CID Report: 0224-04-CID259-80258

rw, DEPARTMENT OF THE ARMY,
UNITED STATESARMAY ORIMINAL INVESTIGATION COMMAND
3"1
MILITARY POLICE GROUP (CID)
78th MILITARY POLICE DETACHMENT (CID) (FWD)
BAGHDAD, 12
APO AE 09342

CIMPR-FR
28 Jul 04

MEMORANDUM FOR SEE DISTRIBUTION
SUBJECT: CID REPORT OF INVESTIGATION - FINAL (C)/SSI - 0224-04-CID259-80258-
/5C2/5Y2E/5X1/5M3A
DATES/TIMES/LOCATIONS OF OCCURRENCES:
1. 20 JUN 2004/ 0001 HRS - 20 JUN 2004/ 2400 HRS, 3RD BRIGADE COMBAT
TEAM DETAINMENT FACILITY, BAGHDAD, IZ

DATE/TIME REPORTED: 19 JUL 2004, 0900 FIRS / X6 f
INVESTIGATED BY: S
SA 1,1
, SA
SA
SUBJECT: 1. (UNKNOWN); M; WHITE; (NFI); [ASSAULT (UNFOUNDED)] [CRUELTY AND
MALTREATMENT (UNFOUNDED)] [CONSPIRACY (UNFOUNDED)]

2. (UNKNOWN); M; WHITE; (NFI); [ASSAULT (UNFOUNDED)] [CRUELTY AND
MALTREATMENT (UNFOUNDED)] [CONSPIRACY (UNFOUNDED)]

6 7 fr4-
3• (TRIBAL NAME:IIMINMW CIV; NDRS
411111111.1SN
UNKNOWN:L STATEMENT] DATE OF CAPTURE 18 JUN 04; M; BAGHDAD,
IZ ;(NFI) [FALSE OFFICIA
VICTIM: 1.
TRIBAL NAME:ilium.; CIV; NDRS 476--
allilleISN UNKNOWN .
,, DATE OF CAPTURE 18 JUN 04; NI; BAGHDAD, IZ;(NFI) [ASSAULT (UNFOUNIDE
D)] [CRUELTY AND MALTREATMENT (UNFOUNDED)]
[CONSPIRACY (UNFOUNDED)]
2.
U.S. GOVERNMENT (78TH MILITARY POLICE DETACHMENT (CID) (FWD),
CAMP VICTORY, IZ, APO AE 09342) [FALSE OFFICIAL STATEMENT]
INVESTIGATIVE SUMMARY:
On 22 Jun 04, this office received Memorandum of Transmittal (MOT) 0087-04-CID789, from
z
the Prisoner Interview/Interrogation Team (PIT), 75 th Military Police Detachment, Ba hdad (1 -7-9; "Central Confinement Facility (BCCF), Abu Ghraib, Iraq APO AE 09342, that Mr.
reported he was abused while detained at 3 RD Brigade Combat Team Detention Facility, IZ.
The conduct of this investigation determined that Mr.4111110bwas
-not c as he originallyreported. Investigation established probable cause to be leve that Mr..
ommitted the I,
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
DODDOACID-005061
'VP 00224-04-CID259-80258
offense of False Official Statement when he provided a written statement that did not reflect the Vie"
i
n *dent as it actually happened and statements taken of the personnel who attended Mr.
terrogation denied any abuse took place.

On 23 Jul 04, CPT Office of the Staff Judge Advocate, Camp Victory, Ira476-opined probable cause e
1111111pcommitted the offense of False Official
Statement. 67e -s--; ,44--.5—
STATUTES:
Article 128, UCMJ: Assault

• Article 93, UCMJ: Cruelty and Maltreatment
Article 81, UCMJ: Conspiracy

EXHIBITS/SUBSTANTIATION:
Attached:

1. Agent's Investigation Report (AIR) of SA ; PIT BCCF, 28 J
d ' ' e race' t of,
initial corn Int •e interviews of IL Mr. and Mr Mr.
coordination's wit and review 1'764
etainee
Prisoner In-Processing Medical Screening Record pertaining to Mr...26 Jun 04.
2. 67e-6°"-
3.
Detainee file pertaining to Mr.111111.
64-/

4.
AIR of

23 Jul 04, , detailing the basis for investigation; interviews of SPC 64. 46
and SPC IN"' /6" —
canvass interviews and coordination with SJA.
5. Rights waiver certificate and sworn statement of SPC111.123 Jul 04, wherein he denied I)7­
-
the allegations of abuse.
6. Sworn statement of SPC 23 Jul 04, wherein he stated no one abused Mr.
...luring the interrogations. b¥(e.
7.
Canvass interview worksheet, 23 Jul 04.
Not Attached:
Retained in the files of this office:
,4( e.

8. Interrogation report of Win 21 Jun 04. 6,76
The originals of Exhibit 1, 4 through 7 are forwarded with USACRC copy of this report. The
originals of Exhibits 2 and 3 are maintained in the files of the BCCF.

STATUS: This is a Final (C) Report. This investigation is terminated in accordance with CIDR
195-1, Chapter 4-17 (a)(6), the Special Agent in Charge determined further of the investigation
would be of little or no value. Remaining Leads: Additional canvass interviews.

Report Prepared By:
Report Approved By:
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE 2
DODDOACID-005062
0224-04-C I D259-80258

law
Distribution:
1-DIR, USACRC, 6010, 61h Street, Fort Belvoir, VA 22060-5506 (original)1-Thru: CDR, 22nd MP BN (CID), APO AE 09342Thru: CDR, 3rd MP Group (CID) To: CDR, USACIDC, ATTN: CIOP-ZA, Fort Belvoir, VA 22060 1-PMO, MNF-I (e-mail only) 1-CID LNO, MNF-I, APO AE 09335 (e-mail only) 1-Office of the Staff Judge Advocate, III Corps, ATTN: CP'
(email only) 7 "*"..3/6.4.'4"3
1-File
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
DODDOACID-005063

