A. Co., 202nd MI BN, Joint Interrogation and Debriefing center (JIDC), BCCF, AGI, who queried the Biometric Automated Toolset (BATS) and determined 1111111111had not been interrogated while at
ic4-4, b -lc -4 .
TYPE AGENT'S NA AND SEQUENCE NUMBER ORGANIZATION PRISONER INTERROGATION TEAM (PIT)(CID)
SA bt 1, Lie d
,
Baghdad Central Confinement Facility, Abu Ghraib 064? 6 8 6 SIGNATURE DATE EXHIBIT
000107
Cra (1.zr d‘i
CID• FORM 94
FOR OFFICIAL USE ONLY-LAW ENFORCEMENT SENSITIVE
EXHIBIT
DOD-052161

FOR OFF1AL USE ONLY-LAW ENFORCEMENT SrliTIVE 0139-04-CID259-80203
ROI NUMBER
AGENT'S INVESTIGWTION REPORT
0211-04-CID789
CID Regulation 195-1
PAGE 2 OF 2 PAGES
DETAILS
BCCF. Therefore he had no interrogation records nor did any interrogator at BCCF obtain the
unidentified statement.

,b -I, hie -I
About 1930, 19 Oct 04, SA reviewed case file 0068-04-CID789 and determined SA -did not obtain a written statement fromeill. Further, the format of the statement is not one used by this office, therefore the unidentified statement was not produced by this office.
66-4 bie-4 About 1000, 26 Oct 04, SAIMIllifnterviewed SGT 391 st Military Police (MP) Battalion (BN), Detainee Aid Station (DAS), BCCF, AGE, who stated she authored the "Prisoner In-Processing Medical Screening", dated 25 May 04. SGT_-recalled the detainee1A-4 -kJ having a bump above his right eye, as indicated by the small mark in the picture. She could not recall anything further about the abuse allegation.
STATUS: This RFA was completed in the attached enclosures. No further investigative activity
was anticipated by this office.
11111111111111111111111111111111111111111111111111111111111111111ILAST ENTRY/////////////////////////////////////////////////////////////////////

026663
TYPE AGEN ' NAME, BER ORGANIZATION PRISONER INTERROGATION TEAM (PIT)(CID)
SA
Baghdad Central Confinement Facility, Abu Ghraib 09342,. SIGNATURE DATE EXHIBIT,
000108
ile44(2 /
CID FORM 94 _
FOR OFFICIAL USE ONLY-LAW ENFORCEMENT SENSITIVE
EXT TIBITa
DOD-052162
Page(

o

Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101
Master Sergeant Pamela Andrews andrewsp@centcom.smil.mil
(813) 827-.5341/2830
0.26664
Page(s
1 0

Referred to:
U.S. ARMY MEDICAL COMMAND FREEDOM OF INFORMATION/
PRIVACY ACT OFFICE ATTENTION: MCFP 2050 WORTH ROAD, SUITE 13 FORT SAM HOUSTON, TEXAS 78234-6013
MR. JOHN PETERSON John.F' etersonl@c en. amedd. army.mil
(210) 221-7826
026665
Page(s)
English Translation: 472A7)--
Withheld due to:
Foreign Language Photos depicting Americans Photos depicting foreign nationals Civilian Agency Records
Audio/Video depicting foreign nationals and Americans 026666
DOD-052165
Fa lcial Use Only / Law EnforcenC—')nly 0139-04-CID259-80203 0211-04-CID789
Bo le-4
Translation of Statement Provided by Detainee:111111111111MarISN ilgariffb‘li76-4111111111011111111030 1)4-4, la1c4
They arrested me in my home late at night on 4-27-2004 by American forces and I was sleeping. I woke up one explosion sound that they put to open my door, and after they entered the house I got out of the bed and I stayed in my room I welcomed them in English they screamed and came toward me they handcuffed me and took me outside the house and throw me on the street on my face and one soldier stepped on my back after that they took me to the prison called the North location and after two days 6-5 group of people entered the cell including the masked linguist. They handcuffed me and blindfolded me with a tape. They took me to a car that look like a Land Cruiser with a group of prisoners and they took me to a different location that belong to the American Intelligence and it's the house of in Tikrit and they put me in a 15C-41L •tc -At small cell about half meter wide and one meter high, and I stayed in the cell handcuffed and blindfolded for three days without water or food including the psychological depression by using loud bad music and banging on the metal cell roof and after that two people took me, one of them is the Kurdish linguist that hit me on my head with his hand. When I got out from the cell he was wearing black mask with two holes for his eyes and a hole for his mouth he was hitting me and pulling me and saying lets go dog they took me to a big room and there was a wooden box in it, the room have a cement floor and I couldn't see the ceiling and the walls because I could see under the tape on my eyes. There were 3 really strong American military men and now there was total 5 people one of then hit me on my forehead, then the Kurdish start tearing my pants with underwear that I was wearing with a sharp blade and he wanted to pull my cloths out but I grabbed it, he hit me on my head and said leave it dog. I was naked and they were laughing and stepping on my body with their boots, and rubbing my skin with their boots. I didn't know what to do like I was a fest and they are the beast all of them start hitting me on my head and one of them stepping on my back and the other hold my feet and my hands and start hitting me with a stick on my feet and one of them drag me on
the cement floor and I was naked and my skin is hurting me by rubbing it on the floor and the mark from the pain still there until now. They put me in the bathroom that the cell in it. My chest was one piece of blood and the cuts on my shoulder and my legs. One of them started a motor that they use to spray the farms and the smell was very strong, they sprayed my body then they washed me with water, they left me for a while and during that time they were torturing another person, the tape on my eyes was bad because of water and my hands were free but I stayed blindfolded. One of them came and screamed at me and told me you son of bitch you want to escape and he didn't let me talk then he handcuffed me with a plastic handcuffs. He took me to another room they hanged me about on meter from the floor but the handcuffs opened and I fall on my head and one of the shock my feet with electricity. They took me to a different room the Kurdish linguist was carrying a pliers and told me to open my mouth dog he put it inside my mouth and try to pulling my teeth and he wanted to pull my teeth but he suddenly stopped I don't know why. They took me back to my cell and I stayed there for 3 days then they interrogated with me. They took me to a different prison in Tikrit called the religious school in the south and I stayed there for 17 days then I got transferred to Abu Chraib.
Q. Describe the second man that you stated that took you to the room with the Kurdish man with the black mask on?
026667
000126
For Official Use Only / Law Enforcement Use Only Exhibit
EXHIBIT
DOD-052166
IF( Ida! Use Only/ Law Enforcers :)nly 0139-04-C1D259-80203 0211-04-CID789
A. He was about 175 cm wearing military pants with brown shirt, dark skin black thick
hair, black eyes and black short moustache and beard •

Q. When they took you to the room you said there were strong men describe them?
A. First person was tall wearing a light gray jumpsuit white skin and his hair is red with blonde hair and wearing 'black glasses Second person was short skinny wearing same jumpsuit white skin long red blonde hair and wearing black glasses. Third person was short muscular body and was wearing same cloths he is white skin and has the same hair as the second person and has a moustache not long and a Goatee.
Q. You said that they hanged you on the ceiling can you describe it?
A. My hands and my legs were tied behind my back together they put a hook on my cuffs It was tied with a rope to the ceiling and there was a machine on the wall they use it to pull me up.
Q. Do you know the man they were torturing?
A. No I don't know him but I heard the he is a Delami because the Kurdish linguist said to him Delami dog.
Q. The house that you said belong to CIA how did you know that?
A. I know because some of the prisoners with us use to work with ICDC.
Q. Did you ever get tortured by the CID?
A. NO
Q. Do you want to add any thing to you statement?
A. NO ///End of Statementffl
TRANSLATED BY:
MrigliMili 1)4-4, b1C-4
Translator, Category II Titan Corporation
Assigned to: Prisoner Interrogation Team (PIT)(CID) 75th Military Police (MP) Det. (CID)(FWD)(-) Baghdad Central Confinement Facility (BCCF) Abu Ghraib, Iraq APO AE 09342
026663 009127
For Official Use Only / Law Enforcement Use Only Exhibit -PYT-4-11=ZTT DOD-052167
,
r" )LAW ENFORCEMENT SENSITIVE
AGENT'S INVESTIGATION REPORTA 0477-04-CID056-CID Regulation 195-1A Page 1 of 2
A01 3,0 4 • C I D 2 5 9 - ts 0 2 0 a;
_ FOR OFFICIAL USE ONLY
BASIS FOR INVESTIGATION: About 0830, 10 Nov 04, this office received a Request for
Assistance(RFA) from the Detainee Abuse Task Force, 22n d Military Police Battalion, 3 Thl Military Police
Group USACIDC, Baghdad, Iraq, pertaining to the possible detainee abuse of Mr. 106-4, hie-4

ISN 111111r land Mr. ..go-4 , 10 le--1-
d Mr. were reportedly abused by US and Coalition Forces after their 106 -W, kr-tc- -4 apprehension on 27 Apr 04. Initial report indicated the men were apprehended by personnel assigned to C Company, 2nd Battalion, 10 th Special Forces Group (SFG), Fort Carson, CO (FCC) 80913. It was
requested this office locate and interview MSG and SFC' ,b6-4f, 4104 1111111111111111111111both of C Company, r ' BN, le SFG, pertaining to their knowledge of the 6 d -Il i LI -/C -q aforementioned apprehension and possible detainee abuse. Additionally, to locate and fully identify other soldiers from unit involved in the apprehension and to locate and identify the interrogator who reportedly conducted the interrogations of the two aforementioned detainees.
.66--1 lolc-(
About 0937, 10 Nov 04, SA 11.111.1.coordinated with MSG ampwho declined to make a 1)4-4, h1c 1.4-statement due to him having legal representation. MSG _was previously interviewed in referenceb6 -4/ 0,...,-it , , to possible detainee abuse under CAT 1 RFA 0238-04-CID056. MSGIIIIMPagreed to provide a list of 64 -`1 19 IC ".1 personnel who were on the apprehension team during the time frame in question. (See non-waiver certificate for details)
.6642_ hie -1 14.-q, b IC 4-About 1006, 10 Nov 04, SA 11.1.111.rinterviewed SFC who provided a sworn statement denyin an knowledge of any abuse. SFC -stated he only remembers the apprehension of Mr. 136°4, LIc--`e
, and that he had no knowledge of Mr. debriefing or interrogation. SFC 66-410 -1c -1i stated their team had only one interrogator, SSG C 136 A hie -4" Company, rd BN, 10th SFG, FCC. (See waiver certificate and sworn statement for details)
1,‘-1 blc-t,bc- 4, 10-ic --q-
About 1116, 10 Nov 04, SA coordinated MSG -who provided a list of personnel assigned to the apprehension team. The list included MSG 'SFC d seven other 156-qi blc, -4 personnel. Included in the list was SSG , who according to MS was deployed to 14-4 ) bIC -4 Iraq. Of the remaining six personnel, two were deployed to Iraq: CPT 136-1-1 tc-ic ;Team Leader and SSAIMMI111111111111111111.both of C Company, 2' BN, 10 h SFG. 4-4 Three personnel were on Temporary Duty to Fort Bragg, NC: SFC 13641 b1C- • 4 SSG , and SFC All three C-14,1o/C --`4" personnel are attending various schools and no return dates have been provided at this time. One soldier,
L-1C -4
SSG was present and his interview is pending. (See team roster for ,b 4-4. t -details
Vie,'. 15k-4, loic-Li-
About 1215, 10 Nov 04, SA coordinated with SFC 111111111.0 Company, 2n d BN, 10th SFG, FCC, who stated SFC had returned from Fort Bragg, NC and was on leave in the local ,bC -14, 19 7C -4-area.
SA 48th MP Det (CID) Fort Carson, CO 80913
4,4_1 j.c.b-2-1-1 026669
Date: Exhibit: 17 Nov 04
000128
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
EXHIBIT Dk,
DOD-052168

FOR OFFICIAL USE ONLY
0,-04 - C D 2 5 9 - 8 0 2 0 3
. 'LAW ENFORCEMENT SENSITIVE
AGENT'S INVESTIGATION REPORT 0477-04-CID056-
CID Regulation 195-1 Page 2 of 2

104-IL blc--t lob-+L bic4
About 0800, 11 Nov 04, SAIIIIIIIradvised SFC MI.of his rights, which he invoked by not
wanting to be questioned or say anything, at which time the interview was terminated. (See non-waiver
certificate for details)
g-4, PC4
Agent's Comment: Prior to the interview of SFC amp he made a spontaneous verbal statement.

4
SFC ! stated that his team has only one interrogator, SSG 111101.111 SFC further b6-4, /0 7 c.
stated he did not want to give a formal statement concerning the incident in question due to the number
of times his team has under gone investigation for the same event.

.6C-1
About 1451, 12 Nov 04, SAM.. advised SSG of his rights, which he invoked by not
wanting to be questioned or say anything, at which time the interview was terminated. (See non-waiver
certificate for details)

Agent's Comment: Prior to the interview of SSG NM he made a spontaneous verbal statement. bt , -41
SSG IIIIIMrstated that his team has only one interrogator, SSG111111, SSG her b g- ibie
stated He did not want to give a formal statement concerning the incident in question due to the number
of times his team has under gone investigation for the same event.

