CID Report: 0265-04-CID259-80296

v44,ftw;g04IONItiek lIED WHEN ATTACHMENT 6, 7, 21, 24;26, -28;30,( ND 37 ARE REMOVED LAW ENFORCEMENT` SENSITIVE • DEPARTMENT OF THE Ai2MY. UNITED STATES ARMY CRIMINAL INVESTIGATION COMMAND 11TR MILITARY POLICE BATTALION (CID) 4817 MILITARY POLICE DETACHMENT (CID) APO At 09342 - CIMPL-FC 20 Nov 2005 (U) MEMORANDUM FOR: SEE'ISTRIBUTION (U) SUBJECT; CID REPORT OF INVESTIGATION — FINAL REFERRED/ SSI 0265-04-CID259-80296- 5C2B/5Y2E/5T1 (U) DATES/TIMES/LOCATIONS OF OCCURRENCES: • 1.. 22 JUL.2003,1.600 — 6 AUG 2003, 24( VNPISM TeQgATJPN,D4-gaP4b.tP4-Q4 (U) DATE/TIME REPORTED: 12 AUG 2004, 16 INVESTIGATED SA S4 SA .S.4 .S4 SA (U) SUBJECT: 1. UNKNOWN; ASSAULT, CRUELTY AND MALTREATMENT, •COMMUNICATING A THREAT (NFI) (U) VICTIM: 1. CIV; IRAQI; ISN 13AGHDAD,. 1z; MALE; WHITE; ALKIN DIST. BAGHDAD AL HARETHIA, XZ; DATE OF CAPTURE: 22 JUL 2004; ASSAULT, CRUELTY AND MALTREATMENT, COMMUNICATING A THREAT. INVESTIGATIVE SUMMARY: 01111111110111111. UNCLASSIFIED WHEN ATTACHMENT 6, 7, 21, 24,26, 28,30, 31 AND 31 ARE REMOVED LAW ENFORCEMENT SENSITIVE DODDOACI D10909 'ID2 80296. LAW.ENFOR NT SENSITIVE (U) On 12 Aug 04, this investigation-was initiated upon Receipt of Information (RFI) received from Detainee Operations, Multi National Forces-Iraq (MNF-I), Camp Victory, E. Thiinformation indicated'IIIMINalleged he wasabused by members of ­ the Central Intelligence Agaiks, while being held for 16 days in a small room, at an unknown location. investigaticm determined all militarY personnel identified as being involved with . either the capture or subsequent interro ations of have been interviewed and denied abusing or_ seeing • bused. All availa le documentation obtained concerningell111111111111 capture, interrogations and medical records have been reviewed and no evidence of Abuse, Cruelty and Maltreatment or ComMunicating a Threat were found which supported allegations of abuSe. (U) STATUTES: Article 93, UCMJ: Cruelty and Maltreatment Article 128, UCMJ: Aggravated Assault Article 134, UCMJ: Communicating a Threat (U) EXHIBITS/SUBSTANTIATION: Attached: (U) 1. Agent's Investigation Report (AIR) of SA Aug 04, detailing the initial notification; obtaining copies of detainee file; coordination with 111¦111=M``and the interview of -¦•¦¦••=mlur (U) 2. Detainee file ofill11.110 (U) 3. AIR of SA 6 Aug 04 detailing the. basis for investigation' and the interviews of and (U) 4. AIR of SA 14 Sep 04, detailing the basis for investigation, the interview of MEM.collectionollecfion of medical records; collection of the detainee file of1111111111111'coordination with the 391 St Military Police (MP) Battalion (BN) LAW ENFORC DODDOACID10910 LAW ENFORCEMENT . SENSITIVE Detainee Property Section; and coordination with the 202" d Military Intelligence (MI) BN. (1J) 5. Detainee Personnel Report, 14 Aug 04, ofell11111111111 (U) 8. AIR of SA4111111. 19 Oct 04, detailingthe receipt of the Request for Assistance (RFA); and the interview of who provided a sworn statement. • (1-J) 0. Sworn Statement of 19 Oct 04, detailing the medical examination of •-AIR o.FSA 12 Nov 04 detailin coordina on with d interview (1.1) 1.1. AIR of SA 11 Jap etailing the interview_ of provided a sworn statement, 4nd coon illation with SA (U) 12. Sworn Statement of 13 Jan 05, wherein he related he was the NCOIC for the high value•detainee section at Camp Crop er,I1MMIIIIIr, was the liaison for the Iraq Survey Group (ISG), and was the NCOIC for processing and taking photos of the detainees. . (U) 13. AIR of SA , 20 Jan 05, detailing the interview of wz¦m. 'wherein he provided a sworn. statement (U) 14. Sworn Statement ofill11111.11t, 20 Jan 05, wherein he related he was in charge of processing for the night shift for the high value detainee section at Camp Cro ' from 25 Apr 03 to 8 Dec 03 did mot recall any injuries to (U) 15. AIR of SA 15 Apr 05, detailing a statement by MOM, along with an English translation, concerning his alleged abuse. (U) 16. Facility Request and Arabic Statement of1=11111=a, 28 Feb 05, wherein he w¦••=w, described his alleged abuse. (U) 17. English Language translation of Exhibit 16, not dated, unknown translator. DODDOACID10911 265- 1E1259-8 96 RCEME ' (U) 18. AIR .of SA 26 Apr 05, detailing the interview of wherein he provided a sworn statement. (U) 19. Sworn Statement of , 22 Apr 05, wherein he related'he was assigned to conduct interro ations on high value detainees and as.a liaison to the ISG at Camp Cropper: recognized the names of several eo le as working for Other Government Agencies (OGA). He.did not recall having any ' injuries, .10 May 05, detailing coordination with the CIA to interview which occurred on 28 Feb 05. 