AGENT'S INVESTIGATION REPORT 1
CID Regulation 195-1 fT
DETAILS
FOR INV STI ATION: About 0930, 25 Jun 04, this office was notified tiyiLT til se; .td. Baghdad Central Confinement-Facility , National Detainee Reporting System (NDRS)
reported he s.
arrogation by American Soldiers. XX4 .4. 0;41 •
s.
About 1000, 26 Jun 04, S nterviewed
ho stated during his initial in-
processing physical screen etainee, "
he reported he was assaulted and 7c 8
choked by American
..::Furtiler, these 3"r:t7,­
, ;:i,- riv c = during interro! ay.2ns , anor to arrival
at BCCF. Detainee
rrived at BCCF on the night of 25 Jun 04. 1LT
• Guid find no
signs of injury on the detainee. ee SF Form 600 for more details)
1.. &-S

About 1045, 26 Jun 04 .SA
— with the assistance of Interpreter
this officeib7 65
interviewed Detainee'
W o stated he was assaulted during Interroga s condkr.,
, i.:by two
American soldiers and one translator. Upon being captured on 19 Jun 04, Detaine
= s &7 V
transported to what he described as one of the Presidential Palaces. On the second.
.' :Is
capture he was interrogated. The translator sat behind him during the interrogation Nit he believed
the accent to be Iraqi. The interrogators were described as: white male, 6'0", thin build, blonde hair,
thin mustache, wearing prescription style glasses and wearing Desert Camouflage Uniform (DCU)
and white male, 6'2", medium build, bald with a linear scar on his forehead, wearing a DCU. He
observed the American flag on the shoulder of the DCU but could not recall any other specific patch
or insignia. He was asked about his involvement about attacks on Coalition Forces (CF). Upon
denying involvement he was struck with a closed fist to the abdomen by the shorter white male and
called a "liar" via the translator. At one point this same interr ator rabbed him around the throat
and threatened to choke him if he did not confess. Detainee

id not confess and the 67e- ffrf
interrogation ended. At no time was he actually choked. As "e: Wet
-eing escorted back to theisolation cell, the shorter American interrogator slammed him against the wall and etruck him in thestomach. Detainee , t5.4
as then thrown into the isolation cell. Detainee
stated he O-
was captured Ike
two uncles) and neig or).
AGENT'S COMMENT: Detainee.
was illiterate and he stated he had only completed the
9th grade of education. He had no JO skills and never had a job.
About 1145, 26 Jun 04SA
,
4th the assistance of Interpreter.
this office,
interviewed Detainee
who confirmede was captured with (=. 7
Detainee (nephe
. He was interrogated by American forces but
denied being toitured or assault& He believed his nephew was soft and probably was not harmed

as much as he claimed. The first time he had heard about the abuse allegation was this morning
during their in-processing at BCCF. He had contact with his nephew the previous 6 days and there
was no mention of assault at anytime.

DODDOACID-005064
6
-"
TYPE GENTS NAME AND,SEQUENCE NUMBER b
ORGANIZATION
0
SA PRISONER INTERROGATION TEAM (PIT)(CID) Baghdad Central Confinement Facility, Abu Ghruyeb 09342 SIGNATURE
EXHIBITLk. Jun 04
CID FORM 94
4
FOR OFFICIAL USE ONLY

EX4111111
ROI NUME
AGE T'S INVESTIGATION REPORT 02270WMAP 258
CID Regulation 195-1
PAGE a OF z PAGES
DETAILS
-----.1717.77196 7' 15
About 1215, 26 Jun 04, SA
h th n a at of Interpreter, this office, , ,interviewed Detainee who co he milts captured wfth
Detaineenep
was interrogated by American forces but
denied be ottured or assail •
elleved his nephew was assaulted by American forces, butnot the extent he claimed. The first time ho had heard about the abuse allegation was this morningduring their in-processing at BCCF. He had contact with his nephew the previous 6 days and therewas no mention of assault at e.
7 C-3/6--3
6Vmal
About 1245, 26 Jun 04,
this office, 67
interviewed Detaine
Ames
captured on the same =y "as' nee
, = d e tainee
_stated he was th neighbor of the above inees an never ha any problems
m. urther,
Detainee h
had not informed him of any assaults durihg interrogation by the Americans; 6ho e was not close with him and had not spoken to him during their detainment. Detainee ated he was briefly interrogated by Arne ' ns but not harmed in anyway. The description
*b
s'i rrogators matches that of Detainee

ut that at one point the shorter American took
off his DCU top, which revealed a tattoo on his e or right forearm/bicep. He did not• eta good 0 enough look at the tattoo to discern color, shape, or design. He added Detainee was also captured with them but he did not know him.
76-46 /
.--ir0-atk3
About 1315, 26 Jun 04, SA, with the assistance of Interpreter this office, 7(interviewed Detainee
, who s e was captured on 10
Jun 04, as he was traveling y o
a neig or oo that was adjacent to his home. He
heard an explosion, gunfire, and short) therea er the American military detained him. He was

walking by the homes of Detainees but he did not know them. He added, he -wasinterrogated by Americans but no assau s ocbUrre
He had no interaction with Detainees,
as he did not know them.
3t€C---3
-
46A -7
About 1345, 26 Jun 04, SA coordinated with SFC
Prisoner In-Processing BCCF who provided the capture paCket pertaining to Deteiinee.

(See Detainee File)
AGENT'S COMMENT: Detaineeraarrived at Baghdad Central Confinement Facility on 25
Jun 04, the date of his complaint, erefore no interrogation records exist nor were canvass
interviews conducted of Military Police guards. ///LAST ENTRY///

DODDOACID-005065
ORGANIZATION PRISONER INTERROGATION TEAM (PIT)(CID) Baghdad Central Confinement Facility, Abu Ghruyeb 09342
SIGNATURE
EXHIBIT
SE ONLDtTE
CID FORM 94
FOR OFFICIAL USE ONLY 5

Page(s)
Co -7

Referred to:
U.S. ARMY ME ICAL COMMAN F E OM OF INFORMATION/ P VACY ACT OFFICE
TTENTI N: MCFP 2050.RT ' 0.SUITE 13 FORT SAM H UST•N, TEXAS 78234-6013
MR. JOHN PETERSON JohnoPetersonl@cen. amedd. army.mill
(210) 221-7826

Page(s)

eferred to
U.S. CENTRAL COMMAND 7115 SOUTH OUNDARY LV ATTN: CCM-DM MACDILL AI F RCE BASE FLO.A 3-3621-5101 -
MS. JACQUELINE SCOTT scotti@centcom.smil.mil
(813) 827-.5341/2830
.