About 1000, 17 Nov 04, coordinated with MSG _who stated his unit does not 136-41 13164 retain medical records for any detainees they apprehend. He further stated any records on the detainees would be retained by confinement facility which took custody of the detainees. MSG Wirstated the b6--4, I -lc- 4 unit who operated the confinement facility for the detainees in question was l st Infantry Division. ///Last Entry///
48th MP Det (CID)
SA
Fort Carson, CO 80913
did A 026670
Si nA Date: Exhibit: 17 Nov 04
000129
orm
FOR OFFICIAL USE ONLY
EXHIBIrric)
LAW ENFORCEMENT SENSITIVE
DOD-052169
rrUK urriumgc.. u ,IIAf — U 4 - issm P
UIL)Ubb
RIGk _ d
For use of this form, see AR 190-30; the proponent agency is ODCSOPS
DATA REQUIRED BY THE PRIVACY ACT

01 3 9 0 4 - C 1 D 2 5.9 --.
AUTHORITY: Title 10, United States Code, Section 3012(g) . . • 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 additional/alternate means of identification to facilitate filing and retrieval. DISCLOSURE: Disclosure of your Social Security Number is voluntary.
6— 7C-4
1. LOCA I 1(4\1 2. DATE
48th Military Polide bet. (CID) Fort Carson, CO 80913 /0/1/01/ 0 erj-7111,
8. ORGANIZATION R ADD
'
ea, 2 "IzI" 1 i27 '.5 PG
, ..
7. GRADE/SI AI Lib
it'2,1gr cfiesoro, c.c., soiI 3 .
C-Lti LIC-4 E-8 114,1,
PART I - RIGHTSWATVERASION-WAIVER CERTIFICATE . SECTION A. Rights • The investigator -whose name appears below told me that he is with the United States Arm initial Invpstigation. COnirnand as an Special Agent and wanted to question me abbut the following offense(s) of which I am suspected) .116 -f1 ble-- if
kt9k,..14 //111, bi -If-i ole--4- •
. .
Before he asked me any questions about the offense(s), however, he made it clear to me that I have the following rights:
1. I do not have to answer any questions or say anything.
.
2.
Anything I say or do can be used as evidence against me in a criminal trial. •

3.
'or personnel subject to the UCMJ) .I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer . present with me during questioning. This lawyet can be a civilian lawyer I arrange for at no expense to the Government or a military lawyer detailed for me at no expense to me or both. • ' • • • .

-or-•
. --
want one, a lawyer will be appointed for nie before:any questioning begins.

4. If I am now willing to discuss the offense(s) under investigation, with or without a lawyer present, I have the right to stop answering questions at any-tifne, or parptivareiy With a laVyer before afLSWering further, eV-en if I sign the waiver belo .. -•
5. COMMENTS (Continue on reverse side)
SECTION B. Waiver I understand' my rights as stated above. I am now willing to discuss the offense(s) under investigatiodand make a statement without talking to a lawyer first and -without haying a lawyer present with me.
5. SIGNATURE OF INTERVIEWEE
WITNESSES (ifdogildble)
la.NAhlE.rlype.orPnnt)
r •
b. ORGANIZATION OR ADDRESS AND PHONE 4. SIGN
• b61°-i IC -I
2a. NAME (Tkii brPrint,1 5. T
SA
b. ORGANIZATION OR ADDRESS AND PHONE 6. ORGANIZATION OF INVESTIGATOR ,
48th Military Police Det. (CID) . • • Fort Carson, CO 80913
SECTION C. Non-waiver •
1.
I do no want to give 143 my right! I want a la er want to be

2.
SIGNATURE OF INTERVIEWEE -04:6671

ATTACH THIS WAIVER CERTIFICATE TO ANY STATEMENT (DA FORM 2 QUEN.TLY EXECUTED BY THE SUSPECT/Ace-USED
FOR OFFICIAL USE' ONLY OU0139 LAW ENFORCEMENT SENSITIVE
EXHIBIT:
EXHIBIT T1
DOD-052170
FOR OFFICIAL USE ONLY
NT SENS1'4 477-04-Cm056
7-k--
RIGI6.6 'WARNING PROCEDURE/WAIVER CER1IFICATE For use of this form, see AR 190-30; the proponent agency is ODCSOPS
DATA REQUIRED, BY THE PRIVACY ACT
-8 0 2
Title 10, United States Code, Section 3012(g) 01 3 9` 0 4 -C I i) 2 5 9
AUTHORITY:A
To provide commanders and law enforcement officials with means by which information may be accurately identified. ROUTINE USES: .AYour Social Security Number is used as an additional/alternate means of identification to facilitate filing and retrieval. DISCLOSURE:ADisclosure of your Social Security Number is voluntary. b4 -11 ,b IC 74-
PRINCIPAL PURPOSE:A
-A
1 liA1.84 3. EMU. um 4. 1-11L13 NUMBER1. LOCATION
10-Nov-01111 0477-04-CID056-48th Military Police Det. (CID) Poll Car$on, CO 80913
/0 : 0
5. Name (Last lin-st Mt) 8. ORCIANILKI ION OHADDHISSS
C Company, 2nd Battalion, 10th Special Force Groap ' -
1. ORADE/S1 Al US
IC -f Fort Carson, CO 80913
E-7/SFC / AD
PART I - RIGHTS WAIVER/NON-WAIVER CERTIFICATE
SECTION A. Rights The investigator whose name appears below told me that he is with the United States Army Criminal Investigation Command as an Special Agent and wanted to question me about the following offense(s) of which I am suspected/ bc A, & le-4-.
.
ASsaUlt, Cruelty and Maltreatment, Conspiracy///111111106-4 Iric-4 •,
Before he asked me any questions about the offense(s), however; he made it clear to me that I have the following rights:
1.
I do not have to answer any questions or say anything. .

2.
Anything I say or do can be used as evidence against me in a criminal trial. -' .

3.
(For personnel subject to the UCZ1/1-1).I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me during questioning. This lawyer can be a civilian lawyer I arrange for at no expense to the Government or a military lawyer detailed for me at no expense to me or both.

-Or-
proocint with mo during questioning. I understand that this lawyor can bo no that I arrango for at my own capons°, or if I cannot afford a lawyer and
4. If I airs now willing to discuss the offense(s) under investigation, with or without a lawyer present, I have the right to stop answering questions at any time, or speak privately with alawyer beforeeffswering further, even if I sign the waiver below. ' ",
5. COMMENTS (Continue on reverse side). •
SECTION B. Waiver I understand my rights as stated above. I am now willing to dig,ss e offense 0 tinder investigation and make a Staten:tent without talking to 0. lawyer first and without having a lawyer present with me. It -lc --f
a SIGN: t I! .- • . k • . 11, b•
WITNESSES-(if available) la. NAM.13 (.4pe or Pnnt) 106 –4, bl – t6.

b. ORGANIZATION OR ADDRESS AND PHONE
2a. NAME (Type or Print) — -
SA
b. ORGAN1ZAHON OR ADDRESS AND PHONE 6. OR •t, k • ION OF INVESTIGATOR "'
48th Military Police Det. (CID)

Fort Carson, CO 80913 .
SECTION C. Non-waiver
1. I do no want to give up my rig_ ht8
-
I want a lawyer I do not want to bd gutstionda or say anything
2. SIGNATURE OF INTERVIEWEE
6.672
ATTACH THIS WAIVER CERTIFICATE TO ANY SWORN STATEMENT (DA FORM 2823) SUBSEQUENTLY EXECUTED BY THE SUSPECT/ACCUSED
-
FOR OFFICIAL USE ONLY 000131
LAW ENFORCEMENT SENSITIVE
EXHIBIT:
EXHIBIrrc t
DOD-052171
FOR OFFICIAL USE ONS ENFORCEMENT SENSb-11-018
A
SWORN STATEMENT 0477-04-CED056-
FILE NUMBER .: 0477-04-CID056-0139 -04 -CID259-862a.,0 LOCATION .: 48th Military Police Det. (CID) DATE.: 10-Nov-04 TIME: .
r bc 4 11"
NAME b4,416-1c4 '
SOCIAL SECURITY : .664 i `7cAGRADE/STATUS: E-7/SFC
O.RG/ADD SS .: C Company, 2nd Battalion, 10th Special Force Group, Fort Carson,

047704CED056
Statement of taken on 10-Nov-04, at Fort Carson, CO 80913.
WANT TO MAKE THE FOLLOWING STATEMENT
)
t UNDER OATH:
During the night of 27 April 04 Our ODA conducted a raid in the village of Al Winat. Our primary target was an insurgent cell leader named Illiresponsible for several IED attacks in the Tikrit AO. There b6-4, were five or six cell members in his cell who were also targeted but I do not remember their names. I did not witness any interrogations take place that night and there were no ICRC on target or in any phase of the operation. The Detainee named mowlooks familiar but I do not remember who he was or in which 106 t;_'! C
`4 ,
-one namedaIIIIININrdoes not look familiar to me at all. After the raid b.v,/ house he was captured. The took place I believe we took all the detainees to the FOB to screen them. After the screening and .b 6Aplc "r several others were taken to our compound for interrogation. I did not interrogate any detainees or witness any abuses and I do not believe any abuses took place. ,
Q: Did you SFC1111.11,ype the above statement?b6-'f 1
A: Yes.
Q: What manner and method was used to apprehend these detainees?
A: Break down the door with breaching tools, cleared the structure, and we detain all male personnel on
target. During this process we don't know who is who, so we grab all males on target and then later
determine who is the target.

Q: When apprehending a Iraqi male what methods are used?
A: We clear the room, and we direct them to put their hands on their head and direct them to their knees
using hand and arm signals. Then we systematically flex-cuff them. We usually put a blind fold on their
eyes, sometimes duct tape if no blacken goggles are available.

Q: At any point tape their mouths?
A: No.
Q: At any point did you see a member of your team step on any of the detainees?
A: No.
Q: Have you ever witnessed any detainees abused?
A: No.
Q: What occurs when a detainee is non-compliant?
A: We may have put in their back in order to flex-cuff them, but onl when they are non-compliant.
Q: Do you know who on your team is identified as IA -14 1.q'
A: No.

Q: Did your team have an interro ator?
A: Yes, SSG 66-q, b1c
Q: Do you have anything else you wish to add to this statement?
A: NO///END OF STATEMENT///
A673
INITIALS OF PERSON MAKING STATEMENT: b 6 -4,14re-4-Page 1 of 2 FOR OFFICIAL USE ONLY
000132
LAW ENFORCEMENT SENSITIVE
EXHIBIT
DOD-052172

FOR OFFICIAL USE ONLY -) b-tc-4 W ENFORCEMENT SENSITtv`t
Statement of taken on 10-Nov-04, at Fort Carson, CO 80913.0477,04-C1D056-
11111111p4--tt, 10-tc -
/t/o (J5e.' 013 9 -04-0tD2 59-8 02 03
AFFIDAVIT
b6-4, hie-4
HAVE OR HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE 2. I FULLY UNDERSTOOD 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, WITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT.
1pg --41) b
WITNESSES:
ubscribed and sworn to before me, a person authorized by law to adminster oaths, 10-Nov-04 , at Fort Carson, CO 80913
ORGANIZATION AND ADDRESS (Signature o
SA
(Typed Name of 'Person Administering Oath)
Article 136, UCMJ
(Authority to _At:minister Oath)
44, 1Ltc -4
INITIALS OF PERSON MAKING STATEMENT:11W
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
026674

Page 2 of 2
000/33
EXHIBIT4,8'
DOD-052173
Page(s)

/ 3
Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101
Master Sergeant Pamela Andrews andrewsp@centcom.smil.mil
(813) 827-5341/2830
026675
DOD-052174
FOR OFFICIAL Ubt, WILT
\VII ENPORCEMENT SENs / 477-04-CID056 -
-r,
4
... ., ,. .. ..,......_..
.,RIGHTS WARNING PROCEDURE/WAIVER CERTiSICATE For use of this form, see AR 190-30; the proponent agency is ODCSOPS. . DATA REQUIRED BY THE PRIVACY ACT
0139A04AC I I) 2 5 9 - 8
AUTHORITY: Title 10, United States Code, Section 3012(g)
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
DISCLOSURE: Disclosure of your Social Security Number is voluntary. b4 -4 . i IC -

• AIA• • D .1 ; •m; ,A" IM: ¦ II •I: VI.
11-N • ,-• , 0477-04-CID056-
48th Military Police Det. (CID) Fort Carson, CO 80913
-9C"._)0
5. Name (Last Hirst MI) 8. OROANILATION OR ADD -SS
1111111.1111 b - q19 lc 4 -C Company, 2nd Battalion, 10th Special Force qtellip •
7. CiRADE/STATU8 ' Fort Carson, 00 80913bt,-4- toe-it E-7/SFC / AD -
PART I -RIGHTS WAIVER/NON-WAIVER CERTIFICATE
SECTION A. Rights
The investigator whose name appears below told Ire that he is with the United States Ann Criminal Inveptigation Command as an Special Agent .
and wanted to question me about the following offense(s) of which I am suspected/ -L-it , #1-#14--- ii-• . .• . . .
Assault, Cruelty and Maltreatment, Conspiracy/i 13.-"4i irtC -q.
.

,
• ,
Before he asked me any questions about the offense(s), however, he Made it clear to me that I have the following rights:
1.
I do not have to answer any questions or say anything..

2.
Anything I say or do can be used as evidence against me in a criminal trial. • . • . . . . .. . • , ... . .. ,

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

(For civilians not subject.to the UCMO I have the right to talk privately to a lawyer boforo, during, and after questioning. and to ho a lawyer
4. If I am now willing to discuss the offense(s) under investigation,. with or without a lawyer present, I have the right to stop answering questions at
any titile;'or speak privately with a lawyer before arisWering farth&, even if I sign the Waiver below:
_ . ..

.....
5,, COMMENTS (Continue on reverse side). ,. -
..-

SECTION B. Waiver .
F Understand my rights as stated above. I ain:noWiwilling to di scuss the offense(sY under investigation and rtiale a statement without talking to a
lawyer first and without having a lawyer present, with me..