411111110111111 rel_ated he was abused and struck by different people; and receipt of the IntervieW RepOrt, 28 Feb 05, from the CIA. (U) 22. AIR of SAONE. 18. May 05,. detailing the waiver certificate and interview (wherein he provided a sworn statement: , 23.. Waiver Certificate and SWOrn Statement of 4 May 05, WhOrOm ated he was an interrogator assignedt o Camp Cro er during the time perid as transferred there, saw no signs ,,ofabUSe, and ,. „ . about'never complained to him about any abuse. (u) 25. Access Chits, 23 Feb 04 to 9 Jun 04. (U) 27. Typed letter from / to interrogator 1.111111, 21 Jul 04. - ID 29, Alk of SA 29 Aug 05, detailing the interview o DODDOACID10912 (U) 32. AIR of SA 8 Sep 05, detailing the interview of who provided a sworn statement, and information for111.1111. -(U) 33. Sworn Statement ofill1111111. 28 Sep 05, wherein he related he had been assigned to the Armed Forces Medical Intelligence Center (AFMIC) and deployed to Iraq from 19 Feb 03 to 24 ..T111 03.11111111111111110 *as on a team within the Chemical Biological Intelligence Support Team (CBIST), which was run by the Defense Intelligence Agency (DIA). His duties involved Sampling of suspected chemical and biological weapons and facilities. He did not have any information about 11111111.1.11 and was not aware of his capture. (U) 34. AIR of SA UMW Oct.05, -detailing coordination with SA:-""" erelli he T provided a sworn statement. (U) 35. Sworn 'Statement ofallin. 4 Oct 05, wherein he related hiswas assignedwith the DIA and deplo ed .to Iraq from 18 Feb , 03 to 8 Aug Oi MEM stated hedid interview a few times. never observed`'any abuse, or saw` any signs of abuse'to Not Attached: None. The originals of Exhibits 1, 3, 4, 6-15, 18-20, 22,..23, and 29-37 are forwarded with USACRC copy of this report. The originals of Exhibit 2, 16 and 17 are maintained in the detainee files of the Detainee Operations, Task Force 134, Camp Victory, Baghdad, IZ. The original of Exhibit 5 is maintained in the electronic database of the Biometric Automated Toolset System (BATS). The original of Exhibit 21 is maintained in the files of the CIA, Washington, D.C. The originals of Exhibit 24, 25 and 28 are maintained in the files of the ISG, Camp Cropper, Baghdad, IZ. The original of Exhibit 26 is maintained in the files of the 115 th MP BN, Camp Cropper, Baghdad, IZ. The original ofExhibit 27 is unknown. " DODDOACID10913 02 LAW ENFORCEMENT SENSITIVE STATUS: This is Final (C) Report. This investigation was terminated in accordance with CIDR 195-1, paragraph 4-17 (a) (9), in that all U.S. Military leads have been completed and any other possible subjects are members of a non-military government agency. Commander's report of action (DA Form 4833) is not required. Report Prepared By Report Approved By: Special Agent,1111111 Special Agent in Charge . DISTRIBUTION: . 1-bfi USACRC, Attn: C. RC-CR, 6010 6 Street..: VA2Y060 5 . 506 (original) (cid001cresc@sbelvoirdms.army.smil.mil) 1-THRU: Cdr; 11 th MP BN (CID) (FWD); APO AE 09342 iraq.centcom.smil.mil) .centcorn.smil.,ra):orr, 3ra MP Group, (CID), 4699 North 1st Street, Forest Park, Ga. 30297-51'1 forcei.ami .smil.mil) TO: Cdr, USACIDC, CID Current Operations, ATTN: CIOP-ZA, Fort Belvoir, VA 22060 (ciddcsopslsc(sbelvoirdms.army.smil.mil) 1-Chief, Investigative Operations Division fillIffira . arm .smitmil 01111111111asbelvoirdms.army.smil.mil) 1-DEPUTY CHIEF OF STAFF FOR OPERATIONS us.arrn .smil.mil1-PMO, MNC-L (XVIII Airborne Corps), ATTN: amp Victory,Baghdad a APO AE 09342 (email only) .centcom.smil.rail) aira .centcoth.smilmil) 1-0S.TA, MNC-I (XVIII Airborne Ccirps), Attn: Camp Victory,Baghdad, IZ APO AE 09342 (email only) lira .centcom.smil.mil) 1-CDR, DETAINEE OPERATIONS, ATTN: TF 134, MNF-I,-CampVictory, Baghdad, IZ .APO AE 09342 ^^b'aq.centcom smil mill - 1-Office of the Inspect& General, Central