AGENT'S INVESTIGATION REPORT

022 4-04-C1D259-90258
CID Regulation 195-1
Page 1 of 1

Basis for Investigation: On 28 Jun 04, this office received a Memorandum of Transmittal (0076-
04-CID789) from the 75 th Militarrgolice ,etachment, Baghdad Central Correctional Facility
(BCCF), Abu Ghraib, IZ, that Mr.,

eported he was abused while detained at the 3" I 6 7e---t4 64-4
Brigade Combat Team (BCT), detattinteitt facility, IZ.
b7C-'4,6, -V 03 40-3

About 1025, 23 Jul 04, SA vised SPC
Company, 312th Military Intelligence, 3 rd BCT, ForWai. D

Forwardtilt. Base (P08) Greywolf, IZ, of
his legal rights, ye
e waived and provided a sworn statement wherein he denied ever
touching Mr.
d he and the linguist were the only other people in the room during the 6) 764/ 64-interrogations (gee rights waiver and sworn statement for details).
Agent's Comments: Mr.
described two interrogators and a linguist durin
(,7-4e64
interrogation. None of the niteifogators matched the description given by Mr.
er,
a review of the interro
on orts revealed one interrogator and one linguist present during the
interrogations of Mr.
About 1100, 23 Jul 0. 4. S this office, conducted canvassinterview of SFC -2, 3 BCT, 1 st Calvary Division, FOB k7e,-1.6 ar-Greywolf, Iraq, w o , r:'ne er seen or eard of any detainees being abused at theirdetention facility. SFC er advised the interrogation was videotaped andmonitored, no abuse was seen. SFC dvised due to the lack of tapes, the tapes are.
recorded over and the last recordin Jul 04. (-, 7 ( About 1115 23 Jul 04, S conducted canvass interview of SSG ter4 0 nii3
Coany 17c53 Infantry, Sheridan, AR (deployed to Iraq) stated
his company was tas e with providing security at the detention facility and he has never seen or
heard of any detainees being abused at their facility.

'74-16i-1
About 1138, 23 Jul 04, S interviewed SPC
Co, 312th MI,3 rd BCT, FOB Greywolf, o stated he and the in Ot never Oticed Mr.Wpand /).7‹.-iita.
he never called Mr.
"Li " during the interrogation (see sworn statement or etails).
About 1200, 23 Jul 04, SE4
conducted canvass interviews of the other interrogators at 3" 1
BCT, none of the interrogators matched the description provided by Mr.

or knew of Oc•-,f.
any abuse in the facility. eiec -fe-
• *-/ dvt. About 1630, 23 Jul 04, S oordinated with CPT Staff JudgeAdvocate SJA who o() pine ere was probable cause to believe Mr. conunitted the
offense of False Swearing.///LAST ENTRY///
S 78 MP DET Forward (CID)Special ent,
Baghdad, Iraq APO AE 09342

Si
Date: 23 Jul 04 Exhibit: LAW ENFORCEMENT SENSITIVE CID Form 94 FOR OFFICIAL USE ONLY
2 5
DODDOACID-005068

RIGHTS WARNING PROCEDURE/WAIVER CERTIFICATE
For use of this form. see AR 190-30: the proponent agency is ODCSOPS

DATA REQUIRED BY THE PRIVACY ACT
AUTHORITY: 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:

Your Social Security Number is used as an additionallaltemate means of identification to facilitate filing and retrieval.
DISCLOSURE: Disclosure of your Social Security Number is voluntary.

47&-ieek {.
4. FILE NO.
2. DATE 3.
BAGHDAD INTL AIRPORT (BAGHDAD, IRAQ) 60-23 Z'u.% 8 4 1 02E-
IL ORGANIZATION OR ADDRESS

I. LOCATION
5. N i,,..• '.Fir'..it.., 1276
% CO.—S11 tell 7— B " 13c--1-

7. GRADE/STATUS
1•••isKos%°'"715..TrIti103.,w, :.-
&,,at In Ac-A Ty At._ .../ I

5 p c..4 EA
PART I - RIgHTS AIVER/NON-WANER CERTIFICATE
Section A. Rights
ijsu11"
The investigator /117 trjaei &low told me that he/she is with the United States Army Criminal Investigation Command as a Special Agent
111 and wanted to question me about the following offense(s) of which I am

and
suspected/=t— Assault, Cruelty and Maltreatment and Conspiracy///
.re hedNINIEd me any questions about the offense(s), however, he/she made it clear to me that I have the following rights:

B ,, • o not have to answer any questions or say anything. ,,,_ _ ything I say or do can be used as evidence against me in a criminal trial. 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 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
pointed for me before any questioning begins.
I am now willing to discuss the offense(s) under investigation, with or without a lawyer present, 1 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.
# 6 '11f4
2.-..., 2

5. COMMENTS (Continue on reverse side)
. do •
fri CAIN"' V% e
Section Waiver
investigation and make a statement without talking to a lawyer first and

I understand my rights as stated above. I willing to discuss the offense(s) under
without having a lawyer present with m 7e..—

‘6---ec V‘4-r.
0. 1
WITNESSES afavailable) .. : . . OK,. I G , I

I a. NAME (Type or Print)
'1.4 , 0,0-0;:a4s1OGT0011W7
b. ORGANIZATION OR ADDRESS AND PHONE
5 . r :10_124, -. a.: s .... TOR
2a NAME (Type or Print) .
5Pr

6. 0' . • ,...-; - ., , •. t .A. • GATOR
b. ORGANIZATION OR ADDRESS AND PHONE
78TH MP DET (CID)

•
BAGHDAD, IRAQ
---....---............
Section C. Non-Waiver DODDOACID-005069

I do not want to give up my rights.
do not want to be questioned or say anything.
¦ I want a lawyer. ¦ I
2. SIGNATURE OF INTERVIEWEE
EXECUTED BY THE SUSPECT/ACCUSED.
ATTACH THIS WAIVER CERTIFICATE TO ANY SWORN STATEMENT (DA form 2823) SUBSEQUENTLY
allPTO

FdrazuviColi v)
TIL VC1121W 151R1 mnv Re
LAW ENFORCEMENT SENSITIVE
PCITIBIT
SWORN STATEMENT

For use of this form, see AR 190-45: The roponentmeney of the De uty Chief of Staff for Personnel.
LOCATION DATE

amir FILE NUMBER
CPA Head uarters Ba hdad Ir 2.3
7 6 /
GRADEA
6fr lcant to make the following statement under oath:
I,
I..2 mot 214. ti.44,34"_
-171-#2
.14,4-014‘
Liao/ t "fLe d'aLuct
.1.I •.