3. SIGNATURT, OF INTERVIEWEE
-
WITNESSES (2ratat1412/e).
la. NAME (:6rpe or .ennt)
b. ORGANIZATION OR ADDRESS AND PHONE 4. SIGNAIURE OP INVESTIGAI OR
-
b6 "../.. i) .1C-1 12-211
2a. NAME (T)pe or print) : , •:,r • •.s

____JAIIIIII.
,....:.
SA
b. ORGANIZATION-OR ADDRESS A:N13TIE101t3 . 6.s ••¦ v• foil. Ily: • ••
48th Military Police Det. (CID)

...
Fort Carson, CO 80913
SECTION C. Non-waiver
1.
I do no want to give up my rights 14-4, b-16-V
I want a lawyer allot want to be questioned or say anything ,,

2.
SIGNATURE 0 1,4,4 kyc_Li. • ... .. • .. . 0 9 6676.

ATTACH THIS W ORM 2823) SUBSEQUENTLY EXECUTED BY THE SUSPECT/ACCUSED c_
FOR OFFICIAL USE ONLY 000135 LAW ENFOReEMENT SENSITIVE
EXHIBIT,:
EXHIBIT 31)
DOD-052175
FOR OFFICIAL USE ONLY NA)477-04-CIE056 -
• RIGHTS !WARNING PROCEDURE/WAIVER CERTIVICATE For use of this form, see AR 190-30; the proponent agency is ODCSOPS .
DATA REQUIRED BY 1111., PRIVACY ACT
0139-04ACID259- 80 Oa
AUTHORITY:ATitle 10, United States Code, Section 3012(g)
PRINCIPAL PURPOSE:ATo provide commanders and law enfOrcement officials with means by which information may be accurately identified.
ROUTINE USES:AYour Social Security Number is used as an additional/alternate means

ans of identification to facilitate filing and retrieval. DISCLOSURE:ADisclosure of your Social Security Number is voluntary. 6- q , Vic-I"
• • • , D •11 : 11,1 • 'II: 1 V TIS N.
II • (45 (.4(R5 0477-04-C1D056-
48th Military Police Det. (CID) Fort Carson, CO 80913 12-N• 5.Nam (Last 1, Irst MO S. ORUANIZATION Olt AUL/IC-1Sb
C Company, 2nd Battalion, 10th Special Force Orotip
bb.-g1 101c-4
,
6.SSN 7. ORADE/STAT US
Fort Carson, CO 80913E-6/SSG / AD
1111.11111i) C-410 le-f
PART I - RIGHTS WAIVER/NON-WAIVER CERTIFICATE. SECTION A. Rights The investigator whose name appears below told me that he is with the United States • al Investigation Command as an Special Agent and wanted to question me about the following offense(s) of which I am suspected/ b - it j ic --ti
i
Assault, Cruelty and Maltreatment, Conspiracy bi-Lt I 19'1c.-

Before he asked me any questions about the offense(s), hovIeVer, he made it clear to me that I have the following rights:
1.
I do not have to answer any questions or say anything:

2.
Anything I say or do can be used as evidence against me in a criminal trial. .

3.
(For personnel subject to the UCII;LI) I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me during questioning. This lawyer can be a civilian lawyer I arrange for at no expense to the Government or a military lawyer detailed for me at no expense to me or both. -

-or-
.. : -: .. .. : - -: -- . —.A : . : .: : - :...: : .... : -•-: : : . . -: :: : -: ..-.: :. : :.:: ::..:_..:: t :.-: --

4.
If I am now willing to discuss the offense(s) under investigation, with or without a. lawyer present, I have the right to stop answering questions at

....
any time, or speak privately with a laWyer before answering firrihef, even if I sign the waiver below..
5. COMMENTS (Continue on reverse side)

SECTION B. Waiver I understand my rights as stated above. I am now Willing to discuss the offense(s) under investigation and make a statement without fallcing to a lawyer first and without having a lawyer present with me. . „.
3. SIGNATURE OP INTERVIEWEE
WITNESSES (if available)la_ NAME (type or Print)

b. ORGANIZAllON OR ADDRESS AND PHONE bt--1J b-ie_-1j. b-z-}
. . . . .

22. NAME (Type or Print) . SA
b. ORGANIZATION OR ADDRESS AND RHONE 670R 48th Military Police Det. (CID)
. . Fort Carson, CO 80913
SECTION C. Non-waiVer
1. I do no want to give up my rights 16 -(1-, bic-4
. I want a lawyer C4 I do not want to be questioned or say anything.
i
2' -02667;
AT STATEMENTSTATEMENT (DA FORM 2823) SUBSEQUENTLY EXECUTED BY THE SUSPECT/ACCUSED
FOR OFFICIAL USE ONLY 000136 LAW ENFORCEMENT SENSITIVE
EXHIBIT:
EXHIBIT -'=5
DOD-052176
• 01 {9 04 - CID 2 5 9 - 8 0 2 0

AGENT'S INVESTIGATION REPORT 0915-04-CID023-OD Regulation 195-1 Page 1 of 1
BASIS FOR LNVESTIGATION: About 1130, 12 Nov 04, this office received a Request for Assistance (RFA) from the 48th Military Police Detachment (CID), Fort Carson, CO, 80913-4203, pertaining to SFC Tdnd SSG SMir b6-4)
both of C Company, 2nd Battalion, 10th Special Forces bg-lf, (SF) Group (GRP), Fort Carson, CO, 80913. The RFA requested this office conduct suspect interviews of SFC and SSG11.111111111,ertaining to possible lot-Lf, hic-tt detainee abuse.
At 1750, 17 Nov 04, SA advised SSG of his legal rights , which he invoked and requested legal counsel.. (see non-waiver certificate for details)
b/C
Agent's Comment: SSG is scheduled to graduate on 19 Nov 04 and then head back to Fort Carson until Dec 04 when he will deploy to Iraq. •
At 1800, 17 Nov 04, SA briefed Instructor, D Company, 2nd BN, 1st Special Warfare Training Group, Fort Bragg, NC 28310 (FBNC) on the aspects of this investigation so that he could inform the chain of
command.
111C-1 At 0935, 29 Nov 04, SA111111.111Padvised SFC um.of his legal rights which he invoked and requested legal counsel. (see non-waiver certificate for details) //////////////////////////LAST ENTRY/////////////////////////////////////////////////
SA • 87' MP DSE (CU)) (DSE) 3d MP Group, Fort Bragg, NC 28310
S Date: Exhibit: 29 Nov 04 02667
000137
FOR OFFICIAL USE ONLY
FOR OFFICIAL USE ONLY EXHIBIT
Law Enforcement Sensitive
DOD-052177

01 3 ,0 4 - C I D 2 5 9 -8 0 2 0 3
Th
RIGHT'S WARNING PROCEDURE/WAIVER CERTIFICATE A .
.,-A
For use of this form, see AR 190-30; the proponent agency is ODCSOPS
• ..A..
. a,,,•,. • , —,DATA REQUIRED BY THE PRIVACY ACT A•A-A
.A .
AUTHORITY:A

Title 10, United States Code, Section 3012(g)
To provide commanders and law enforcement officials with means by which information may be accurately identified.

PRINCIPAL PURPOSE:
ROUTINE USES:AYour Social Security Number is used as an additional/alternate mean of identification to facilitate filing and retrieval.
DISCLOSURE:ADisclosure of your Social Security Number is voluntary. 1=4; 'I-b7c-1-.Lk_ if, kic-c4

1. LOCATION 2. DATE 3. TIME 4. FlacN11/113.ER.
0/ 39 ''Otfre7/92 r7".

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PART I - RIGHTS WAIVER/NON-WAIVER CER'11111CATE SECTION A. Rights
The investigator whose name appears below told me that he/she is with the United States Army Criminal Investigation Command and wanted to question me about the following offense(s) of which I am suspected/aecuseek-r rt/e. 7t.e..0ipei-/9 s'54 ?,. - /74--// r.Iffili kA.-it hic
, --f
Before he/she asked me any questions about the offense(s), however, he/she made it clear to me that I have the following rights:
1. I do not have to answer any questions or say anything
; .
2.
Anything I say or do can be used as evidence against me in a criminal trial. .

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

.. -or-
.. ,(For civilians not subject to the UCMJ) I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me during questioning. I understand that this lawyer can be one that Iarrange for at my own expense; or if I cannot afford a lawyer and want one, a lawyer will be appointed for me before any questioning begins.
-. 4., If I am now willing to discuss the offense(s) under investigation, with orwithout a lawyer present; I have the right to stop answering questions at any time, or speak privately with a lawyer before answering further, even if I sign the waiver below.
.A.,
5. COMMENTS (Continue on reverse side)
SECTION B. Waiver I understand my fights as stated above. I am now willing to discuss the offense(s) under investigation and make a statement without talking to a lawyer first and without having a lawyer present with me.
3. SIGNAL LIRE 01' INTERVIEWEE
WITNESSES (i f dvailable) la. NAIVIE (l)pe or Print)
.1) 6-1 ,
hiC -I b, ORGANizA:ripN. OR ADDILaS AND PEON -.. .
R -,, :
a. ' 'r ype or • nt gmrarsarirjrsigormifaf
b. ORGANIZA I ION OR ADDR.ESS AND PHONE 6. ORGANIZA HON OF INVEST ATO . I., : ,
106 -1A`IC---I
0,2WA,
'CY-22,-957,-C 7-1 3 I Q
1
SECTION C. Non-waiver-
1.
I do naNvant to give up my rights A '
I want a lawyer 'A I do not Want to be queStioned or say anything

2.
SIG

be-4, bic-f
ATTACH THIS WAIVER CEkTlFhm 10 ANY SWORN STATEMENT (DA FORM 2823) SUBSEQUENTLY EXECUTED BY THE SUS / C gE
DA FORM 3881, NOV 89 (AUTOMATED)AEDITION OF NOV 84 IS OBSOLETE
FOR OFFICIAL USE ONLY

Law Enforcement Sensitive EXHIBIT fg ° 13
DOD-052178
013 04 CID259 -8 02031

/
RIGHT;.,4ARNING PROCEDURE/WAIVER CERTIFIk.,ATE
For use of this form, see AR 190-30; the proponent agency is ODCSOPS
. DATA REQUIRED BY THE PRIVACY ACTA '

AUTHORITY:ATitle 10, United States Code, Section 3012(g)
To provide commanders and law enforcement officials with means by which information may be accurately identified.

PRINCIPAL•PURPOSE•A
Your Social Security Number is used as an additional/alternate means of identification to facilitate filing and retrieval.
ROUTINE USES:A
Disclosure of your Social Security Number is voluntary.
DISCLOSURE:A
,b6-4, (rIc -4 Io-4', Vic-4-
1
,, LOCATION .,DATE 3,,TIME,VP 4.,FILE NO
2.A9 -Goo-C-- ol19-0 4/-et 025Y -
-
Fort Bragg, NC 28310
0q35 Ta 7 & 3
5.,NAME,Last, First, Ml) 8. ORGANIZATION OR ADDRESS
-,..,4 ,-,
C CC _ ,¦,7777 _ .1.-7/ -z "7 °Id/Z.--/ / G 0. --...„
6. SSN bf) -4 , ble--4 • 7. GRADE/STATUS
E-7 . F- 4-C-4. -s 4i 6 o , /3 C =,
• PART I -RIGHTS WAIVER/NON-WAIVER CERTIFICATE
Section A. RightsA. •
Criminal Investigation Command
The investigator whose name appears below told me that he/she is with the United States Army and wanted to question me about the following offense(s) of which I am suspected/ace-Assault, Cruelty and Maltreatment//
wave
Before he/she asked me any questions about the offense(s), however, he/she made it clear to me that I have the following rights: , .

1.,I do not have to answer any question or say anything,
2.,Anything I say or do can be used as evidence against me in a criminal trial. , .
3. (For peisonnel subject othe UCMJ I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with me during questioning. This lawyercan be a civilian lawyer I arrange for at no expense to the Government or a military lawyer detailed for me at no expense to me,
or both., .
- or -
(For civilians not subject to the UCMJ) I have the right to talk privately to a lawyer before, during, and after questioning and to have a lawyer present with
me during questioning. I understand that this lawyer can be one that I arrange for at my own expense, or if I cannot afford a lawyer and want one, a lawyer
will be appointed for me before any questioning begins.

4.,If I am now willing to discuss the offense(s) under investigation, with or without a lawyer present, I have a right to stop answering questions at any time, or speak privately with a lawyer before answering further, even if I sign the waiver below.
5.,COMMENTS (Continue on reverse side)
Section B. Waiver
I understand my rights as stated above. I am now willing to discuss the offense(s) under investigation and make a statement without talking to a lawyer first and without having a lawyer present with me.
WITNESSES (If available) 3. SIGNATURE OF INTERVIEWEE
la.,NAME (Type or Print)
b.,ORGANIZATION OR ADDRESS AND PHONE 4. SIGN
2a.,
NAME (Type or Print)
SA
b.,ORGANIZATION OR ADDRESS AND PHONE 6.,ORGANIZATION OF INVESTIGATOR
87th MP Det CID, Fort Bragg, NC 28310
Section C. Non-waiver
1. I do not want to give up my rights , • I want a lawyer, . I do not want to be questioned or say anything
In,t
046B
2. SIGNATURE OF INTERVIEWEE
c/64i Lic-1-, _
0 13 0 3`3
ATTACH THIS WAIVER CERTIFI,Y S,ATEMENT (DA FORM 2823) SUBSEQUENTLY EXECUTED BY THE SUSPECT/ACCUSED
EDITION OF NOV 84 IS OBSOLETE USAPA 9V2.010
DA FORM 3881, NOV 8
FOR OFFICIAL USE ONLY EXHIBIT
Law Enforc.pmg, nt
DOD-052179

For Official Use Only
Law Enforcement Sensitive
AGENT'S INVESTIGATION REPORT . 0139-04-CID259-80203