Intelligence Agency (CIA), Washington, D.C. 20505 I bi b 3 b 1-FILt LAW ENFORCEMENT SENSITIVE DODDOACID10914 FOR OFFICIAL USE ONLY 1.4W 00010MAIT AGENT'S INVESTIGATION BER: 00265-04-CID259-80296 CID RegulatiOn 195-1 PAGE .1 OF .4. PAGES DETAILS • About 1630, 12 Aug 04 SAC receiired infonnation from Detainee Operations,Camp. Victory, IZ. The information outlined an interview of which he alleged he was abusedwhile in custody of coalition forces. About 1230,13 Aug 04, SAC coordinated with Iraqi Survey Group (ISG), Defense Investigative Agency (I)IA), Camp Slayer, Ira , IZ and briefed her on the informatiori pertaining to this investigation. She related her husband, equested, she conduct and analysis ofthe information pertaining to this investigation.and provided it to this office. 41111111111111111 elated she should . have the inforrnation in approximately 2 hours. Between 1107, 14 Aug 04, SAC and. SA thiS. office, conducted-a-verbal - Ififfiretir611111111111115ifillift to his allegations of abuse. related that around 1600, 22 Jul 04, he•was getting read to taken...to the hair dresser when a Sports Utility Vehicle (SUV) pulled up in front of his home. He related the vehicle had approximately 5-6 passengelS, one ,bf which . was a female, aid , . ¦ , passenger asked him his name, which he respondocctO. He thepa§§enaer then said,„ note p„ re not the on re, looking for , and then drove away aid e them left to taken. to the hairdresser. He said it only took him about five minutes to gOand return. He said after :returning home there was .a knock at the door. ,11111.11.111111upOn opening the door, the same individuals thathad approached him prior to him leaving was at his door, He said subsequent to them entering his residence,they conducted a search. He said they talked about his work, and subsequently seized his computer, and someother documents he had in his possession. IIIIIIIIIIII.s aid while doing the search, they had him andel. it and one of the individuals, whom he identified as(NFD, stayed and watched him. NM, said after they completed the search they put him in the SUV and left. (See sketch for details) He related they did not blindfold hini at that time. IIIIII...related they drove approximately 14 kilometers. He said just before.they blindfolded him he saw an overpass. 11111111111111.1.said after being blind folded, andwhile being kept in what he believed to be a small room, he believed he was being held in the Baghdad Airport: area aid he was in this .place for the next 16 days. He related during his stay, he was abused24/7. He sai they made him stay on his knees for long periods of time; hold 2 liter bottles filled with water and rocks in various positions; kicked and punched him on his lower body; and slammed him against a wall. He said when he was allowed to rest, he had to lay on his back and hold his legs at a 90% angle in the air. He said he was force to stay awake the entire time and if he was not awake or if he did not do the "exercises” he was ' punched.and kicked and in one instance slapped.in the face with an open hand. He said during the stay, therewas always seemed to be two people in the room. 111111111111111related he knew to the name of two of the guards, as he recalled them using each other's name,1111Mand111111 He also recalled that for some reason they removed his blindfold temporary, at which time he identified as being a black male, He said at some point during the staY he sustained au lniurY to hi _er. rela.ted the TYPED AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION 78t-MP Det (CID) (FWD) Camp Victory, Iraq SIGNA EXHIBIT CID FORM 1 FES 77 DODDOACID10915 FOR OFFICIAL 1JS ONLY • tAW INPORI MRCP 1$111yE _Epo BER: AGENT'S. INVESTIGATIO . 00265-04-CID259-80296 CID Regulation 1954 PAGE 2 OF 4 PAGES* DETAILS ,.. medical doctors sus ected a possible heart attack lIllIllIllksaid he was transported to a hospital via airplane, , said the walk from the building to the plane was approximate two minutes: He related the plane triptook about one and one half to two hours. He said during the entire time he was blinded folder.He said once at the hospital he underwent an examination by Dr md had a CT scan and EKG.1M related the individuals who escorted him would not allow the doctor to examine the lower part OfM7 . body, especially his legs because they were swollen from being kicked and standing. 