V
t
at. oto.. sr i" loViTteere 1.13374: 80 kJ

e4.4 1...04--.6...eleari I.S aria.I
.
f dt.-& , 4-eclo
4tvi. 44+2Cnee -kale-41J Le. c.4.6-41.6,.e.cl sitei44
oterfaLk‘ed . IV 1.0 --1-Lt.42 id „e, 142,. of /441
silAke —1-1.2.h.+61:10k 9.4. 19, te. do
See% le-A-i-A -Lil-2 4-4 e ,
kbg, c.votsiviA.44al•S'.
0
-76-// 66(
A. -s f c .67 (-- - "K64-K
CA vil
Q . 0u:um_ N-(0 t._, ev e r tel% .st.
A. et ot‘
fc-e see-i v -e_.
DODDOACID-005070 \-¦ e_ *v¦ S "\•ct C
11(-243 2_co4i auft--
.2. U /1 les 1 ra. 1.5
1) e 1red ive-ful.‘ei +1,A eleh711 64 2.1J EXHIBIT INITI SON MAKING STATEMENT PAGE 1 OF 3 PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEAD VSTATEMENT OF _TAKEN AT DATED CONTINUED.' THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE_OF
PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK OF PAGE I WILL BE LINED OUT, AND THE STATEMENT WILL BE CONCLUDED ON THE
REVERSE OF ANOTHER COPY OF THIS FORM.
FOR OFFICIAL USE ONLY
2 71
LAW ENFORCEMENT SENSITIVE
14, X ffillIT
DA Form 2823 (AUTOMATED)
/ ie -f4/76-(K
STATEMENT OF ) TAKEN AT
DATED CONTINUED: 2 0 -q
ige-T
flaN1111111Nai .25 JUL oat
r I0.z:3 b,;5 Ift4....4 p i... I L14GL:el. 14.-Fa LNeet

de-to ...A..12A. t4..sc. .c.
I G.) Imo..-div-f'2 e olid ...64--ea-bl-rim&te-1-a 4 ‘a1/4w;1 5 r
1 t‘S*11:' 0% f iliel i fa
2KtSe .
L 144.a..... 24444.441 ofe-tet;ks.u. 4.1 ,d,„,.a64-A..-A. 6ts43- gt-I-L----L:t-v-• TrA.. e Art.. - Law zi c o f . 144
Also kj-aleta-Zi.g4 a.r.1 s /a/ .a je-lia,:#
43vs.
A sKt Ptelk. SterfU4C4'
( eierti-4,/ 14 lel¦ tt•On" ffi; IA. *=C0J p.44.,
0 MT-. 44
L
c d.41111111
4•-.01.643; 6.-efe Ti e
;61 z.tftio bve. S'10/11C+e 6 7C-f;
S avi 0 41 ro 11 vl u."It n 7
. sb d tic:3,-) k.-1) +0 icAJ. 4-0 4 ¦,;,, .s4,LAst ?
oc
DODDOACID-005071
FOR OFFICIAL USE ONLY C. 8
LAW ENNIFSENSITIVE 6- I . titirBIT

DA FORM 2823 (AUTOMATED)]
I
DODDOACID-00507

64--ite. .
I /6 i
AFFIDAVIT
I, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON
PAGE 1 A PAGE_3 :ITULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE
STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE
STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OR
PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT. .d

6 d - `(/
ofFeraiiii g to ement)
WITNESSES: SUBSCRIBED AND SWORN BEFORE ME, A PERSON pY LAW
TO ADMINISTER PATHS, THIS Qt'DAY OF a...2 I Et, a 4
AT R it 4 4 4 7,-ra r

ORGANIZATION OR ADDRESS
ii 6 4
a re o,. Y arson tering Oat
ORGANIZATION OR ADDRESS
n.. 74
e o e on nil O ath)

.4r4-.t310 csi 0)
( Authority to Administer Oath)
1 INITIALS OF PERSON MAKING STATEMENT 1 PAGES '--OF 3 PAGES
20
LAW ENFORCEMENT SENSITIVE
5 1
PC IT
SWORN STATEMENT
For use of this form, see AR 190-45: the proponent
agency is Office of The Deputy Chief of Staff for Personnel.
LOCATION
TIIIAP _uLE NUMBER
64
fo6 (vartuoil DATE
LAST NAME, FIRST NAME, MID NAME/ (27
SOCIAL SECURITY NUMBER
GRADE/STATUS
47e-e64-
Aa u..(o C) 67 -3 64-3
0.A.Y)
\Aiem
4-Le_ eN,Ccu g 04-cyC.,1/4,k1
e1
SEt, "
is V1
MN=
DODDOACID-005073
alit fejarearm da tefte Xtediee?
Ak)
tit
I •
ah412_Jr 7c.-3, 6t-3 4
EXHIBIT -
INITIALS OF PE
STATEMENT 364_3
. . a
ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT OF TAKEN AT DATED CONTINUED."
THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT AND BE
INITIALED AS "PAGE OF PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK OF PAGE 1 WILL BE
LINED OUT AND THE STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER
DA FORM 2823 COPY OF THIS FORM. 30SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED
1 JUL 72
Fo&.• i
51'1C+
EISMVE
Enroll
FILE NUMBER:

b7-1
STATEMENT OF6f
TAKEN AT 4184114441
DATED 23t.10 Off CONTINUEDuit
Wet Sae
Oa' • air Alb air eer
fr.--In Fri,-4- of i o
c Le eifit=t;vnee. • oirm Miur
) g I ti • r),
•
hioiiotoriton, ,flat ha
on fla d/, cud dont iAltriioil.'
4? latis 1
Irliudinfillefte Vol kei,,e?
! 6 7e--(6‘,4 -4e-
' 9' Wito Wind 41a biraema 4 Hit ceitg.
,4 C- I ostx4 -6 440