CID Regulation 195-1 Page 1 of 3 Pages

1.06-1 1C--I About 0915, 16 Sep 04, SAM/coordinated with LTC ,b6A, Chief of Administrative Law, SJA, MNF-1, Camp Victory, Iraq, who related BG Richard FORMICA, MNC-I, III Corps, Camp Victory, IZ., was conducting 15-6 Investigation in to the allegations of abuse concerning Mr LTC stated the 15-6 ,b6-11 41c-,f Investigation was not completed, and he would not discuss any of the particulars concerning the investigation, as it was not completed.
AGENT'S COMMENT: LTC --could not provide an estimated time of completion b6-4, le--4 for the 15-6 Investigation. He related this office could coordinate with him ever few weeks to check on the status of the 15-6.
About 0945, 1 Oct 04, sAmillbriefed CPT Chief of Criminal Law, SJA, MNC-I, Camp Victory, Iraq, on all aspects of this investigation. CPT opined there was b‘-'1, (01 C -"f insufficient evidence to prove or disprove the allegations of Aggravated Assault, Cruelty and Maltreatment; and Conspiracy occurred as originally reported by MrallNMIIIIr
About 1515, 6 Oct 04, SAINIIIVonducting an adthinistrative review of this case file and it was noted that Mr ISN: and Mr ISN:h-1, both reported they were abused by a Kurdish translator while they b‘ were detained at a detention facility in Tikrit, which was annotated in the AIR of SA11111. b(. -I,.c-I
BCCF, dated 25 Jun 04, in reference to a Request for Assistance (RFA) he completed for this office. Also found, but not documented in any AIR or AAS entries were what appeared to be a typed statement with the riamell111111.111111ron it, which details Mr1111111.i6-16,61c-
alleges he was detained on 27 Apr 04, by Special Forces, and was taken by the CIA to the which he stated belonged to the CIA. MAIIIIIK6-4, 06-4 related a Kurdish translator and five or six Americans hit him, and the Kurdish b6 -4, L1C-"( translator hit him in the head with a pistol. (See Statement for details)
AGENT'S COMMENT: These documents were received by SA b6-1,
78th MP DET (C11)), Baghdad Iraq, prior to the Detainee Abuse Task Force (CID), Bahgdad,
Iraq, receiving the case file. After reviewing the AAS entry made by SAINIMINIM. on 10.66-4,
Jul 04, at 1300, which stated he received the Final Info Report from BCCF, there was no mention
of the allegations Mr111111111111/or Mr made. Only that four detainees 1(.-4,
who were detained in Tikrit at the same time as M were canvass interviewed b6-1. h't c-
and two stated they did not witness any abuse while detained in Tikrit, Iraq, and two that stated
they were informed by that he was assaulted by being pistol-whipped. 106-4, b tic

About 1545, 6 Oct 04, SA Aconducted a query of files maintained on the Biometrics
I I
Automated Toolset (BATS) system obtained to biographical information and capture information f
SA 1 1 7c-r, b-2 78 MP DET ForWard (CID)
026681'
Special Agen Baghdad, Iraq APO AE 09342 Signat Date: Exhibit:3 PDR, .2?) CID Fo FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
00014
DOD-052180
For Official Use Only
Law Enforcement Sensitive

AGENT'S INVESTIGATION REPORT 0139-04-C1D259-80203

CID Regulation 195-1 Page. 2 of 3 Pages

on Mr and Mr The review of files maintained on BATS in.16-4, ble:-:-AT reference to Mr ternment Serial Number (ISN): 196,44-1 ble-7114 revealed there was no capture information (date of capture, or capturing unit) pertaining to C -7--(.1.A.1C----1
-his capture, only that he was captured for attacks on coalition forces. The review of files maintained on BATS in reference to Mr_revealed his actual name was-_b6 4,. bic--4-ISN: and he was captured by ODA 065, in Al Wanit, IA -4,-:fric ---q
r, Tikrit, on 27 Apr 04, for Assaults and Attacks on Coalition Forces.
12.1111/1c4

About 0930,14 Oct 04, SAM. coordinated with SSG I6-' , tL -4 NCOIC, Detention Operations, Camp Victory, Iraq, who provided copies of Mr.11111MR-4 h./ , l'-'`f
a.
and Mr detainee files. Mr is currently reported to be detained at BCCF, IA -it, 01 -qand Mr s currently reported to be detained at Camp Bucca. (See Detainee Files for 196 -( -F, hic- 4 details (Contains Documents classified as Secret)).
b64 197e-i
About 0955, 14 Oct 04, SA onducted a review of Mr detainee file. The bk Abie-- V

review revealed Mr as captured on 27 Apr 04, by TF ODA 065 (NF1), and the I6 --4,6'14-. I -
.
soldiers that captured him were doCurnented as MSG C Co, h6 -if biC 4 2/10 SFG, Tikrit, Iraq, and SFC C Co, 2/10 SFG, Tikrit, Iraq. 14-4, 616-P The documented reason for Mr capture was that he was an active member %6-`ti 1*-1 Fedayeen/Anti-Coalition Cell operating out of the village of Al Winat, near Tikrit, Iraq. Also it was documented was Mr ampwas captured with numerous pictures of Saddam Hussein, I, 6 --ifikc---`4
-LED components, TNT, detonator cord, blasting caps, fifteen AK-47's, Ba'ath Party documents, and approximately 4000 rounds of ammunition. Additionally noted was Mr -was b674ibic-*: -interrogated on 29 Apr 04, at 1800, by an interrogator only identified as 1.1111.111. b6-4 ble--4
)
,b6-t lytc -4..........-Lii.156-4 tolc

About 1040, 14 Oct 04, SA conducted a review of Mr .detainee file. The
review revealed Mr as captured on 27 Apr 04, by TF ODA 065 (NFl), and the Jits --4) Vic-+
soldiers that captured him were documented as MSG C CO314-41 101"
2/10 SFG, Tikrit, Iraq, and SFC C Co, 2110 SFG, Tikrit, Iraq. W,.-tti itlic' 11
The interpreter listed on the Coalition Provisional Authority Forces A rehension form was a
11111111111. waspreviously identified by CID to be Mr A7q, .6 ..

74L1'
who is a Kurdish, and worked as a translator for 10 th SF Grp, in Tikrit, Iraq. The documented reason for Mr IIIIIIIIIIIIP capture was that he was an active member Fedayeen/Anti- g-1, dri--(( • Coalition Cell operating out of the village of Al Winat, near Tikrit, Iraq. Also it was documented that MR took part in several attacks on Coalition Forces near the village of Al b6 --'1: 1 b./ 4-Winat, and was captured with numerous pictures of Saddam Hussein, IED components, TNT, detonator cord, blasting caps, fifteen AK-47's, Ba'ath Party documents, and approximately 4000 rounds of ammunition. Additionally noted was Mr was interrogated on 30 Apr 04, 106-q-i t7c 4 at 1800, by an interrogator only identified as ,b6---if, icic-4
c-
78' .682
DET Forward (CID)
Baghdad, Itact APO AE 09342
Signat b6-a, Date:

.Exhibit: 35
fcC.

3 b-QC OLk

CID Fo. FOR OFFICIAL USE ONLY

LAW ENFORCEMENT SENSITIVE

0
DOD-052181

For Official Use Only
Law Enforcement Sensitive
AGENT'S INVESTIGATION REPORT 0139-04-CID259-80203

CID Regulation 195-1 Page 3 of 3 Pages

: AGENT'S COMMENT: Mr alimp and Mr were both captured at the same b6-11-, !.6 -1-`r
• location and date at Mr by the same soldiers MSGland SFC MIT b6-'E 1,1.0 both formall of C Co, 2/10 SFG, Tikrit, Iraq. MSGIIIIIP, SFC , and Mr l1 6-4, IC.L.
(the Kurdish Translator for 10 th SF Grp), were all already interviewed in reference b‘
to Mr."... and all denied every abusing any detainees. 1 6 -hi

About 1300 19 Dec 04,•SA illil)1c-lcciordinated with CW5
ia---IT-1
11/
Camp Victory, IZ, who provided a copy of the c4 on b4-4-
compact disc, in reference to the same allegations this Office was investigating under this Report
of Investigation. The 15-6 Investigation was conducted by BG Richard FORMICA, MNC-I, III
Carps, Camp Victory, IZ, in reference to multiple allegations of abuse made by several detainees
who were apprehended and initially detained by Specail Forces Units conducting operations in
Iraq; on eof which was Mr Reportedly no criminality was found during the b4 11, b 1c`-'

-
conduct of the 15-6. Compact Disc containing the 15-6 InVestigation is classified SECRET.
(See Compact Disc for details)

Vre-i About 1600, 23 Dec 04, SA conducted a review section three of BG FORMICA's 15-6 Investigation (Classified as SECRET), which pertained to Mr and his allegations/9441' 7c4 of abuse. The review revealed BG FORMICA found Mr allegations of abuse b&-q; , ic -41
. and maltreatment to be incredible and were unsubstantiated. (See Section Three of BG FORMICA's 15-6 Investigation for details)//LAST ENTRY///
SA 78 th MP DET Forward (CID) Special Agent Baghdad, Iraq APO AE 09342 026683 Signa Date: Exhibit: . .073 bIRS__.,C)(-4
CID F FOR OFFICIAL USE ONLY

LAW ENFORCEMENT SENSITIVE . 0130142 DOD-052182
0139-04-0D259-80203
hc-- if, tile. 4
bg4, loc. #k

•My name is.Went they went to arrest me they asked
me about somebody and during of my torturing they accused me of
doing operations a ainst the Coalition forces. They asked me if
I knew.I was detained on the 27th of April, at/304616-'1

my house in Ewinat. It's 35 kilometers south of Tikrit. I was
detained by Special Forces; I knew this. because of the writing
in Tikrit. I made a friendship with a sergeant and 20 days
later I found out they were Special FOrces. The sergeant's name
was... He was military police. This man was at the second b6-01e-4f
place. The second place was in Tikrit. When they captured me
they took me somewhere up North, in a big hall. 31 people were

• apprehended the same day. I was at the big hall for two days
and then some people took us. The ICDC told me that the CIA
picked ma up after two days. Then they took me to the Karela
Tahlfer house. Where I stayed was one meter long, one meter
high. Three days no food no drink, very loud music, they were
hitting the ceiling so we won't sleep. I said what do you want
from me, I'll tell you anything. As soon as I got out they hit
me on my eyes and head. .A Kurd hit me and some Americans.
There were five or six. I was hit with a pistol on my head; I
can't tell who was hitting me because I was blindfolded. They
were all beating me. They shred my clothes so I was naked. I
was naked for two days. After five days of this I was
interrogated. A guy with a beardand glasses interrogated me,
he was a good man. I was tortured the first days but when the
interrogations started they treated me humanely. I was beaten
at the Karela house. I was beaten with the pistol at the Karela
houSe. I was handcuffed and put'on the ground and they kept on
beating me: I was naked all this time. The first three days I
was not beaten. It was the last two days I was beaten. I ate
cake and water. They gave me that on the first three days, no
food when they were beating me up, and they gave me cake and
water on the day they interrogating me. I was able to see
people that were more tortured than me. The Kurd was wearing a
ski mask and the Americans were not. One was tall, had a t-
shirt and pants, bald, sunglasses. The other one was a strong
man. Two of them had mustaches. I know mill= his brother be-q,bie"i

1111111,
, and his cousin..06-Y", kle-,--/

-, and another guy named 1

Ll_aII ble-41

There was another guy who might be dead by now from all P''
the torture, he refused to tell me his name. At the Karela
house I was kept on the first floor, there was a shower head. and

_toilets. ' I didn't hear any names. The ICDC guys knew that this
center belonged to the CIA.

026684
000143
For Official Use Only Law Enforcement Sensitive
EXI-ENV _ DOD-052183
Page(s)

Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN : CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101
Master Sergeant Pamela Andrews andrewsp@centcom.smil.mil
(813) 827-5341/2830
026685
DOD-052184
FOR OFFP:!AL USE ONLY-LAW ENFORCEMENT S-PkSITIVE (
ROI NUMBEF1
AGENT'S INVESTIGATIVE REPORT 0139-04-C10259-80203
CID Regulation 195-1
PAGE 1 OF 1 PAGE
DETAILS
About 0848, 15 Jun 05, during a review of this case file, it was discovered several documents had been obtained throughout the investigation, but had not been previously documented. Included as exhibits are a b ./ 4 Detainee Dossier, Detainee File, and photograph, all pertaining to d Personal Data Reports (PDRs); pertaining to Mr aidA See. Detainee Dossier, Detainee File, Photograph, and PDRs
for details)./MAST ITEM/// 6 "A7 e -44
026686
,NUMBER ORGANIZATION 11th MP BN (CID)(FWD), 48 th MP Det (CID)(FWD), Detainee TYPE AGENT'S NAME AND SE
SA
Abuse Task Force, Camp Victory, Iraq, APO AE 09342 DATE EXHIBIT
SIGNATURE 15 Jun 05
SLA
CID FORM 94 R OFFICIAL USE ONLY-LAW ENFORCEMENT SENSITIVE
000327
DOD-052185
Page(

Referred to:
U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101
Master Sergeant Pamela Andrews andrewsp@centcom.smil.mil
(813) 827-.5341/2830
Of.6687
Case Number: 0139-04-CID259-80203 PHOTOGRAIE'HIC PACKET (A)
NumberADescription of Photograph 1ADigital photograph depicting MrA face. bC4, 6--tc4
2ADigital photograph depicting a scar/injury on MrA left arm.Ahie-4
Digital photograph depicting 'a scar/injury on Mr (with seale). left arm 14-4, h"tc--(f
4^ADigital photographdepicting scar/injury onA b74
Digital photograph , depicting scar/injury on MrA , scale): • wrists withLL -4, 191c-

026688.
FOR OFFICIAL USE ONLY

000390
LAW ENFORCEMENT SENSITIVE

EXHIBIT!
DOD-052187
Page(s)

35"
English Translation:
Withheld due to:
Foreign Language Photos depicting Americans Photos depicting foreign nationals Civilian Agency Records
Audio/Video depicting foreign nationals and Americans 026639
DOD-052188
Case Number: 0139-U4-CILLY-zsuhui
PHOTOGRAPHIC PACKET (B)

NumberADescription of Photograph
1 Digital photograph depicting Mr
2 Digital photograph depicting what appears to be a bruise on Mr.
ight upper arm. 64-46 61e--4

3Digital photograph depicting what appears to be a bruise on Mill right limier arm with scale). ht. , bic
Digital photograph depicting what appears to be a bruise on MIN eft Upper arm. 64-"t , ei-ec-cr
hotograph depicting what appears to be a bruise on Mi left upper arm (with scale). b4,--1, b7 e-(1 •
6ADi ital hoto raph depicting what appears to be a bruise on Mr1111 left hip. 66 -f, A /c-4
7ADigital photograph depicting what appears to be a bruise on Mr!" left hip (with scale). 66-4,
• FOR OFFICIAL USE ONLY
calctto
LAO ENFORCEMENT SENSITIVE