111111111111110 said during the examination the doctors were speaking English, ruled out the suspected heart attack, andhim with an unidentified type of 'steroid medication for his shoulder. elated on the 15th day he fainted and doses not remember anything after that point.. During this tithe he does know that someone picked him up and slammed him against a wall. He said this is when he saw' and filifia He said he recall hearing tell `,.*si..S.SOtttge.7... He said.thenext:thing,he- , ....iiirieinieliii -fliiiiiewa:s iigned into Cropper. stated the only injury he sustained from beingslammed into the wall had been a bump on the head and tooth pain, which lasted approximately one week. ,:. AGENT'S NOTE;„111111.1111.1111 still had the hospital wristhand that was put on liis:yvrist at th'foiii4 ..noi,,­treatment faCility,The bandvv6 nothing more than a piece of paper with the numb'ei 4'7006000:41 his ham()kilt: The nninheijand his hand written markings that would indleqt7,hatd,,_ , and, there were no '' treatment facilityti.alsoalso provided a copy of the DA Form 4137,,whic.h s owe a :eaied him. an WP chain of custody. The only legible name was Further, there was no information on the 4137 , indicating what unit prepared the document. (See exhibits for details) Additionally,..110. believed it related he beleved t was CIA who interviewed/interrogated ihm because at one . point during his initial m' terrogation he was able to see a:badge hanging around his interrogator's neck and it had CIA On it. 11111.11.10. related he could not recall why his blindfold was off but it was taken of briefly. "110111111111Provi ded the following as a description of his captures: 1. 4111111111male SEX: Male SKIN: • HAIR: • Note: Was the driver of the vehicle 1111.1111 SEX: Male HT: TYPED AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION 786 MP Det (CID) (FWD) Camp Victory, Iraq SIGNATURE DATE EXHIBIT If B CID FORM 94 i ES 7 ,yrjortruftliNsifivi DODDOACID10916 FOR OFFICIAL USE ONLY Ai Wil. 71111.MMAThirint ly,n IA pun AGENT'S INVESTIGA 00265-04-CID259780296 CID Regulation 1954 PAGE 3 OF 4 PAGES DETAILS WT: SKIN: EYES: HAIR: L Unknown:: SEX: Malo HT: WT: SK Combs hair to`side -Note: related he use to attend a meeting in Geneva inrefereneet013i0-logicatw,eapons,_ .§.0--a-daleiheie he th-niki' aj jri*adGIIIIIIIi He said he had seen this male approximately four times at the meeting. said the unknown male in question looked like SE HT: U WT: Unk SKIN:11111111 Note: Thinks he worked at Cropper at the time of incident. He 111111111111had a copy of a property voucher, which my have or OMB name on it. He knows this because after they searched his'residence , the searched allinlaresidence. said QM/ Ma went with him'to residence. He said is the one that returned his property to him while at Cropper. 1111111111) SEX: Fernale HT:1111111 WT: Unk SKIN:l HAIR: AGE: l Note. said he remembered coming to visit him during September,2003;as she was wearing summer clothing. He said was the one who checked his property during the search _ . of his residence. TYPED AGENT'S NAME AND SEQUENCE IIUMBER ORGANIZATION 78th MP Det (CID) (FWD) Camp Victory, Iraq EXHIBIT. CID 'F 1 FEB 77 DODDOACID10917 EXHIBIT(s) Page(s) / referred to hiAr, 4itkotte 6)(4 DODDOACID10918 FnR ()Priam. USE ONLY "6 °4 m4c1O 13sELIUNAigg2 9 6 ,EVIDENCE/PROPERTY C US tsWilifOREENIENT SENSITIVE •.CRD REPORT/CIDR01 NUMBER 90-45 and AR 195.S; the proponent agency is US Army Criminal Investigation Command LOCATION For use of this form sae AR 1: RECEIVING ACTIVITY DESCRIPTION OF ARTICLES NAME, GRADE AND TITLE OF PERSON FROM WHOM RECEIVED ADDRESS (include Zip Code) r"--" I OWNER • I LOTHER LOCATION FROM WHERE OBTAINED REASON OBTAINED TIME/DATE OBTAINED ITEM QUANTITY • (Include model, serial number, condit on and unusual marks or scratches) -- — NO __•- _•--• • ,z4.1/. 3x (•;, et/6 V r /6 • C.,.• 1.) CHAIN OF CUSTODY . ITEM • -DATE RELEASED BY RECEIVED Y PURPOSE OF CHANGE OF CUSTODY NO. • • • SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE • SIGNATURE SIGNATURE NAME, urtiZtiE OR TITLE NAME, GRADE OR TITLE USAPPC 111.00 DA FORM 4137, 1UL 76 DOCUMENT 7t• I 6 5 5DAS1/41 7,,Bm/q1C#7146FAL MSE ONLY .W EIFORCEMENT SENSITIVE EX14 13 .. DODDOACID10919 - CUL i L-L • L.