• cl)
-ie 6P"`C
A 1 .
0 as 414L5 Attord 01444, bre A1. f t .
lk: I\ b611.4 4010 .
&"- Dmpo eitku eadk utd. Ja140,0tee °V,,-,,,, /17
NO .
CO b,/,C. iat fdeiter It e a I6 v torijott ateitCA?
i
at uut flow-
cot rilitaKs
vg)a,06-06 7'643 orisiameijit rdbickihrts,7
You 6,e oleo dct.)4.,5 ate.0.00,0--7
Nrtgelb o f emoubir,ar
DODDOACID-005074
INITIALS OF PERSON MAKING STATEMENT:. A ‘Ne1 aM
P iv)
PAGE.OF 3
PAGES
FOR OFFICIAL USE ONLY
LAW ENFORCEMENT saNsnivE

EXiTtRIT
fogGrarAW FILE NUMB R:
STATEMENT OF AKEN AT

STATEMENT (Continued) DATED 28410 CONTINUED: A. iv)
1\).0

.67c—A/S‘-3
DODDOACID-005075
AFFIDAVIT
HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT Y UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME.
ICH Eat 1
E STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE
STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT,AND WITHOUT COERCION, UNLAWFUL INFLUENCE. OR UNLAWFUL INDUCEMENT.1111
WITNESSES: (Signatufe Of arson Making Statement)
Subscribed and sworn jo befor me a person author' ed by lawto ad = oaths, th ay of 20 05' at
ORGANIZATION OR ADDRESS
g Oath)
?7 (1 6 ‘2-..
ORGANIZATION OR ADDRESS .ng Oath)
474 ksliA4
(Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT aina.Q7 ' 3 gk.
On 6x-3i a-3

PAGE
A11103F S AGES

FOR OFFICIAL USE ONLY
LAW ENFONCESTENT SENSITIVE

EXHIBIT u 3 2
fat 4 f (ood, V
is
ss 1PHO b7i4It
.i) t.4 /3lifrile Al WORK: 6-3/ —

.
1 HOME: IMP .
IC4 140(1(

S SAN
64-
PHONE: .,.
•1-tt gfot al) E, 5-z
WORK: 5:F I
c-1-. floe/V.0( HOME.

...: girahca ce 41
NAM/GRADE

S S AN
UNIT/ADDRESS
PHONE:
WORK:
HOME:

NAMM/GRADE
-S SAN
UNIT/ADDRESS
PHONE:
WORK:
HOME:
PAGE I OF I PAGES EXI-113 IT :

FOR OFFICIAL USE ONLY .3
DODDOACID-005076
'
CL) E far:t Me' EkC
-
_. Atm werge-w-er 7 r— er,7 c4e7euxte-­
_ fjo ogi CO244 G/ /elfoirdfg it".5-114 tfar31/
(e-/eke lickirlite
m ittitti/byee41 °(1411 6 1 irt/rUptA -1--
}AA /et-A of 05deridr.
desotrA MitatigeY -4495•3 04 easiS
/1 r-

-
.79/fret sa ,e/51,041
5„-) -NOV c;‘,17 040-e "Zee- 44 et,gweti geekar (4144Areilic.
itmat,#ezrer,icAstr
0/4/ ki4kacised 14eige 06u.se
-
ma, etOod 114/.1/ d_zrc-fr:—
01. .cre)4e4 4A4&LW t....svpilet,L_
An 0162 .kieo

/20 cm, tga, 00,4,6,00%4i.inane:4 4P1V-Te
1174iffcgd11", CO.44.0 tr;teoltedcap4izon
70‘0.;;M'L-;ede-se.e leel

-110 ofte iv/ kehifte Vg
Iva( tuAirdsid etire Ofty;c4,/ed9usir 1044./04Vatfi octed,„
.
btAws6a 4w64Mais ol.thblega? ylics KiteMeirjitdvorovais klyklefe ort Appikrou-010(6M/ hp', 6 at awrim 14010:1-.), ;MiteOff zOka et/Pc 6:2
-
rtyltviseriDe5 Ote 14

itriled
_ ,p60 off. vi (eock_ yW Cookeiew/
-Vlorow Wt-fidoot ilcoolf)ty pessWe aMr
0244/141 afti4or5p/401 "kovi)
Ao oitt NO coothe/ ,te54411,51, parbii 6 ezhzer
flo falkjah&KJ

vie c, itair9 441-eAe010044r-cr
116Y
-4040IS
ei/i idige0 oil lea/114s

/to./xi,/trA*
-7-,,316(i7b.vizt4efreiraq2,
DODDOACID-005077
i,A4iassa.e:044,,,te.
vrie 4-Gri ea 41 0.d:107os?
inWP, 104+42.560-1, 110-114ato( 3 4

fat °NEAL us ow .
rim Awash. iazzA4416 /-)tc&40-.
r_...
UNCLASSIFIED - FOR OFFICIAL USE ONLY

DATE: 26 JUL 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, 7874 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 nd
STATUS/SSI - 0224-04-CID259-80258-

/5C2/5Y2E/5X1/5M3A

DRAFTER : SA

::::11111111111;11,101 P27c,-1, 64"/
...L ., :'
RELEASER: SA ..,.
1. DATES/TIMES/LOCATIONS OF OCCURRENCES:

1. 20 JUN 2004/ 0001 HRS

-20 JUN 2004/ 2400 HRS, 3RD

BRIGADE COMBAT TEAM DETAINMENT

FACILITY, BAGHDAD, IZ

2.

DATE/TIME REPORTED: 19 JUL 2004, 0900 HRS

3. INVESTIGATED BY: SA

.

.

SA

SA.

SA

•
4. SUBJECT:

1. (UNKNOWN); M; WHITE; (NFI) [ASSAULT

(UNFOUNDED]

[CRUELTY AND MALTREATMENT (UNFOUNDED)]
[CONSPIRACY (UNFOUNDED)]

2. (UNKNOWN); M; WHITE; (NFI) [ASSAULT

(UNFOUNDED]

[CRUELTY AND MALTREATMENT (UNFOUNDED)]
[CONSPIRACY ( g_NYOUNDED)]

[ADDED] 3.