EXHIBIT (3

Page(s)
;•7
English Translation:
Withheld due to:
Foreign Language Photos depicting Americans Photos depicting foreign nationals Civilian Agency Records
Audio/Video depicting foreign nationals and Americans 026691
DOD-052190
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
DATE: 26 MAR 2005
FROM: SAC, 48TH MILITARY POLICE DETACHMENT (CID) (FWD)
TO: DIRECTOR, USACRC, USACIDC, FORT BELVOIR, VA CDR, HQ, USACIDC ATTN: CIOP-ZA, FORT BELVOIR, VA CDR, 3D MILITARY POLICE GROUP (CID) CDR, 11 TH MILITARY POLICE BATTALION (CID) (FWD) CDR, 48Th MILITARY POLICE DETACHMENT (CID) (FWD) DET SGT, 48TH MILITARY POLICE DETACHMENT (CID) (FWD) MNF-I, CHIEF OF STAFF, DETAINEE OPS PMO, MNC-I SJA, MNC-I
SUBJECT: CID REPORT OF INVESTIGATION-4 TH STATUS/REFERRED/SSI -0139-04-CID259-80203 — 5C1C/5Y2E/6X1
DRAFTER: 1111111111V -RELEASER: ha-t ) 16-(c I
-
1. DATES/TIMES/LOCATIONS OF OCCURRENCES:
1.
27 APR 2004, 0130 — 25 MAY 2004, 0001; KHERIOLLA TOLFA HOUSE, TIKRIT, IRAQ (IZ)

2.
27 APR 2004, 0001— 4 JUN 2004, 2400; KHERIOLLA TOLFAH HOUSE, TIKRIT, IZ

2. DATE/TIME REPORTED: 1 JUN 2004, 1445
h)4-I /01e-( f19 -2--1
104-1 1 bic-t , --2---
Jt-I, hie- ) 12- 1-1 b-tc-1, P-2-1
SA
bc,-( blc
SA
,hi--t, 2-1
SA
SA b4-I, h-2-r-'

10- z -1
SA
4. SUBJECT:
1.UNKNOWN, ; AGGRAVATED ASSAULT, CRUELTY AND MALTREATMENT, CONSPIRACY (NF1)
2. UNKNOWN, ; AGGRAVATED ASSAULT, CRUELTY AND MALTREATMENT, CONSPIRACY (NF1)
026692
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE 0 0 0 4 0 4
DOD-052191
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
3.
UNKNOWN, ; AGGRAVATED ASSAULT, CRUELTY AND
MALTREATMENT, CONSPIRACY (NFI)

4.
UNKNOWN, ; AGGRAVATED ASSAULT, CRUELTY AND
MALTREATMENT, CONSPIRACY (NFI)

5.
UNKNOWN, ; AGGRAVATED ASSAULT, CRUELTY AND
MALTREATMENT, CONSPIRACY (NH)

6.
UNKNOWN, ; AGGRAVATED ASSAULT, CRUELTY AND
MALTREATMENT, CONSPIRACY (NFI)

5. VICTIM:
1 TRIBAL NAME. k4-21; 0164

CIV. IRA • I; INTERNMENT SERIAL NUMBER (ISN): bic -4
MALE. WHITE . XZ; DATE OF CAPTURE: 27 APR 2004• AKA: b6-11, 6-`F
10 4 -Y, 11-tc
b6-Lt,h 7c-ye

bg -Lk b lc- tr 6"tc-4-
AGGRAVATED ASSAULT, CRUELTY AND b‘ ---MALTREATMENT, CONSPIRACY (NFI)
2. (TRIBAL NAME: 66--E6 6 'ec-ti CIV; IRAQI; ISN: MALE; WHITE; XZ; DATE OF b‘ -q, 6 1c-4 CAPTURE: 27 APR 2004; AKA 106-4, 121eLf
-
, 61c-4 664! letc-(f bt AGGRAVATED ASSAULT, 66-4, blc-'f CRUELTY AND MALTREATMENT (NFI)
3. TRIBAL NAME: h4,-4, 61e -4 CIV; IRAQI; ISN: TIKRIT, IZ; MALE; WHITE; be -4, b c 4
-
DATE OF CAPTURE: 27 APR 2004• XZ. AKA b6-11, b1c ­
104. -4,.-1)6-4 blc-TRIB NAME: 664-, 67c-4
GGRAVATED ASSAULT, CRUELTY 10C-1-, 10 7c-AND MALTREATMENT (NFI)
6. INVESTIGATIVE SUMMARY: THE INFORMATION IN THIS REPORT IS BASED UPON AN ALLEGATION OR PRELIMINARY INVESTIGATION AND MAY CHANGE PRIOR TO THE COMPLETION OF THE INVESTIGATION.
THIS IS AN "OPERATION IRAQI FREEDOM" INVESTIGATION.
FOR OFFICIAL'USE ONLY LAW ENFORCEMENT SENSITIVE 0004:05
DOD-052192

FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
4TH STATUS:
THIS STATUS REPORT WAS GENERATED TO REFER THIS INVESTIGATION
TO HEADQUARTERS, USACIDC FOR REVIEW AND FURTHER REFERRAL AS
DEEMED APPROPRIATE.

THIS INVESTIGATION IS BEING FORWARDED TO HEADQUARTERS, USACIDC
FOR REVIEW AND FURTHER DISSEMINATION AS DEEMED APPROPRIATE.
THE INVESTIGATION TO DATE HAS DETERMINED THE ALLEGATION OF
ABUSE DID NOT OCCUR WHILE THE DETAINEE WAS IN THE CUSTODY OF
THE CONVENTIONAL COALITION FORCES AND THEREFORE, ANY
REMAINING LEADS OR INVESTIGATIVE ACTIVITY REQUIRED APPEAR TO
FALL WITHIN THE INVESTIGATIVE JURISDICTION OF THE U.S. ARMY

DUE TO OPERATIONAL b(4., PC-6
AND NATIONAL SECURITY INTERESTS, THE DETAINEE ABUSE TASK FORCE
IS UNABLE TO OBTAIN ACCESS TO THE INFORMATION AND PERSONNEL
NECESSARY TO COMPLETE THIS INVESTIGATION.

ON 27 APR 04, AND 1.1111. WERE ALL 66-4, c-4
APPREHENDED IN TEKRIT, IZ, AND ALL TAKEN TO A HOUSE BELIEVED TO
BE THE KARELA TAHLFER HOUSE, LOCATED IN TIKRIT, IZ, AND
INTERROAGATED. ALL THREE VICTIMS CLAIMED THEY WERE ABUSED
WHILE AT THE HOUSE IN TIKRIT.

ALLEGED HE WAS INTERROGATED BY A MALE IN AN 104-4, ble-4
AMERICAN UNIFORM AND A KURDISH INTERPRETER. b6-f, 151c-4

ALLEGED DURING THE INTERROGATIONS HE WAS SLAPPED, KICKED IN THE RIBS, FACE AND HEAD, SUFFOCATED TO THE POINT OF UNCONSCIOUSNESS, SHOCKED WITH A TASER, AND CUT ON HIS ARM WITH A KNIFE.
IINIMALLEGED HE WAS ABUSED WHILE DETAINED AT THE KARELA io C. -4, 19/c--+ TAHLFER HOUSE, TIKRIT, IZ, WHICH HE RELATED, BELONGED TO THE CENTRAL INTELLIGENCE AGENCY (CIA). HE STATED HE WAS HIT IN THE HEAD WITH A PISTOL, AND WAS HIT BY A KURDISH TRANSLATOR AND FIVE OR SIX AMERICANS.
1111.111WALLEGED HE WAS VERBALLY HUMILIATED AND PISTOL-W-4 WHIPPED BY A KURDISH TRANSLATOR WHILE DETAINED AT THE DETENTION FACILITY IN TIKRIT, IZ. DURING AN INTERVIEW OF 67c-4 ON 19 OCT 04, HE RELATED HE WAS NOT ABUSED BY AMERICANS; . HOWEVER, HE WAS ABUSED BY TWO INDIVIDUALS WHO WERE FROM THE IRAQI CIVIL DEFENSE CORPS, ONE OF WHICH WAS ARABIC AND THE
-f
OTHER, HE RELATED, SPOKE KURDISH.11111111111FURTHER STATED HE bC--^Ze
DID NOT SUSTAIN ANY INJURIES FROM THE ABUSE.

FOR OFFICIAL USE ONLY 026694 LAW ENFORCEMENT SENSITIVE .
000406
DOD-052193
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
FURTHER INVESTIGATION REVEALED 1111111111.111111111111,ND fir it-4, 61c-4
11.11. WERE CAPTURED DURING A MULTIPLE UNIT RAID CONSISTING OF R.4, 004 OPERATIONAL DETACHMENT ALPHA (ODA) 065, bic-6 1/181HINFANTRI(NFI), 1/77TH ARMOR (NFI), AOB 060 (NFI), AND C COMPANY, 2/10 ni SPECIAL FORCES GROUP (SFG) (NFI). A REVIEW OF THE DETAINEE FILES PERTAINING TOIMIIIIIIIIIINIMIFANDMINIMIU-ft, krti-# REVEALED INTERROGATION SUMMARIES WITH LISTED PARTICIPANTS BEING MEM AT THE TIKRIT DETENTION FACILITY, TIKRIT, IZ, b6-f, 101 C­WHICH WAS UNDER THE OPERATIONAL CONTROL OF THE SPECIAL FORCES.
INVESTIGATION CONTINUES BY USACIDC.
3RD STATUS:
THIS STATUS REPORT IS BEING GENERATED TO UPDATE THE NAME OF VICTIM NUMBER TWO FROM 11.11111111111111.T001111.1.1111, sb ibie vow DURING A REVIEW OF DOCUMENTATION OBTAINED DURING THE 194'C b7 c CONDUCT OF THIS INVESTIGATION IT WAS FOUND HIS LAST NAME WAS 11.1111/AND NOT b 6 bl e -4
2ND STATUS:
THIS STATUS REPORT IS BEING GENERATED TO CORRECT THE REPORTING FORMAT OF BIOGRAPHICAL INFORMATION AS IT WAS S4-4, 1)14--4 INCORRECTLY REPORTED INITIALLY, AND TO ADD MR AND MR bk. --(f, 10 c-4 _AS VICTIMS OF AGGRAVATED ASSAULT AND CRUELTY AND 1,6_4, b lc MALTREATMENT.
DURING AN ADMINISTRATIVE REVIEW OF THIS CASE FILE IT WAS NOTED THAT WHEN MR1111.111.AND MR MEN WERE CANVASS t 6-4, 0 6-4 INTERVIEWED BY CID AGENTS AT THE BAGHDAD CENTRAL CONFINEMENT FACILITY, ABU GHRAIB, IRAQ, IN REFERENCE TO THEIR KNOWLEDGE OF MR INJURIES, BOTH REPORTED THEY WERE ABUSED WHILE b6-4, bit-4 DETAINED AT A DETENTION FACILITY IN TIKRIT, IRAQ. THESE ALLEGATIONS WERE INADVERTENTLY MISSED AND LEFT UNDOCUMENTED UNTIL THIS TIME.
MR1111111.11 REPORTED HE WAS ABUSED WHILE HE WAS DETAINED AT b64, Vic ­THE KARELA TAHLFER HOUSE, TIKRIT, IRAQ, WHICH HE RELATED, BELONGED TO THE CIA. HE STATED HE WAS HIT IN THE HEAD WITH A PISTOL, AND HAD BEEN HIT BY A KURDISH TRANSLATOR AND FIVE OR SIX AMERICANS.
026695
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
0004 7
DOD-052194
) FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
16-4, b1c-4
MR. REPORTED HE WAS VERBALLY HUMILIATED AND PISTOL-
WHIPPED BY A KURDISH TRANSLATOR, WHEN HE WAS DETAINED AT A
DETENTION FACILITY IN TIKRIT, IRAQ.

INITIAL:
THIS INVESTIGATION WAS INITIATED UPON RECEIPT OF MEMORANDUM
OF TRANSMITTAL FROM THE 75 TH MILITARY POLICE DETACHMENT,
BAGHDAD CENT RRECTIONAL FACILITY (BCCF), ABU GHRAIB, IZ,
THAT MR. PORTED HE WAS ABUSED WHILE DETAINED AT 1,44 ,:67&
ICHERIOLL LFAH HOUSE, TIKRIT, IZ.

PRELIMINARY INVESTIGATION REVEALED FIVE UNIDENTIFIED AMERICANS AND ONE KURDISH TRANSLATOR ABUSED MR. 1:0, BY KICKING HIM IN THE ABDOMEN, RIBS AND HEAD, WHILE HE WAS BLIND FOLDED AND HANDS TIED BEHIND HIS BACK. ALSO, AN UNIDENTIFIED PERSON USED AN UNKNOWN OBJECT TO SUFFOCATE MR.
1.1111.1. LEAVING HIM UNCONSCIOUS. MR. 1.11.1111., REGAINED Wo c CONSCIOUSNESS AFTER MOUTH-TO-MOUTH RESUSCITATION WAS PERFORMED ON HIM.
-
FURTHER INVESTIGATION REVEALED MR. 111111E11111111VAS CUT ON HIS J3 6-4, tc 4 LEFT ARM WITH A KNIFE AND SHOCKED WITH A TAZOR TYPE DEVICE.
ON 30 MAY 04, DR CPT, 202ND MILITARY INTELLIGENCE (MI) BATTALION (BN), BCCF, ABU GHRAIB, IZ WAS INTERVIEWED AND PROVIDED A SWORN STATEMENT WHEREIN HE STATED THE EXAMINATION OF MR. 1111111111111REVEALED A LINEAR SCAR ON HIS 104-q, lerte-4 LEFT ARM WAS CONSISTENT WITH AN INJURY CAUSED BY A KNIFE AND MULTIPLE CIRCULAR SCARS ON HIS EXTREMITIES, WHICH WAS CONSISTENT WITH ELECTRICAL BURNS.
EFFORTS ARE ON GOING TO LOCATE, FULLY IDENTIFY, AND INTERVIEW THE UNKNOWN INDIVIDUALS RESPONSIBLE FOR MR. /D C CAPTURE, DETENTION, AND INTERROGATION.
7.
COMMANDERS ARE REMINDED OF THE PROVISIONS OF AR 600-8-2 PERTAINING TO SUSPENSION OF FAVORABLE PERSONNEL ACTIONS AND AR 380-67 FOR THE SUSPENSION OF SECURITY CLEARANCES OF PERSONS UNDER INVESTIGATION.