`'........" %, W-, WI 1P A MPR ID SEQUENCE NUMBER ' • .EVIDENCETROPEh I f ERf'''°Offiffsrisnivi , For use of this form see AR 190-45 and AR 196-5; the proponent agency is US Army CRD REPORT/CID ROI NUMBER I Criminal IrivestlgatIon Command • RECEIVING ACTIVITY LOCATION • . . itfie //501 /IRA,/ _NAME, GRADE AND TITLE OF PERSON FROM WHOM RECEIVED . ADDRESS (Include Zip.del. , _ OWNER • 1.I OTHER &lin /79 er LOCATION FROM WHERE OBTAINED REASON OBTAINED IME/DATE OBTAINED' ITEM 'DESCRIPTION OF ARTICLES • 'QUANTITY NO, (Include model, serial number, condition and unusual marks or scratches) I / 1,4/le Zo.)(-4A. j..... . . 3 V AJ L.A.,/k. stir.. • 6/ / . if",,..-1, lx ,ds . S 1 . • I./We p.-,1 is / II . ... ,..._ , 7 Sal rv5 )-ften Lok • a., CHAIN OF CUSTODY ITEM • DATE RELEASED BY PURPOSE OF CHANGE NO. ' . OF CU TODY ' ••• b.'_ - _ ..51 -23) i . .-...+......¦••••• • .L . qod--. 03 .. ..• ___._. ,,,,,,,,,,i,,,,. ,;,........ P----' - ---- GRAT.t .... IT E-- 0 ecds_s- • _ r^J IVO). . .,__,_..;...4010111,Prair-.. . h...-, ,.. SIGNATURE ---­)...tc-KettTriE,gCApE OR TITLE A SIGNATURE . —I -3 .). . i `i -51-'1(- NAME; GRADE OR TITLE . NAME, GRADE OR TITLE SIGNATURE I SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE 4 DA FORM 4137. 1 JUL 761LR•ploilDA FORMTLIgtoMPTur8T.A T T TCIT, nITT :17L ''''''"— ' - — DOCUMENT LOCATION _L NUMBERL•• t',„ VP 17 ',,t !!`;,; 1L A . DODDOACID1 0920 • MPR/CID SEQUeNCE NUMBER I'M OPICIAL USE ONLY , i EVIDENCE/PROt, FY CUSTODY DOCUMENT • • t , For use of this form see AR 190.45 and ATAINAIMSEITHErmy CRD REPORT/CID ROI NUMBER , Criminal Investigation Command RECEIVING ACTIVITY, LOCATION 439th MP DET HVD • NAME, GRADE AND TITLE OI PERSON FROM WHOM RECEIVED. ADDRESS (Include Zip Code) OWNER ISO CAMP CROPPER Nil OTHER LOCATION FROM WHERE OBTAINED REASON 'OBTAINED • TIME/DATE OBTAINED 1300hrs. • DETAINEED 17 MAY 04 DESCRIPTION OF ARTICLESITEM QUANTITY ' NO, (Include model, serial number, condition and unusual marks or scratches) 1 1 Day Planner (black 2000) 11 - 1 - Pair of Pajammas (blue checked) . 2 1 Plastic cup (purple) 12 - 1 - Box of filzi filters (7) Bottle of colonge (paco rabanne) 13 - 1 - Shirt (green) 4 1 Box of menthol lozenges (ribas 24tabs) 14 - 1 - Box of tissue '-'"' ' " • "'''-' ' 1 Etif of SOili Oa rose 15 - 1 - Set of white prayer beads Tube shaving cream (arko) • 16 - 1 - Pair of glasses (yellow frame), Small mirror (blue) 17 - 5 -- Deshdasha (a-2white,b-grey,c -tan, d- green) . 8 2 Rators (yellow) 18 - 2 - White boxers 9 1 Track Suit (grey figo 2008) 19 - 1 - White tank top 10 1 Trouser (tan) CHAIN OF CUSTODY ITEM PURPOSE OF CHANGE DATE RELEASED BY RECEIV' 11 BY NO. • OF CUSTODY SIGNATURE SIGNA Items 1-19 stored irfrip 1-19 17MAY04 NAME, GRADE OR TITLE NAM , 'AD: OR TI property. ISG SIGNATURE • SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE 4iiii Fled" DA FA.14.1L USAPPC VI 00 DA FORM 4137, 1 JUL 76L1 rdr Trir run. AT A DOCUMENT 26 NUMBER • EXHIBIT__ attaii*Akttiitntikl.•• • DODDOACID10921 Al • IN Al . .• •• • ' . MPR/CID SEQUENCE NUMBER EVIDENCE/PROPER . USTOIDanymENT sENsrnvE - For use of this form see AR 190-45 and AR 195 .-5; the proponent apenay is US Army CRD REPORT/CID ROI NUMBER Criminal Investigation Command RECEIVING ACTIVITY LOCATION NAME, GRADE AND TITLE OF PERSON FROM WHOM RECEIVED ADDRESS ,aic/ude Zip. Code) OWNER niOTHER sr LOCATION FROM WHERE OBTAINED REASON OBTAINED TIME/DATE OBTAINED ITEM DESCRIPTION OF ARTICLES NO. //1 QUANTITY (Include model, serial number,' c'ondiron and unusual marks or scratches) c• e- IS r 054 Al /(1 'CHAIN OF CUSTODY ITEM DATE : RELEASED BY PURPOSE OF CHANGENO. OF CUSTODY pfuo -t .f4" AME, GRADE OR TITLE 71-t) e4,.. IPM130rA7rMr7r1"6-' ytr, 1 NAM DA FORM 4137, 1 JUL 76 Replioes DA FORM 4137, 1 Aug 74 and USAPPC V 1.00 D6A F 0 R2M6whichfl.LI OFECIALISElacy DOCUMENT • NUMRER tX.Hi O 7 LAW ENFORCEMENT. SENSITIVE • DODDOACI D10922 FOR OFFICIAL USE ONLY LAW ENFORCEMEMM (Continued) ITEM DATE RELEASED BY -2 IVED BY PURPOSE OF CHANGE . NO. • OF CUSTODY .. la Feb Tis iro ftr ;kAq C...T.F .. • . • ••,,, ••• • • 4i4yiir4, 1 ..,,,,I,k , -. effo -ocfc, . , , .