(TRIBAL NAME:

11111111111W CIV; NDRS.

ISN UNKNOWN;a11.111.11
DATE OF CAPTURE 18 JUN 04; M; BAGHDAD, IZ;(NFI) [FALSE
OFFICIAL STATEMENT]

5. VICTIM:.

(TRIBAL NAME:

/11111111111.; 1. CIV; NDRS.

ISN UNKNOWN;11111111110
DATE OF CAPTURE 18 JUN 04; M; BAGHDAD, IZ;(NFIi [ASSAULT

UNCLASSIFIED - FOR OFFICIAL USE ONLY
35
.

DODDOACID-005078
UNCLASSIFIED - FOR OFFICIAL USE ONLY
(UNFOUNDED] [CRUELTY AND MALTREATMENT (UNFOUNDED)]

[CONSPIRACY (UNFOUNDED))

[ADDED] 2..

U.S. GOVERNMENT (78Th MILITARY POLICE

DETACHMENT (CID) (FWD), CAMP VICTORY, IZ, APO AE 09342)
[FALSE OFFICIAL STATEMENT]

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 IS BEING SUBMITTED TO UNFOUND THE
OFFENSES OF AGGRAVATED ASSAULT, CRUELTY AND MALTREATMENT
AND CONSPIRACY; ADD MR.IIIIIIPhS A SUBJECT OF FALSE
OFFICIAL STATEMENT AND ADD THE U.S. GOVERNMENT AS A VICTIM
OF FALSE OFFICIAL STATEMENT.

1,76,44i4c
ON 23 JUL 04, SPC.

INTERROGATOR, D CO.,
312TH MI, FOB GREYWOLF, IZ, WAS ADVISED OF HIS LEGAL RIGHTS
WHICH HE WAIVED AND PROVIDED A SWORN STATEMENT WHEREIN HE

.17 1d4fgrilDENIED HITTING MR..

AT ANY TIME. SPC.

FURTHER 674-0

STATED ONLY HE AND THE LINGUIST WERE IN THE ROOM DURING THE
INTERROGATION, AND THE INTERROGATION WAS VIDEO TAPED AND
MONITORED.

ON 23 JUL 04, SPC.LINGUIST, D CO., 312TH

MI, FOB GREYWOLF, IZ,

WAS INTERVIEWED AND STATED HE NOR THE,

INTERROGATOR EVER HIT MR..101PDURING THE INTERROGATIONS.

ble=4i66-Ct"

ON 23 JUL 04, CPT.

STAFF JUDGE ADVOCATE,
WAS BRIEFED ON ALL ASPECTS OF THE INVESTIGATION AND OPINED
PROBABLE CAUSE TO BELIEVE MR.411111pCOMMITTED THE OFFENSE 676514'5

-

OF FALSE OFFICIAL STATEMENT.

INITIAL REPORT:

THIS INVESTIGATION WAS INITIATED UPON RECEIPT OF MEMORANDUM

OF TRANSMITTAL (0087-04-CID789) FROM THE 75TH MILITARY

POLICE DETACHMENT, BAGHDAD CENTRAL CORRECTIONAL FACILITY

(BCCF), ABU GHRAIB, IZ, THAT MR..

REPORTED HE WAS

1:7-74f-404

UNCLASSIFIED - FOR OFFICIAL USE ONLY
.3 6
DODDOACID-005079
UNCLASSIFIED - FOR OFFICIAL USE ONLY

ABUSED WHILE DETAINED AT THE 3 RD BRIGADE COMBAT TEAM (BCT)

DETENTION FACILITY, IZ.

PRELIM Y INVESTIGATION REVEALED PERSON(S) UNKNOWN ABUSED to16'04(si

MR..

BY PUNCHING HIM IN THE ABDOMEN AND SLAMMING HIM

AGA.

!OfWALL.

67C-01 4-'1‘

ON 26 JUN 04, MR.

11111 WAS INTERVIEWED WHEREIN HE STATED

HE WAS CAPTURED B.

FORCES, TAKEN TO A,PRESIDENTIAL

PALACE IN IZ, AND INTERROGATED. MRAIOSTATED DURING 676.-'.46-"

HIS INTERROGATION HE WAS STRUCK IN.

OMEN WITH A

CLOSED FIST BY ONE OF THE INTERROGATORS AND LATER SLAMMED

AGAINST A WALL WHILE BEING ESCORTED TO HIS ISOLATION CELL

BY THE SAME INTERROGATOR.

64.-3

ON 23 JUN 04, 1 LT (DR).

,CONDUCTED A.

MEDICAL SCREENING AND.6 7C--(6r 601
OF .'.UPON ARRIVAL TO
BCCF. 1LT.

ADVISED HE DID NOT.

SIGNS OF

INJURY..

6-7e.

EFFORTS ARE ON GOING TO LOCATE, FULLY IDENTIFY, AND

INTERVIEW THE UNKNOWN INDIVIDUAL(S) RESPONSIBLE FOR MR.
IIIIIIIIINTERROGATION AND ABUSE.

7G 66-
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 OZ,E'ECURITy CLEARANCES OF
PERSONS UNDER INVESTIGATION.

8.

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

UNCLASSIFIED - FOR OFFICIAL USE ONLY
Ji
DODDOACID-005080

7N0 UNCLASSIFIED - FOR OFFICIAL USE ONLY
DATE: 19 JUL 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, 78 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 - 0224-04-CID259-80258-
/5C2/5Y2E/5X1

DRAFTER :. 1.V

ma,N7

RELEASER: SA

1.
DATES/TIMES/LOCATIONS OF OCCURRENCES:

1. 20 JUN 2004/ 0001 HRS -20 JUN 2004/ 2400 HRS, 3RD
BRIGADE COMBAT TEAM DETAINMENT FACILITY, BAGHDAD, IZ

2.
DATE/TIME REPORTED: 19 JUL 2004, 0900 HRS

3.
INVESTIGATED BY: SA.• SA
SA.

; SA

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

2. (UNKNOWN); M; WHITE; (NFI)

[ASSAULT]

[CRUELTY AND MALTREATMENT] [CONSPIRACY]

6 e.--ite,6k 4(
VIC M ,
(TRIBAL NAME:
; CIV; NDRS.ISN UNKNOWN;
DATE OF CAPTURE 18 JUN 04; M; AGHDAD, IZ;(NFI) [ASSAULT
[CRUELTY AND MALTREATMENT] [CONSPIRACY]

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.