8.
OD REPORTS ARE EXEMPT FROM AUTOMATIC TERMINATION OF PROTECTIVE MARKINGS IN ACCORDANCE WITH CHAPTER 3, AR 25-55.

026696
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
000040 8
DOD-052195
FOR OFFICIAL USE ;SLY
-
.

DATE: 8 NOV 2004 0139 -04-C1D259- 80203
FROM: SAC, 78TH MILITARY POLICE DET (CID). (FWD)

TO: DIRECTOR, USACRC, USACIDC, FORT BELVOIR, VA CDR, HQUSACIDC ATTN: CIDP-ZA, FORT BELVOIR, VA CDR, 22" MILITARY POLICE BATTALION. (CID) (FWD) CDR, 3D MILITARY. POLICE GROUP (CID) CDR, 78TH MILITARY POLICE DET (CID) (FWD) MNF-1, CHIEF OF STAFF, DETAINEE OPS Ft0VOST MARSHAL, MN F-1 LO CID, MNF-1 (FOR FURTHER DISTRIBUTION)
SUBJECT: CID REPORT - 3RD STATUS/SSI - 0139-04-CID259-80203-
/5C1C/5Y2E/6X1

DRAFTER : SA.b4-I ble-1 RELEASER: SA.106A, b /c -I
1. DATES/TIMES/LOCATIONS OF OCCURRENCES:

1. 27 APR 2004/ 0130 HRS - 25 MAY 2004/0001 HRS; KHERIOLLA TOLFAH HOUSE, TIKRIT, IZ
• 2. 27 APR-2004/ 0001 HRS - 4 JUN 04/ 2400 HRS; KHERIOLLA TOLFAH HOUSE, TIKRIT, IZ
2.
DATE/TIME REPORTED: 1 JUN. 2004, 1445 HRS

3.
INVESTIGATED BY: SA Lt;-641C-1,.-1

-

SA SA -/) ic-(, 62-
SA IC-Ir hic-I)11-2
b.4.koc-f,
4. SUBJECT: I. (UNKNOWN); M; WHITE; (NFI) [AGGRAVATED
ASSAULT] [CRUELTY AND MALTREATMENT] [CONSPIRACY].

2.
(UNKNOWN); (NFI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

3.
(UNKNOWN); (NEI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

4.
(UNKNOWN); {NEI) .[AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

5.
• (UNKNOWN); (NFI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY].

026697
UNCLASSIFIED - FOR OFFICIAL USE ONLY 000409
FOR OFFICIAL USE ONLY
Law Enforcement Sensitive
DOD-052196

,i1•LASSIFIED - FOR OFFICIAL USE .
• 0 319 A04 -CID259-80203 '

6. (UNKNOWN); M; IZ; (NFI) [AGGRAVATED

.

ASSAULT] . [CRUELTY ANDMALTREATMENT] [CONSPIRACY]

5. VICTIM: 1..
blc-c'

CIV;.IRAQI; INTERNMET SERIAL NUMBER (ISN).bC4,197c4
111111 AL WINAT VILLAGE, TIKRIT, IRAQ; M; WHITE; DATE OF 19L-ct i ktc-cf CAPTURE 27 APR 04; AKA: IMIN XZ; (NFI) [AGGRAVATEDb646/c-If ASSAULT] [CRUELTY AND MALTREATMENT] [CONSPIRACY]
(CORRECTED) 2..CIV; IRAQI; ISN: 1961,67e-4 M; WHITE; DATE OF CAPTURE: 27 APR 2004;b6-01c-4 XZ; (NFI) [AGGRAVATED ASSAULT] [CRUELTY AND MALTREATMENT]
CIV; IRAQI; ISN: 64."4 1 10/C-4
136-41 61c-4TIKRIT, IRAQ; M; WHITE; DATE OF CAPTURE: 27 APR 2004; XZ; (NFI) [AGGRAVATEDb6-4, 101c-4 ASSAULT] [CRUELTY AND MALTREATMENT]
6. INVESTIGATIVE SUMMARY: THE INFORMATION IN THIS REPORT
IS BASED UPON AN ALLEGATION OR PRELIMINARY INVESTIGATION
AND MAY CHANGE PRIOR TO THE COMPLETION OF THE

.

INVESTIGATION.

THIS IS AN "OPERATION IRAQI FREEDOM" INVESTIGATION.

3RD STATUS:

THIS STATUS REPORT WAS FORWARDED TO REFLECT THE CORRECT
NAME OF VICTIM NUMBER 2.

2ND STATUS:

THIS STATUS REPORT IS BEING GENERATED TO CORRECT THE
REPORTING FORMAT OF MR IIIIIIIIIIIIWBIOGRAPHICAL INFORMATION 1,44001e-4
AS IT WAS INCORRECTLY REPORTED INITIALLY, AND TO ADD MR

IIIIIII,AND MR 11111111AS VICTIMS OF AGGRAVATED ASSAULT AND bC -4, 10 /6--4 CRUELTY AND MALTREATMENT.
DURING AN ADMINISTRATIVE REVIEW OF THIS CASE FILE IT WAS NOTED THAT WHEN MR IIIIIIIIAND MR111111111WERE CANVASS JAA INTERVIEWED BY CID AGENTS AT THE BAGHDAD. CENTRAL CONFINEMENTFACILITY, ABU GHRAIB, IRAQ, IN REFERENCE TO
.

THEIR KNOWLEDGE OF MR UMWINJURIES, BOTH REPORTED b6-4,
THEY WERE ABUSED WHILE DETAINED AT A DETENTION FACILITY IN
TIKRIT, IRAQ. THESE ALLEGATIONS WERE INADVERTENTLY MISSED
AND LEFT UNDOCUMENTED UNTIL THIS TIME.

026696 .
UNCLASSIFIED - FOR OFFICIAL USE ONLY 0004i n
FOR OFFICIAL USE ONLY Law Enforcement Sensitive

DOD-052197

,CLASSIFIED - FOR OFFICIAL USE kiLY
0139 04 -C10259 - 80203
.
MR 111111111.REPORTED HE WAS ABUSED WHILE HE WAS DETAINED AT
THE KARELA TAHLFER HOUSE, TIKRIT, IRAQ, WHICH HE RELATED
BELONGED TO THE CIA. HE STATED HE WAS HIT IN THE HEAD WITH
A PISTOL, AND HAD BEEN HIT BY A KURDISH TRANSLATOR AND FIVE
OR SIX AMERICANS.

Ya4, 1011A

MR MrREPORTED HE WAS VERBALLY HUMILIATED AND PISTOL­WHIPPED BY A KURDISH TRANSLATOR, WHEN HE WAS DETAINED AT A
DETENTION FACILITY IN TIKRIT, IRAQ.

INITIAL:

THIS INVESTIGATION WAS INITIATED UPON RECEIPT OF MEMORANDUM
OF TRANSMITTAL FROM THE 75TH MILITARY POLICE DETACHMENT,
BAGHDAD CENTRAL CORRECTIONAL FACILITY (BCCF), ABU GHRAIB,
IZ, THAT MR..REPORTED HE WAS ABUSED WHILE DETAINED 1c441, 64c-4
AT KHERIOLLA TOLFAH HOUSE, TIKRIT, IZ.

PRELIMINARY INVESTIGATION REVEALED FIVE UNIDENTIFIED
AMERICANS AND ONE KURDISH TRANSLATOR ABUSED MR. MIRBY 14"016t
KICKING HIM IN THE ABDOMEN, RIBS AND HEAD, WHILE HE WAS
BLIND FOLDED AND HANDS. TIED BEHIND HIS BACK. .ALSO; AN
UNDENTIFIED PERSON USED AN UNKNOWN OBJECT TO SUFFOCATE MR. L a

. 111111111LEAVING HIM UNCONCIOUS. MR ..REGAINED14-41 14c-CONCIOUSNESS AFTER MOUTH-TO-MOUTH RESUSCITATION WAS PERFORMED ON HIM.
FURTHER INVESTIGATION REVEALED MR.IIIIIIII/ WAS CUT ON HIS bC-Ifiktc-4
LEFT ARM WITH A KNIFE AND. SHOCKED WITH A TAZOR TYPE DEVICE.

ON 30 MAY 04, DR.CPT, 202ND MILITARY 1961,1014-11
INTELLIGENCE (MI) BATTALION (BN), BCCF, ABU GHRAIB, IZ WAS
INTERVIEWED AND PROVIDED .A SWORN STATEMENT WHEREIN HE
STATED THE EXAMINATION OF MR..REVEALED A LINEAR bC-4)
SCAR ON HIS LEFT ARM WAS CONSISTENT WITH AN INJURY CAUSED
BY A KNIFE AND MULTIPLE CIRCULAR SCARS ON HIS EXTREMITIES,
WHICH WAS CONSISTENT WITH ELECTRICAL BURNS.

EFFORTS ARE ON GOING TO LOCATE, FULLY IDENTIFY, AND
INTERVIEW THE UNKNOWN INDIVIDUALS RESPONSIBLE FOR MR.
CAPTURE, DETENTION; AND .INTERROGATION. (0G -1, 614-(f

INVESTIGATION CONTINUES BY USACIDC.

7. COMMANDERS ARE REMINDED OF THE PROVISIONS OF AR 600-8-2
PERTAINING TO SUSPENSION OF FAVORABLE PERSONNEL ACTIONS AND .

0 :26699
UNCLASSIFIED - FOR OFFICIAL USE ONLY
000411
FOR OFFICIAL USE ONLY
Law Enforcement Sensitive
DOD-052198

.aASSIFIED -FOR OFFICIAL USE
0139 w04 -C10259 - 80203
•.

AR 380-67 FOR THE SUSPENSION OF SECURITY CLEARANCES OF
PERSONS:UNDER INVESTIGATION.

8. CID REPORTS ARE EXEMPT FROM AUTOMATIC TERMINATION OF
PROTECTIVE MARKING IN ACCORDANCE WITH CHAPTER 3, AR 25-55.

026700 000412
uNcLivariE8 VA WEI* uos4iTLY
Law Enforcement Sensitive
DOD-052199

UNCLASSIFIED FOR OFFICIAL USE ONLY
-
DATE: 7 OCT 2004

FROM: SAC, 78TH MILITARY POLICE DET (CID) (FWD)

TO:.

DIRECTOR, USACRC, USACIDC, FORT BELVOIR, VA

CDR, HQUSACIDC ATTN: CIOP-ZA, FORT BELVOIR, VA

CDR, 2214D MILITARY POLICE BATTALION (CID) (FWD)

CDR, 3D MILITARY POLICE GROUP (CID)

CDR, 78TET MILITARY POLICE DET (CID) (FWD)

MNF-1, CHIEF OF STAFF, DETAINEE OPS

PROVOST MARSHAL, MNF-1

LNO CID, MNF-1 (FOR FURTHER DISTRIBUTION)

SUBJECT: CID REPORT- 2°1 STATUS/SSI - 0139-04-CID259-80203-
/5C1C/5Y2E/6X1

DRAFTER : SA.44,47C-i
RELEASER: SA.

k6-6 b7C4

1. DATES/TIMES/LOCATIONS OF OCCURRENCES:

1.
27 APR 2004/ 0130 HRS - 25 MAY 2004/0001 HRS;
KHERIOLLA TOLFAH HOUSE, TIKRIT, IZ

2.
27 APR 2004/ 0001 HRS - 4 JUN 04/ 2400 HRS;
KHERIOLLA TOLFAH HOUSE, TIKRIT, IZ

2. DATE/TIME REPORTED: 1 JUN 2004, 1445 HRS

. INVESTIGATED BY: SA eG-ij ktC4, b-t
SA 106-1,.

&-2 SA j:h -I, tr-t,e'-i, b-z
b4-0.1c-t i b-L
4. SUBJECT: 1. (UNKNOWN); M; WHITE; (NFI) [AGGRAVATED
ASSAULT] [CRUELTY AND MALTREATMENT] [CONSPIRACY]

.2. (UNKNOWN); (NFI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

3.
(UNKNOWN); (NFI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

4.
(UNKNOWN); (NFI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

5.
(UNKNOWN); (NFI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

026701
000413
UNCLASSIFIED FOR OFFICIAL USE ONLY
-
DOD-052200
UNCLASSIFIED - FOR OFFICIAL USE ONLY
6. (UNKNOWN); M; IZ; (NFI) [AGGRAVATED
ASSAULT] [CRUELTY AND MALTREATMENT] [CONSPIRACY]

5. VICTIM: (CORRECTED) 1. 164, bic-,f
CIV- INTERNMET SERIAL NUMBER (ISN) ic-4
AL WINAT VILLAGE, TIKRIT, IRAQ; M; WHITE; b6-4t101C-41

XZ; DATE OF CAPTURE 27 APR 04; AKA: $36 -q-, b -tc-q [AGGRAVATED ASSAULT] [CRUELTY AND MALTREATMENT] [CONSPIRACY]
(ADDED) 2..CIV; ISN: 13(.4, Vic-4-M; WHITE; XZ; DATE. OF CAPTURE: NFI; NFI) [AGGRAVATED ASSAULT] [CRUELTY AND MALTREATMENT]
(ADDED) 3. CIV; ISN: 11111111pc-q,
TIKRIT, IRAQ; M; XZ; WHITE; DATE OF bb-`e b 7 c -cf CAPTURE: 27 APR 2004; [AGGRAVATED bC. -4, Y C-4 ASSAULT] [CRUELTY AND MALTREATMENT]
6. INVESTIGATIVE SUMMARY: THE INFORMATION IN THIS REPORT
IS BASED UPON AN ALLEGATION OR PRELIMINARY INVESTIGATION
AND MAY CHANGE PRIOR TO THE COMPLETION OF THE
INVESTIGATION.

THIS IS AN "OPERATION IRAQI FREEDOM" INVESTIGATION.