-NATURE. NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE.OR TITLE , SIGNATURE SIGNATURE NAME; GRADE OR TITLE ' NAME GRADE OR TITLE .. ,. . . • -'—' ,. ,, ...., , • SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME; GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE DR TITLE • FINAL DISPOSAL ACTION RELEASE TO OWNER OR OTHER (Name/Unit{ . DESTROY OTHER (Specify( . FINAL DISPOSAL AUTHORITY ON THIS DOCUMENT, PERTAINING TO THE INVESTIGATION INVOLVINGITEMIS) • (Grade) • (IS) (ARE) NO LONGER (Organization)(Name) ((f artiole(s) must be retained, do not sign; but explain in separate correspondence.) REOUIRED AS EVIDENCE AND MAY BE DISPOSED OF AS INDICATED ABOVE. (Typed/Printed Name, Grade, Title) (Signature) (Date) WITNESS TO DESTRUCTION OF EVIDENCE THE ARTICLES) LISTED AT ITEM NUMBERIS) (WAS) (WERE) DESTROYED BY THE EVIDENCE CUSTODIAN, IN MY PRESENCE, ON THE DATE INDICATED ABOVE. . (Typed/Printed Name, Organization) (Signature) 111 Aar TPP` oo FOR OFFICIAL USE ONLY rvg t LAW ENFORCEMENT SENSITIVE — — ___---¦•¦11111¦11¦ DODDOACID10923 ruic urriulAL USE ONLY LAW ENFORCEMENT SENSITIVE • T 'MPR/CID SE-ITTENCE NUMBER. ' ' s: EVIDENCE/PROPERTY CUSTODY DOCUMENT.• ;, , . ' ' J • • 1 ;i ' • ; 'y ' -: • ' . ... '' For use of chid formi eee: AR 1 . 90-45 andARABS:8; the proponent agency is',LIS.Army I. ¦ . . 919 RVORT/cie,R01 NUMra----------. . . .. Crirninal4Investigation Common!! . . I . RECEIVING ACTIVITY. . . . LOCATION rigq `MP 8/0 ' - I-/VD . NAME, GRADE AND TITLE OF PERSON PRO M WHOM RECEIVED ADDRESS (Include Zip Code) . ._ ___.. OWNER a rag . .7 OTHER • I. LOCATION FROM WHERE OBTAINED • .,.. ., ..............._.._.. REASON OBTAINED i TIME/DATE OBTAINED . D e4cxin cd . ITEM DESCRIPTION OF ARTICLES ' .CNANTITY • NO. (Include model, serial n 'tuber, condition and unusual marks or scratches) •. _ _____._._. 1----1 bci. h -row e 1 bcouvl pcati ex b-ea.C15 — ' r 5fie61- Lo I ivl pt lbw citt e, 1-1 3 pair soc ic..5 • s i pair 9rti.i sonde 15 CACcALA SL)(04 Su (.1 ro4D 4 bo-Hohi n r-19 FollaJS Cf-AIN OF CUSTODY . . . - • ITEM DATE RELEASED BY RECEIVED BY PURPOSE OF CHANGE NO. OF O CUSTODY . • • .• I It JA -11-+N 0 ,A/iv 1 fl e -10 5e-d ``.4-1 D (4 a e -§raTifeirrE ; — . ¦ . NAME. GRADE OR TITLE . NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME. GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE i SIGNATURE Ni'VE. GRAD: DP TITLE NAME. GRADE OR TITLE • f:oGNATURE FO,ROFFICLALL USE ONLY NAME, GRAD LAWIDTRataTTRISITIVE DODDOACI D10924 PUR OFFICIAL USE ONLY ¦•••••¦•, LAW ENRACaragNSITIVE MPR/CID SEQUENCE NUMBER EVIDENCE/PROPERTY CUSTODY For use of this form see AR 190-45 and AR 195-5; the proponent agency is US Army Criminal Investigation Command CRD REPORT/CID ROI NUMBER • RECEIVING ACTIVITY LOCATION HVD 439th -MP DET NAME, GRADE AND TITLE OF PERSON FROM WHOM RECEIVED. ADDRESS (Include Zip Code) n Red Cross OWNER IRAQ [E] OTHER GM. LOCATION FROM WHERE OBTAINED • REASON OBTAINED TIME/DATE OBTAINED Detained 1300hrs. 18 FEB 04 ITEM QUANTITY DESCRIPTION OF ARTICLESNO. (Include model, serial number, condition and unusual marks or scratches) 1 Bag of mixed nuts Block of Dates Bag of pastires Ng of v0'111114 5 Bag of Diva candy Bag of Figs CHAIN OF CUSTODY ITEM DATE RELEASED BY NO. RECEIVED BY PURPOSE OF CHANGE OF CUSTODY Items1-5 Released SIM SIG 11111111111111r 1-6 19FEB04 NAME, GRADEOR TITLE. 1111111 SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE DA FORM 4137, 1 JUL 76 R ces (O 1 D 2 RM p 7 7-R Pri hick are atement KNENTSENSITIVE DOCUMENT ' NUMBER ' L/SAPPC V1.00 Far. 3(/ DODDOACI D10925 L--EQUEEICIAUSEZLY---­ ) MPR/CID SEQUENCE NUMBER EVIIDENCE/PROPL YL ''t iRCEMPSENRTNE For use of this form see AR 190-45 and AR 195-5; the prOponent agency is US Army CRD REPORT/CID ROI NUMBER Criminal Investigation Command RECEIVING ACTIVITY LOCATIOR 439th MP DET. HVD NAME, GRADE AND TITLE OF PERSON FROM WHOM RECEIVED ADDRESS (Include Zip Code) (') OWNER RED CROSS DELIVERY IRAQ 23 OTHER NM LOCATION FROM WHERE OBTAINED REASON OBTAINED. RED CROSS. REI4iiisiDELIVERY FO TIME/DATE OBTAINED 1200hrs. 13 JUNE 04 ITEM NO. QUANTITY DESCRIPTION OF ARTICLES 1 1 Bag of Mixed'Nuts (Include mods; serial number, condition dad unusual marks or scratches) Bag of Nuts 3 Bag of Assorted Candies 2 Bag of Assorted Baked Goods Deshdasha (green) CHAIN OF CUSTODY ITEM