UNCLASSIFIED - FOR OFFICIAL USE ONLY .
3S
DODDOACID-005081
re;
UNCLASSIFIED - FOR OFFICIAL USE ONLY
THIS INVESTIGATION WAS INITIATED UPON RECEIPT OF MEMORANDUM
OF TRANSMITTAL (0087-04-CID789) FROM THE 75'

m MILITARY

POLICE DETACHMENT, BAGHDAD CENTRAL CORRECTIONAL FACILITY
(BCCF), ABU GHRAIB, IZ, THAT MR..

REPORTED HE WAS.

(7,7C- 54 ‘-'1
ABUSED WHILE DETAINED AT THE 3" BRIGADE COMBAT TEAM (BCT)
DETENTION FACILITY, IZ.

PRELIMINARY INVESTIGATION REVEALED PERSON(S) UNKNOWN ABUSED
MR. 41111011BY PUNCHING HIM IN THE ABDOMEN AND SLAMMING HIM t)z.-4 ki
AGAINST A WALL.

ON 26 JUN 04, MR. ells

WAS INTERVIEWED WHEREIN HE STATED
HE WAS CAPTURED BY US FORCES, TAKEN TO A PRESIDENTIAL
PALACE IN IZ, AND INTERROGATED.

MR.41011111 STATED DURING

HIS INTERROGATION HE WAS STRUCK IN THE ABDOMEN WITH A
CLOSED FIST BY ONE OF THE INTERROGATORS AND LATER SLAMMED

AGAINST A WALL WHILE BEING ESCORTED TO HIS ISOLATION CELL
BY THE SAME INTERROGATOR.

6.74.3/66' 3
ON 23 JUN 04, 1LT (DR)

CONDUCTED A

MEDICAL SCREENING AND PHYSICAL OF MR

UPON ARRIVAL TO 177 ef7-- "
BCCF. 1LT 4.110 ADVISED HE DID NOT

FIND ANY SIGNS OF

INJURY.

EFFORTS ARE ON GOING TO LOCATE, FULLY IDENTIFY, AND
INTERVIEW THE UNKNOWN INDIVIDUAL(S) RESPONSIBLE FOR MR.

(,74-64‘q

4111111111INTERROGATION AND ABUSE.

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.

UNCLASSIFIED - FOR OFFICIAL USE ONLY
DODDOACID-005082

SEQUENCE NUMBER
INVESTIGATIVE PLAN
0224-04-C1D259-80258
DATE OFFENSE SUBJECT! UNKNOWN ASSIGNED TO: 6 19 JUL 04 Assault VICTIM: UNKNOWN r
I
DATE NOTED PLANNED ACTIVITY DTE COMPiETED
19 JUL 04 Locate, Fully Identify and interview the interrogators 3
19 JUL 04 Locate 3'd BCT DIF 1 o'/
a. 1 27 ;7,,/ d
I 3 I 04 5.1A n 3 J.,/ 04

CONTACTS/PHONE NUMBERS INVESTIGATIVE STANDARDS ACTIVITY/PERSON PHONE NUMBER
VICTIMS INTERVIEWED 24 hours EYE WITNESSES INTERVIEWED 24 hours
EVIDENCE DEPOSITED 1 duty day LAB REQUESTS 5 duty days RFA'S SENT OUT 5 duty days MEANINGFUL INV ACTIVITY 10 duty days
RFA FOLLOW UP 15 duty days KNOWN SUBJ FINALS 15 duty days UNFOUNDED FINALS 15 duty daysUNKNOWN SUBJ FINALS 30 cal days
DODDOACID-005083

AGENTS ACTIVITY SUMMARY Control Number (CID Regulation 195-I)
0224-04-C1D259-80258
TIME, DATE, AND AGENT
SUMMARY OF INVESTIGATIVE ACITIVITY
We Jul 04
64, f
477 C-
alatN..... 19 Jul 04
NW c,-If 644
BFI: Received MOT from BCCF pertaining to possible abuse of a detainee.
14%-ti 604.1 Coordinated with SA at BN for location of 3rd BCT DIF, where Mr. 11111111.11was alleged y liked. Identified location in Green Zone with a POCP ialleamir Tel# 531.1. ; 7 3/ 64...3
Built case file, drafted initial, to SAC.
eatkoto:
Airteivei)
Gaiff;AAA Aki4c 01
2.
!,7 e.-( / 64-1
11110
*Iontki la Coniack Z vd gcr 2)Z-4?
74 coder/ 3rd acy./,,€ d 364-3
&(
6.044e CHINNJ

cci act‘4(c/
eveitcc...ck ;5-e J

-
4-1A s5
G. Co "/Oki Con c1 Coo o
dz 4-er ref r CS.

6 7d-16 6kr
me.¥ /7 ‘t"."-‘91 4:Vce-,
CID FORM 28 PREVIOUS EDITIONS
EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED
DODDOACID-005084

AGENTS ACTIVITY SUMMARY CONTROL NUMBER
(CID Regulation 195-1)
07 2 51--0 '"(.(-) Z 3 -P Fr; z
TIME, DATE, AND AGENT --/
(7-7e.-/ 6is, SUMMARY OF INVESTIGATIVE ACITIVITY
kt(5123 O.,1 0 (p-74^-4 644
rt 3 7,dt 4 -1
pc-4 644
A.36.1 7i( 0 I
26 3.4
Tu t 64 676-4 64 '
zce O.,I oq.
e-66‘ /
22 Tot_ aq
•k/J•-e ...Jo I .4.40
A7c-44, -fe.
L.Jc.-% (Az- r A-c./...--,
54 NM cop, 4 ..11.---"O 7 g"1 sr c-
ire,f-ay..‘es novu_ ekicie-1-_,/ 45c. r,
c-0
5)4 e eG A he e;•
nr
e, /77. 41-,
d C-4-c. rt ,P7 /¥
.
rr.