2ND STATUS :

THIS STATUS REPORT WAS FORWARDED TO CORRECT THE REPORTING FORMAT OF MR.BIOGRAPHICAL INFORMATION, AND TO 16-4, 61C-4 ADD MR.AND MRIMINIAS VICTIMS. 13(.-Lfible -g4
ON 6 OCT 04, DURING AN ADMINISTRATIVE REVIEW IT WAS
-iii°1c.-4

DETERMINED THAT WHEN MR NIMAND MR - WERE CANVASS 196

INTERVIEWED BY CID ON 25 JUN 04, THEY BOTH REPORTED THEY
WERE ABUSED WHILE DETAINED AT A DETENTION FACILITY IN
TIKRIT, IRAQ.

4, 101c -4
MRUMNINFREPORTED HE WAS ABUSED BY BEING HIT IN THE HEAD 106.­WITH A PISTOL, AND HIT BY A KURDISH TRANSLATOR AND ABOUT FIVE AMERICANS. HE DID NOT DESTINGUISH IF THE AMERICAN WERE SOLDIERS OR NOT.
MR um REPORTED HE WAS VERBALLY HUMILIATED AND PISTOL-43 6-'6 bic -4 WHIPPED. HE RELATED HIS ABUSE WAS AT THE HANDS OF A KURDISH TRANSLATOR.
026702
000414
UNCLASSIFIED - FOR OFFICIAL USE ONLY
DOD-052201
-
UNCLASSIFIED FOR OFFICIAL USE ONLY
' INITIAL:

THIS INVESTIGATION WAS INITIATED UPON RECEIPT OF MEMORANDUM
OF TRANSMITTAL FROM THE 75TH MILITARY POLICE DETACHMENT,
BAGHDAD CENTRAL CORRECTIONAL FACILITY (BCCF), ABU GHRAIB,
IZ, THAT MR..REPORTED HE WAS ABUSED WHILE DETAINED ,bC-14,b1c-4

AT KHERIOLLA TOLFAH HOUSE, TIKRIT, IZ.

PRELIMINARY INVESTIGATION REVEALED FIVE UNIDENTIFIED
AMERICANS AND ONE KURDISH TRANSLATOR ABUSED MR..BY b6.4,
KICKING HIM IN THE ABDOMEN, RIBS AND HEAD, WHILE HE WAS
BLIND FOLDED AND HANDS TIED BEHIND HIS BACK. ALSO, AN
UNDENTIFIED PERSON USED AN UNKNOWN OBJECT TO SUFFOCATE MR.

LEAVING HIM UNCONCIOUS. MR..REGAINED 156-qt 10/c -4'
CONCIOUSNESS AFTER MOUTH-TO-MOUTH RESUSCITATION WAS
PERFORMED ON HIM.

FURTHER INVESTIGATION REVEALED MR..WAS CUT ON HIS 66-qt (9Z4-4
LEFT ARM WITH A KNIFE AND SHOCKED WITH A TAZOR TYPE DEVICE.

ON 30 MAY 04, DR.CPT, 202N0 MILITARY bg"ti b-tc-4
INTELLIGENCE (MI) BATTALION (BN), BCCF, ABU GHRAIB, IZ WAS
INTERVIEWED AND PROVIDED A SWORN STATEMENT WHEREIN HE
STATED THE EXAMINATION OF MR..REVEALED A LINEAR 176-4)kte -cf
SCAR ON HIS LEFT ARM WAS CONSISTENT WITH AN INJURY. CAUSED
BY A. KNIFE AND MULTIPLE CIRCULAR SCARS ON HIS EXTREMITIES,
WHICH WAS CONSISTENT WITH ELECTRICAL BURNS.

EFFORTS ARE ON GOING TO LOCATE, FULLY IDENTIFY, AND
INTERVIEW THE UNKNOWN INDIVIDUALS RESPONSIBLE FOR MR.
CAPTURE, DETENTION, AND INTERROGATION-b64,101C-4

INVESTIGATION CONTINUES BY USACIDC.

7, COMMANDERS ARE REMINDED OF THE PROVISIONS OF AR 600-8-2
PERTAINING TO SUSPENSION OF FAVORABLE PERSONNEL ACTIONS AND
AR 380-67 FOR THE SUSPENSION OF SECURITY CLEARANCES OF
PERSONS UNDER INVESTIGATION.

8. CID REPORTS ARE EXEMPT FROM AUTOMATIC TERMINATION OF
PROTECTIVE. MARKING IN ACCORDANCE WITH CHAPTER 3, AR 25-55.

026703
UNCLASSIFIED - FOR OFFICIAL USE ONLY
0004 5 DOD-052202
INCLASSIFIED - FOR OFFICIAL Li ONLY
DATE: 1 JUN 2004

FROM: SAC, 78TH MILITARY POLICE DET (CID) (FWD)
TO:.

DIRECTOR, USACRC, USACIDC, FORT BELVOIR, VA
CDR, HQUSACIDC ATTN: CIOP-ZA, FORT BELVOIR, VA
CDR, 22ND MILITARY POLICE BATTALION (CID)(FWD)
CDR, 3D MILITARY POLICE GROUP (CID)
CDR, 78TH MILITARY POLICE DET (CID) (FWD)
MNF-1, CHIEF OF STAFF, DETAINEE OPS
PROVOST MARSHAL, MNF-1
LNO CID, MNF-1 (FOR FURTHER DISTRIBUTION)

SUBJECT: CID REPORT -INITIAL/SSI - 0139-04-CID259-80203-
/5C1C/5C1J/5Y2E/6X1

DRAFTER : SA.b06,-“/C4 RELEASER: SA.JoCA, 1C4
1. DATES/TIMES/LOCATIONS OF OCCURRENCES:

1.
27 APR 2004/ 0130 HRS -25 MAY 2004/0001 HRS;
KHERIOLLA TOLFAH HOUSE, TIKRIT, IZ

2.
DATE/TIME REPORTED: 1 JUN 2004, 1445 HRS

. INVESTIGATED BY: SA 14-1, b/6-1, b6-1, blc-i ) 10-2
64-1 ) bie-

4. SUBJECT: 1. (UNKNOWN); M; WHITE; (NFI) [AGGRAVATED
ASSAULT] [CRUELTY AND MALTREATMENT] [CONSPIRACY]

2.
-(UNKNOWN); M; IZ;(NFI) [AGGRAVATED
ASSAULT] [CRUELTY AND MALTREATMENT] [CONSPIRACY]

3.
(UNKNOWN); (NFI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

4.
(UNKNOWN); (NFI) [AGGRAVATED ASSAULT}
[CRUELTY AND MALTREATMENT] [CONSPIRACY}

5.
(UNKNOWN); (NFI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

6.
(UNKNOWN); (NFI) [AGGRAVATED ASSAULT]
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

026704
UNCLASSIFIED - FOR OFFICIAL USE ONLY
000416
DOD-052203
.)UNCLASSIFIED - FOR OFFICIAL ONLY

5. VICTIM: 1. CIV;hC -q, CART.-4e kec -cf
NDRS11.11 ISN.DATE OF 7 APR 10G

b 6-q, Itc-4
04; M; AL W NAT VILLAGE, TIKRIT, IZ; AKA: (NFI)
[AGGRAVATED ASSAULT] [CRUELTY AND. MALTREATM NE TJ
[CONSPIRACY]

G. INVESTIGATIVE SUMMARY: THE INFORMATION IN THIS REPORT
IS BASED UPON AN ALLEGATION OR PRELIMINARY INVESTIGATION
AND MAY CHANGE PRIOR TO THE COMPLETION OF THE
INVESTIGATION.

THIS. IS AN "OPERATION IRAQI FREEDOM" INVESTIGATION.

THIS INVESTIGATION WAS INITIATED UPON RECEIPT OF MEMORANDUM
OF TRANSMITTAL FROM THE 75711 MILITARY POLICE DETACHMENT,
BAGHDAD CENTRAL CORRECTIONAL FACILITY (BCCF), ABU GHRAIB,
IZ, THAT MR. IMMINIIIPREPORTED HE WAS ABUSED WHILE DETAINED 124,-4i
AT KHERIOLLA TOLFAH HOUSE, TIKRIT, IZ •

PRELIMINARY INVESTIGATION REVEALED FIVE UNIDENTIFIED
AMERICANS AND ONE KURDISH TRANSLATOR ABUSED MR..BY b64
KICKING HIM IN THE ABDOMEN, RIBS AND HEAD, WHILE HE WAS
BLIND FOLDED AND HANDS TIED BEHIND HIS BACK. ALSO, AN
UNDENTIFIED PERSON USED AN UNKNOWN OBJECT TO SUFFOCATE MR.

IIIIIIII,LEAVING HIM UNCONCTOUS. MR.IIIIIIIIIPREGATNED 156-4, 6/C-c[ CONCIOUSNESS AFTER MOUTH-TO-MOUTH RESUSCITATION WAS PERFORMED ON HIM.
FURTHER. INVESTIGATION REVEALED MR. IIIIIIIIWAS CUT ON HIS IAA,
LEFT ARM WITH A KNIFE AND SHOCKED WITH A TAZOR TYPE DEVICE.

CPT, 202ND MILITARY 106-4, b/G-4

ON 30 MAY 04, DR 11110111111 .
INTELLIGENCE (MI) BATTALION (BN), BCCF, ABU GHRAIB, IZ WAS
INTERVIEWED AND PROVIDED A SWORN STATEMENT WHEREIN HE
STATED THE EXAMINATION OF MR. 1111111111.REVEALED A LINEAR 66-41 10/C"f
SCAR ON HIS LEFT ARM WAS CONSISTENT WITH AN INJURY CAUSED
BY A KNIFE AND MULTIPLE CIRCULAR SCARS ON HIS EXTREMITIES,
WHICH WAS CONSISTENT WITH ELECTRICAL BURNS.

EFFORTS ARE ON GOING TO LOCATE, FULLY IDENTIFY, AND
INTERVIEW. THE UNKNOWN INDIVIDUALS RESPONSIBLE FOR MR.
CAPTURE, DETENTION, AND INTERROGATION. 106-4( 101C-4

INVESTIGATION CONTINUES BY USACIDC.

7.. COMMANDERS ARE REMINDED OF THE PROVISIONS OF AR G00-8-2
PERTAINING TO SUSPENSION OF FAVORABLE PERSONNEL ACTIONS AND

026705
UNCLASSIFIED - FOR OFFICIAL USE ONLY
000417
DOD-052204

)UNCLASSIFIED - FOR OFFICIAL ONLY
AR 380-67 FOR THE SUSPENSION OF SECURITY CLEARANCES OF
PERSONS UNDER INVESTIGATION.

8. CID REPORTS ARE EXEMPT FROM AUTOMATIC TERMINATION OF
PROTECTIVE MARKING IN ACCORDANCE WITH CHAPTER 3, AR 25-55.

P26706
UNCLASSIFIED - FOR OFFICIAL USE ONLY
000419
DOD-052205
CID FORM 66
1. DATE 2. TIME RECEIVED 7. CASE NUMBER
1445
1 Jun 04

0139-04-C1D259-80203
3.
OFFENSE 8. ASSIGNED TO

Aggravated Assault /Cruelty and Maltreatment/Conspiracy
bt-/1 hle---1

4.
SUBJECT 9. TYPE OF ACTION

GC
Unknown

5.
VICTIM 10.
bt -4, hie-4 REPORTS

Mr
TYPE SUSPENSE COMP •
6. CASE DESCRIPTION
INI/SSI 2 Jun 04 1 Uu'uO(i 66-4 lo/c-4
16,TuA)oct fe,-JuA)
Mr. eported he was abused while he was detained at 5,4C
Kheriolla Tolfah House, Tikrit, Iraq. sok.c 33"--0 /0 .R Tode0
,41c I Li To t, J64 31)4,
11. OTHER ACTION 12. CID FUNDS
.„I'J've,_ ax...
..Ac_._
ACTION RQRD COMPL DATE AMOUNT sottc
n'A OC

RA tt 40-6,..i-5" r iroc..reo i Ott,c,
• SAL '-:o IXUG 61-k _
166/5.0c/zit'
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A Me To eidsov 7 33 - -,--oq- 1 o _f tA 0 oil 171 571//--,5-7/1/1a4f
0 2 6 7 0 7
FOR OFFICIAL USE ONLY
0 0000i
Law Enforcement Sensitive
DOD-052206

CID FORM 66

1. DA-Tr 2. TIME RECEIVED 7. CASE NUMBER 1 Jun 04 1445 0139-04-C1D259-80203
8. ASSIGNED TO3. OFFENSE
Aggravated Assault, Cruelty and Maltreatment, Conspiracy SA mop j)L-i,b --tc--(
4. SUBJECT 9. TYPE OF ACTION
Unknown Detainee Abuse
5. VICTIM
bg- if-.-1 c _ 4 TYPE SUSPENSE COMP
6. CASE DESCRIPTION reported he was abused while detained at Kheriolla /744 .r
Tolfah House, Tikrit, Iraq

11. OTHER ACTION 12. OD FUNDS ACTION RQRD COMPL DATE AMOUNT
026708
FOR OFFICIAL USE ONLY
LAW ENFORCEMENT SENSITIVE
000002
DOD-052207

¦ SEQUENCE NUMBER 01139-64-d1D26--80203 -
I.'
SUBJECT/ UNKNOWN. 'ASSIGNED TO --VICTIM fglr. be -I
LOCATE, FULL' IDENTIFY AND INTERVIEW. THE 6 UNKNOWN
SUBJECTS:---,

(UNKNOWN #2)-
(UNKNOWN #3)-
(UNKNOWN #4),
(UNKNOWN #5)-
-4-A-
A
ographs Ke.goo.
.
1 JUN 04 A to BCCP for the digital photof M.f.
1 JUN 0 1) C-4 1 '101c-4. 1 JON 04 oiyrki¦T'ALL MEDICAL RECORDS OF MR. 11111111111111, LOCATE, FULLY IDENTIFY AND •INTERVIEW PERSONS orr INVOLVED 1 JUN 0 IN THE CAPTURE LOCATE, FULLY IDENTIFY AND INTERVIEW PERSO WHO 1 JUN 04 TRANSPORTED MR1111011.111.F0 BCCP 1c-4 LOCATE, FULLY IDENTIFY AND INTERVIEW GUARDS AT BCCP WHO 1 JUN 04'. HAD CONTACT WITH MR I. /16 L -tc-OBTAIN ALL PHOTOGRAPHS AND VIDEOS OF MR 100.111111111111 b6-4? 1 JUN 04 CAPTURE AND INTERVIEW ALL LOCATE, FULLY IDENTIFY 1 JUN 04 GUARDS/INPROCESSING PERSONNEL AT KHERIOLLA TOLFAH
1 JUN 04
1 JON 04 COORDINATE WITH UNIT COMMANDER
CANVASS INTERVIEW PERSONS WHO WERE CAPTURED WITH MR. JUN 04 IMMININIMPAND DETAINED AT KHERIOLLA TOLFAH .12 4 MEDICALLY SCREEN ALL DETAINEES AT KHERIOLLA TOLFAH AND I JUN 04 IDENTIFY OTHER DETAINEES WHO HAVE SCARS CONSISTENT WITH BEING SHOCKED.