DATE RELEA • BY NO. RECEIVED BY PURPOSE OF CHANGE OF CUSTODY SI 14JUNO4 Items 1-4 Returned to 11111 NAME G D OR TLE 14JUN04 NAME, GRADE OR TITLE Items 5 Stored in NAME, GRADE TITLE Property SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE SIGNATURE SIGNATURE NAME, GRADE OR TITLE NAME, GRADE OR TITLE FOR OF FICIAL USE ONLY DA FORM 4137, 1 JUL 76 Replaces DA FORM 4137, 1 Attp24_truL FORM 4137.R • APPC 1/1.00 ep 75 icLtWOWEMpT SENSITNE Dp,q4IMERT, L ATIO 11 4, ••, DODDOACI D10926 EXHIBIT(s) Page(s) Lreferred to d COYI 4404.wk, DODDOACI D10927 ma vitICIAL U5E ONLY UAW ENFORCE ENT !Lan ROW NUMBER AGENTS INVESTIGATION REPORT 0206-04-CID222- CID Regulation 195-1 PAGE 1 OF 1 PAGES DETAILS n 24 Aug 04, this office received CAT 1 Request for Assistance (RFA) from 78th MP Detachment CID) (FWD), Baghdad, Iraq, to interview wilimmommilimem......p 58 th Troop ommand, Reisterstown, MD 24136 and filiMilinaMaingaim115 TH Military Police Battalion, Laurel, MD, regarding detainee abuse in Iraq. It was requested this office determine th s had any knowledge concerning the abuse alleged by aNIIMIN t 0740, 26 Aug nterviewed 411111111111111110concerning the incident underinvestigation. elated between Apr-Nov 03, his unit was assigned to Campropper Confinement Facility (CCCF), Camp Cropper, Ira stated he recalledne (1) in to h s nce w ere he was working with where the took roperty from a maleIraqi detainee, but he could not recall the individual's name said there was a lot iV f..PIPMfly..ty,took,from,the.,detainee whic ith -a-, ekey-reoorded ,on DA Form '413g- =Evid ante/Property ustody Document) and subsequently released to the S-1/S-4. explained he wasn the Int I ' fficer for his Battalion. Accaiding to he worked closely withspelling), 202nd Military Intelligence Corn Camp .Cropper,Ara , re ardingccess to detainees for the purpose of interviewing. related. ould inform him who was allowed access to the detainee's and he Nould..then allow hat partiailar person access. stated he did have cOntactWitha-few individualsho said t from another government agency, that were allowed access.to the detainee's. aid he could not identify any of these individuals. ex rained e could not provide a roster of personnel assigned to the CCCF. According to he did know anyone by the name of 61111." or t 1645, 26 Au 04 SA interviewed , concerning the incident underinvestigation. related between Apr-1 Dec 03, while he was in Iraq, he was assignedo the CCCF. stated was his Officer in Charge, but he neverorked with him processin detainees. said he did not recall processing a detaineey the name o explained he often took property from detainees,hich he recorded on a DA Form 4137. According to it was not uncommon for the etainee's to complain about bein abused, but he never saw any indications any detainee's that he aw were in fact abused related if his name was on a DA Form 4137 stating he took prose from then he probably did, but he just did not recall it. According to he did know anyone by the name of IIIIIII.orellinllIllk o ST ENTRY/// TYPED AGENT'S NAME AND SEQUENCE ORGANIZATION SA 12th Military Police Detachment (CID), 3 rd MilitaryPolice Group (CID), Ft Eustis, VA 23604 DATE EXHIBIT 26 Aug 04 3 CID FORM 94 FOR FV11 1 FES 77 LcilEYONLY WY EIRE MENt SENN DODDOACIU10928 INVK urrium Ubt OLT I Pit ENKE MENI SEINE) ROI NUMBER AGENT'S INVESTIGATION REPORT 0265-04-CID259-80296/0087-04-C1D241 • CID Regulation . PAGE 1 OF 1 PAGES DETAILS About 1005, 7 Sep 04, this office received a Request for Assistance (RFA) from the 22d Military Police (MP) Battalion ( . Bn) (CID) (FWD), 3d MP Group (CID), Detainee Abuse Task Force, Baghdad, Iraq, APO AP 09342. The RFA requested this office locate and.interview alma A Company (Co), Walter Reed Arhy Medical Center (WRAMC), Washington, DC 20307 in an attempt to provide detailed information regarding the medical treatment received by Enemy Prisoner of War. who reported he was abused by members of the Central Intelligence Agency (CIA). , Between 1445-1525, 14 Sep 04, SA MUM interviewed 4.11.1111111. who stated he did not recall examining EPW1111.11111 - conductedA.sparch.of.a pex4onal­ - databaBeand - determlnedEPW - - was transported from Abu Ghraib Prison, Iraq and admitted to the 28 Combat Support Hospital (CSH) at 1840, 17. Oct 03. .011.1111. stated EPW 411111111111110 was discharged on 21 Oct 03 and sentbaok-to,Abu 'Ghraib Prison, Iraq. 411111111111 stated EPW. eft ' was lj_sted,as in the personall database of patients and a number:1MM for. 28th dsH EPW database. 