Dtict-ft--ed 5 6,(•.S.4
)014J_,
giu4b -57/CT uocti red Ad)) 4)19
oar
k ..vo 54c.

Dvo,t\. FoAc c ertsf:/Welt& Gtnec-iCiw
closee
Kiwi
940 6-7&,/ix6 , " 11/61g2-COriee c 4 :111 3-/ S,*(c cAe )54;14.02
c
Re-0
ttk. Cloot)
reqt.C4 9-ILs
Allow.hasTrto
•-- 3
CID FORM 28
PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED
DODDOACID-005085
Page(s)

0
0
Referred to
U.S. CENTRAL COM AN 7115 SOUTH UNDARY BLVD ATTN: C06-MACDILL AT F RCE ASE FLO DA 3-3621-5101 -
MS. JACQUELINE SCOTT scotti aicentcom.smil.mil
(813) 827-5341/2830
DODDOACID-005086

CID FORM 66

1. DATE 2. TIME RECEIVED 7. CASE NUMBER
0900
19 Jul 04 0224-04-C1D259-80258
3. OFFENSE Assault /Cruelty and Maltreatment/Conspiracy/ 8. ASSIGNED TO -4 6 '°'/
4. SUBJECT 111111 (79. TYPE0F ACTION
Unknownair.. . 1;7 6......4. , 6 4c...4„. . 10. GC
REPORTS
TYPE SUSPENSE COMP
6. CASE DESCRIPTION INI/SSI 20 Jul 04 /no,
Mr. vas possibly abused during an interrogation. 6 7 e- — 41 (5. -@.--11. OTHER ACTION 12. CID FUNDS C ix,-FV4) C )ko cae.70 L H A 06 DWOC.,, Reav L
ACTION RQRD COMPL DATE AMOUNT C40 1244POW.

1r0
DODDOACID-005087
DATA REQUIRED BY PRIVACY ACT
AUTHORITY'
TItle In. United States Code Section 301 7 (V ROUTINE USES: Your social security number and other personal information Are used as an additional/alternate means of identification to facilitate and retrieval.
PRINCIPAL PURPOSE: To provide commanders and law enforcement officials DISCLOSURE: Disclosure of your social security # is voluntary
means by which information may be accurately 'd

I Rec Code-2. Action Code: 3. Date: 6. Sequence # 7. Year: 8. Office 9. ROI # Offense:
15. Other ID Number:
30. Marital:
31. MOS: 32. Job Description/Location: 33. MC: 36. Spouse Military: Branch:
L Yes: . No:.

37. Alias/Nicknames: 38. Alias icknames: 39. Alias/Nicknames:
4 I . Unit Phone Pager:
S73 41•' 11
42. Mil ary Service: 43. Sub Unit: 47. Zip Code/APO:
45. State: 46. Country.
53. JUV: 54. Family Rel: 55. Last Name: 56. First Name: 57. Middle Name:
58. Social Security:
59. Grade/Rank: 60. MC: 61. Unit:
62. City:
63. State: 64. ZIP/APO: 65. Phone: Wk: Hm:
66. Offense Code -67. UFC: 68. Offense Code: 69. UFC: 70. Offense Code: 71. UFC: 72. Offense Code: 73. UFC:
Telephone: ETS:
PCS/DEROS: Date / Time Interview START: Date: Time:
Place or Intervie%,
Date / Time Interview END:
Date: Time:
Disposition:

17110:N:gle:.:AthaMA 4.
•••111,45Z4,074.. Ote... sk4. "
74. Category: 75. Type: 76. Recovered: 77. Value: 78. insurer: Policy: Year/Date Exp:
Yes: . No: .

81. Model: 82. Vehicle Style: 83. # of Doors. 84. Color: 85. Size:
86 V.I.N
88 State: 89. DOD Decal Number:
NOTES:
HOME OF RECORD STREET ADDRESS:
LAST HIV TEST:
CID FORM 44-R-E
DODDOACID-005088
111111111111111111111111111111111111111111111111111111111.111111111111

DATA REQUIREO13Y PRIVACY ACT
AUTHORITY Title 10. United States Code Section 3012 (g) ROUTINE USES: Your social security number and other personal information Are used as an additional/alternate means of identification to facilitate Battier/oval.
PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with DISCLOSURE: Disci .9 social security U is voluntary
means by which information may be accenttety Waddled.

I. Rec Code: 2. Action Code: 3. Date: 4. Rel to Case: 5. Coatml: 6. Sequ 8. Office 9. ROI I
Subject •

13. Grade/Rank: S
15. Other ID Number 19. B Zip:
ic: 23. Height: 24. Weight: ye' •o ,:'.. or Retard: 30. Marital:
tkA 3 •• 0.• .
3.),. MOS: 32. Job Description ocation: 33. MC: 34. Security Clr.

c, 7 ,tf r S
:rtt 9
38. Alias/Nicknames: icknames:37. Alias/Nicknames:
41. Unit Phone Number Home: ion e,
40. Unit/ Organization:
3 Cr.-- i4A T.:I? I Ih e4
42. Military Service: 43. Sub Unit: 44. Fort/City: 45. State: 46. Country: 47. Zip Code/APO:
•
51. Country:
48. Home
56. First Name: 57. Middle Name:53. JUV: 54. Family Rel: 55. Last Name:
58. Social Security: 59. Grade/Rank: 60. MC: 61. Unit:
63. State: 64. ZIP/APO: 65. Phone: Wk: Hm:
62. City:
69. UFC: 70. Offense Code: 71. UFC: 72. Offense Code: 73. UFC:66. Offense Code: 67. UFC: 68. Offense Code:
PCS/DEROS: Date / Time Interview START:Telephone:
Date: Time: Date / Time Interview END:Place of Interview:
Date: Time:
Disposition: 75. Type: 76. Recovered: 77. Value. 78. Insurer: Policy: Year/Date Exp:74. Category: Yes: . No: .
81. Model: 82. Vehicle Style: 83. N of Doors: 84. Color: 85. Size:79. Year: 80. Make:
87. License Plate: 88. State: 89. DOD Decal Number:
86 V.I.N:
NOTES:
LAST HIV TEST: CID FORM 44-R...Online version FHTX, 1999
• 1 2
DODDOACID-005089