INVESTIGATIVE STANDARDS!
11
ACTIVITY/PERSON PHONE NUMBER VCCTIMS 1NTERVIEWED is
NE88EtINtERVI:
EVIDENCE DEPOSITED L 1B REQUEST
PAtitti0(
a
a, UNFOUNDED FI ala UNKNO N:SUB A
ti:u 3
DOD-052208
NCE NUMBER
t...-:,4,r1,,,,',N.,',¦ '' ,,
D,¦
01362'(44*-CID259-80203
.,,..;!.-. NO',.,...4,-4.',,,,,, : ,i....,4::' --,-,'-hp,,,,.:47;,-,'....4,...,,-14,,. ;,- ••••,?:,.''',.
DATE OFFENSE VICTIM ASSIGNED TQ:
Aggravated Assault r _Cruelty
and Maltreatment; Info'll 6—lc"(
1 Jun 04 Conspiracy SA b6-1, b -te --i

,...
n...";`,.,'
.„,,,,.. - ' • s"ettA,'' r ' ' 4-,,'orle.W4:-. Siff`.;,, ,,,,:•,./, °`:,,: ? -•,-, ' ' 4411:m14,44 , 4.
IP !I
",''',''''''''''''".A*C.:, —gm,=,tk,, ,,"N
27 Apr 05 Draft Final Report ix n OS-
,

ilf•AAv; 4:4 ?r,';,-, ..;;,;':: , :,611rd,;.,/ ,' ON10..0' ' lffetilitlt.0 '''' : ;,-.7 `'"°:‘,4M. ti '''',,''''.' ''''-:' - L.-1,,,,i, ,r)X.PS:;' ."'i .'' ACTION COMPLETED ACTION COMPLETED
INITIAL CIC REVIEW FINAL EVIDENCE REVIEW
INITIAL SRO REVIEW
FINAL CIC REVIEW
FINAL SRO REVIEW

T CTffOIBEIS^t-t, ISft ,INVESTIGATIVE STANDARDS
-
ACTIVITY/PERSON PHONE NUMBER VICTIMS INTEVIEWOD'af,..73-24 No*
INTERVIEWED EVIDENCE DEPOSITED ,duty day B.RE9Y,E5.1-$;:, .,'' '$1d„illtYctaSf:
.,$:,0,14,)„,.elq:i,
RFA S SENT dur),1 -,:.:,,: ;:z.'. .:.:
, •.,!0:0C!¦440(41 Y4q,,' .: id'auwdas::'
:TIV:0-,,,
RFA FOI-Lbr OF'::::,.. '''...";;?:.:,10 ciih'caye ,
KNOWNsiii324:rINAL§' vis.-- ,:: , 16ckits, day s iiKF0.05(0,,`.FiO4$-.: -: ,-* ' : 15 duty days.:
. PNKNQWN,OUBS FINALS ^-: :. 30 cal days 1„ -
• AcilooTAKN:.,:',-,: -. .:-,. :,' : 3(t64d4t,;-:.&
026710
000004
DOD-052209
Control Number
AGENTS ACTIVITY SUN (CID Regulation 195-1) 0139-04-C1D259-80203
TIME, DATE, AND AGENT
1445, 1 JUN 04
66-l 1hic
1745, 1 JUN 04
lac -
1800, 1 JUN 04
Zed
111.111111V-1)
I 3-0A) 0 Lt
mai
be-519-t
2 Slam. et 4
11111111111A -lJ ble 4
SUMMARY OF INVESTIGATIVE ACITIVITY
THIS INVESTIGATION WAS INITIATED UPON RECEIPT OF MEMORANDUM OF TRANSMITTAL BY 75m MILITARY POLICE DETACHMENT, BAGHDAD CENTRAL CORRECTIONAL FACILITY (BCCP),. ABU GHRAIB, IZ, THAT MR.1111111111111111PEPORTED HE WAS 6:*-11, ABUSED WHILE DETAINED AT KHERIOLLA TOLFAH HOUSE, TIKRIT, blc -IZ.
DRAFTED INITIAL SSI REPORT; ASSEMBLED CASE FILE.
TO SAC FOR REVIEW.
5C giatiteAA).
Js I rit
02. cazD.TPs cirk.40.4.

/2'4 7-0 10 5.9a cp.• Rea:sea,
-
e F 11/2 To -054`5-1°-AC.C./MO
ft_Rove.v1e1 0.4 hl,pmt-e,c,e,f
5.,A;t
6711
FOR OFFICUNLISE ONLY
Law Enforcement Sensitive
5
0000
PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED ,
CID FORM 28
Oct 80
DOD-052210
Control Number (CID Regulation 195-1) 0139-04-C1D259-80203
AGENTS ACTIVITY SIThidi4ARY
TIME, DATE, AND AGENT
1445, 2 JUN 04 bfc-t
1800, 4 Jun 04
1DC

1700, 7 Jun 04 11111.1111 644'
1715, 7 Jun 04
WA, bic

1300, 8 Jun 04
ba blc-t

10 Jun 04 INN
1000, 15 Jun 05-ti
116--1, is

1400, 15 Jun 054
1600, 15 Jun 0-51.1
/4-1j 197.c-1
SUMMARY OF INVESTIGATIVE ACITIVITY
Received photo CD and originals of MOT from Abu Ghraib. Added to case file
Received 1 st Info Report from Tikrit. Added to Case file,
Drafted RFA for Fort Carson RA.
SAC reviewed RFA and signed RFA.
SAC attempted to email RFA to Fort Carson, but was unable to attach PDF to
email due to internet problems.
Attempted to upload file and email RA to FCC, but was unable to upload.
Rescanned RFA into separate attachments.

Emailed RFA to FCC with attached photos.
LC+
Met with COL and briefed him on the status of this
investigation.
Emailed Fort Carson, requesting an acknowledgement pertaining to RFA.

Drafted. RFA to Abu Ghyraib.
To SAC for review:
-Pending Info report from Fort Carson

-Pending Info repoit from Tikrit
5:/kc Taw t-ekA,

TA,
cairlaJ col max) 3 Tib=1-1-ersxmAzi cv,k_ bo-e DAP( s frot;ecie_ coi-ada"vleg
ac
prior -It) 1144/7
Cvyk, 0-2 Ar-t5 w /TR

02671 2

FOR OFFICIAL i_ISE ONLY

CID FORM 28 PREVIOUS EDITIONS OF THLS .FORM wiLLIVEVEPOgRiEiVAgabnsitive
000006
1 Oct 80
DOD-052211
Control Number
AGENTS ACTIVITY SUi11ARYA(CID Regulation 195-1) 0139-04-CID259-80203
• TIME, DATE, AND AGENT
1600, 16 Jun 04 MEW
1DC. b-tc--i
23 Jun 04, •
19-tai
0900, 28 Jun 04NMIbc—I , kric
1830, 29 Jun 04
b4-() 6-ic 4
11.Va 111111111b4 )bici
SUMMARY OF INVESTIGATIVE ACMVITY
Acknowledge SAC review:
1.
Noted g, , 1,1c-1

2.
Provided SAME the RFA

3.
Noted

Received Info reportt and statements from Fort Carson relating their investigation was complete. The email was missing one statement. Waiting on Hard copy." (Added documents and statements to file)
Received Final Info Report from Tikrit. Hard copies were mailed, as the
attachments were too large to email.

Pending hard copy from Tikrit detailing their investigation.
Pending RFA info report from Abu G.
Pending hard copy from Fort Carson; with the missing statement.

To SAC for review. t .5At, t
I , GyrkAte s Wir
10(.-1,107
19:70 511.111111111
FOR OFFICIAL USE ONLY
Law Enforcement Sensitive
CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED
CA
!mimic?
DOD-052212
AGENTS ACTIVITY Stifiltii/ARY Control Number (CID Regulation 195-1) 0139-04-C1D259-80203
• TIME, DATE, AND AGENT SUMMARY OF INVESTIGATIVE ACITIVITY 1100, 30 Jun 04 Acknowledge SAC review: 111111.1c4„6-te-f L Noted
2. Noted bC-1,1,1c-t
1100, 30 Jun 04-• Emailed SA.111111 BCCF, Abu Ghraib requesting the status of the RFA.
1111116‘ t I \)-1

do-1 irk --(.-/
1000 1 Jul 04 Received Final Info Report from SAIllinand AIR of SA A(See
irtc AIR for details)

g-it Vic-4
1400,.2 Jul 04 Coordinated withMAJAMNC-I, C-3 Effects JA, Camp Victory, Iraq
.
who provided a statement of Mr.AbC-4,
ble"(
1300, 10 Jul 04AReceived Final Info Report from BCCF relating canvass interviews of individuals1111111111, 196 -1,11c -1.detained in Tikrit with Mr.1111111111111disclosed two detainees did notk -(4, hi if
observe any abuses or assaults from coalition forces while detained in Tikrit with ,c-1f ,Ine Mr. .• two detainees who were detained in Tikrit at the same time bb•41 trtc-4.asA stated he informed them he was assaulted at the
detainment camp in Tikrit, by being pistol-whipped.
0925, 13 Jul 04 SAC sent an email to Tikrit requesting a status 011 the hard copy final Info report
with enclosures.

11.111 16-4) 4'1"
0935, 13 Jul 04 Sent an email to SAACarson RA, requesting a status of the hard copyOMB 196
1600, 13 Jul 04 To SAC for review. MIRb" bic
:e.Ado
cepipt
I kdk 11)(49 1-11"-141ii5 KorksiolefroArkfor eve. Lb,
MOMbc.-1,

4..z/44
GeKt...C.
/,. cOoskA. 64k.) tool:5f-6/4
551 WOW 66-ti
-
CD) FORM 28 "-a On FOR OFFICIAL USE ONLY . Law Enforcement Sensitive PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED 000003
DOD-052213

AGENTS ACTIVITY SUMMARY Cothol Number (CW. Regulation 195-1) 0139-04-M259-80203
TIME, DATE, AND AGENT
15 Jul 04 1111.11111 W7-1,6-tc-4
1100, 19 Jun 04 t
UM. hie­
27 Jim 04 111.1111064 3 6 -ic -1
.79 kerolog 14-1,1
11111
SUMMARY OF INVESTIGATIVE ACITIVITY
Acknowledge SAC Review:
1.
Unknown, no information from Tikrit pertaining to investigative activity.
Emailed tikrit on 13 Jul 04.

2.
Updated.

Received Info Report from. Tikrit containing HD PMO SOP, Medical documents, b4-qj Rights Waiver Certificate of Mr. impwith CID Forth. 44 of Mr. NNW blc-'t No other documents were included in the email. Mr. 111111111may have been 0 the translator but still unknown because there was no AIR, Statements ect b is attached to the info report from Tikrit.
Still pending hard copy exhibits pertaining to RFA to Tikrit. Mailed on 28 Jun
04.
Pending SJA coordination upon receipt of exhibits.
This case will be, ready for final depending on what was enclosed as exhibits.

To SAC for review.
5Ac Patil 0A-0:
6-r .z-rls
4-.0141 b4-1, b7a-
L.D4-41117.
. STA C

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be -I b-tc-t
16 SA
,oi es.RP-A.
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54-11101 Gia.e.sA:141.
r-km:de.
026715
FOR OFFICIAL 1,!SE ONLY
Law Enforcement Sensitive n 0 0 0
CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED I • 1 Oct 80
DOD-052214

Control Number (CID Regulation 195-1) 0139-04-C1D259-80203
AGENTS ACTIVITY SUMMARY
TIME, DATE, AND AGENT SUMMARY OF INVESTIGATIVE ACITIVITY b6-1 bic-1
1130, 4 Aug 04 Due to SIPR email is currently inoperative was unable to email SA
-{ 286th MP Det, Tikrit, requesting scanned email copies of their case file (0112-04-

SIM 6-1"
CID469): AIR Sworn Statements/3881 CID Form 44 And any other pertinent investigative documents they obtained during the course of their investigation.
Received 1st ID SOP but no investigative documents from Tikrit. There was no response from SA 1 reference previous email sent on 28 Jul 04.10C-1). 6-tc4
No investigative activity is anticipated pending documents from Tikrit.
Case file to SA 134-1, 1olc-1
krtc-t
9 ,00/ g q Q
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det; 711{6/) Etre ejty
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gisvem-rx 460: citqc#(6,4/41 vel aff,clx./ 44.1eifs T -"6`"le'f411111111"effil11e few./ "erciestet, 4.4.144-11) "fra kic4
026716

FOR OFFICML USE ONLY.. Law Enforcement Sensitive n
7
CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED u 00 10 1 Oct 80
DOD-052215

CONTROL NUMBER
AGENTS ACTIVITY SUMMARY
(CID Regulation 195-1)A Gi3f-acte-e_rjr59_51Z03 TIME, DATE, AND AGENTA SUMMARY OF INVESTIGATIVE ACITIVITY
Iz313/fF4-150g-
11111111)& 4

ff55/Z744,alt,
us
ble-1
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b4-1 lc -f bee 111111-4 dradjacep46,0
Cce-z gie-.5/16 _4/ rev;',64,
026717
000011

FOR
Law Enforcement Sei
CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED 1 Oct 80 •
DOD-052216

Doc_nid: 
4580
Doc_type_num: 
66