41111111111.111111believed ' was initially seen at another hospital because the EPW number' did not match' the number. listed on the SF 5349 and SF 600. 41111111111111 did not have any recollection of which organization transported him to the hospital or if he was wearing a hood. INEW/1111. stated on occasione.111011111111111111110 assisted him at the hospital when he was assigned to the 28th CSH, Baghdad, Iraq. 4111111111111stated he was assigned to the 28th . CSH, Baghdad, Iraq during his entire tour in Iraq and did not assist at any other hospital in Iraq. Additionally, Dr 41111111possibly worked at Camp Dogwood, Baghdad, Iraq. d111111111111 did not recognize the signatures on the Standard Form (SF) 539 and SF 600 and he stated/11111110 did not author them. 4111111111111111 another. stated illIONFI) possibly used his lo on to submit the lab request because he did not recognize it. did not know stated the 28th CSH did not produce the hospital wristband worn by -EPW 41111111111 11111111111. could not provide any additional information due to him providing medical attention to over 1,000 patients during his tour in . Iraq.//LAST ENTRY// TYPED AGE ' BE ORGANIZATION SA Walter Reed BO (CID); 3d MP GroUp, USACIDC, • SIGNA 6900 Gear. la Avenue, NW, Washin•ton, DC 20307 • DATE EXHIBIT . • 14 Sep 04 • • CID FORM 94 Ss' OFFICIALUFFNVIRIAL USE ONLY 1 FEB 77 kjpg g•¦ id ENFORCE MENS SiNSITIVE DODDOACI D10929 EXHIBIT(s)LCe Page(s)L referred to @j 4 Cd rN ( ' DODDOACI D10930 VL:::, 11114,1114111111,7 04 C10259-80296 ROI NUMBER AGENT'S INVESTIGATION REPORT - - 019904CID044 -.2592CID Regulation 195-1 • PAGE 1 OF 1 - PAGES •DETAILS About 0800, 19 Oct 04, this office received a Category I Request for Assistance (RFA) from the 3rd Military Police Group cm Detainee Abuse Task Force, Baghdad, Iraq, APO AE 09342, to locate, fully identify, and interview 32nd Weapons of Mass Destruction (CST), Pikesville, MD 21208, of his knowledge regarding the nature of the injuries to Interment Serial Number (ISN.111111111111111.11Baghdad, Iraq (IZ) and a description of his captors. About 1735 19 Oct 04 SAaanterviewed41111111111111111w $ — ho provided a sworn statement stating hetreated or double vision and asthma management. 111.11111111. stated he never saw..aptors. (See sworn statement for details) STATUS: This investigation is closed in the files of this office. All requested investigative activity has been completed./////////////////////////0//////////////////////////Last TYPED AGENTS NAME AND SEQUENCE NUMBER ORGANIZATION SA Sam Houston•Resident Agency orredrixas 78234 EXHIBIT CIDNORM 94 1 FEB77 C-AIL L w Enforcement Sens DODDOACID10931 LOC DATE • LAST NAME, FIRST NAME, MIDDLE NAME Oc 5.5 SOCIAL SECURITY NUMBER liter. al S . •111A"' bes4tc.c & csr p/11N 21z or -• aNAL -L - a.-1.-12- . ,4 s L.•. 0. -a._.-, -A...to .4.-. or. _ EXHIBIT ADDITIONAL PAGES MUST CONTAIN THE HEADING "STATEMENT OF TAKEN AT DATED . CONTINUED." THE BOTTOM OF EACH ADDI ONAL AGE ST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE 0 EN ADDITIONAL PAGES ARE UTILIZED, THE BACK OF PAGE 1 WILL BE LINED OUT AND THE STATE LUDED ON THE REVERSE SIDE OFANOTHER COPY OF THIS FORM. DA FORM 2823 EfEREoppfefE8NVNISHICH WILL BE USED. - • C i;t JUL 72 . LAW ENFORCEMENT SENSITIVE Exivibit 9 DODDOACI D10932 E BEE?: ' ••••-•."-- 7 STATEMENT 0 --T"71ZER77773-5-DAT' ". .NU Oct 6 CONTINUED: STATEMENT (Continued) AFFIDAVIT VE READ 0 HAVE.HAD READ TO MET IS STATEMENT WHICH BEGINS ON PAGE AND ENDS ON PAGE L. *I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME THE STATEMENT IS TRUE I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE CONTAINING THE • STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT. . .L.L.L. WITNESSES: Subscribed and sworn to before me, a person authorized by law to administer oaths, this) rlday 044444rL20 at Best IVistem 611•144 JUN., tiat ORGANIZATION OR ADDRESS ministenng ath) (Typed Name of Person Administering Oath) ORGANIZATION OR ADDRESS Af4icie )3C,Q(Z1) 14cM (Authority To Administer Oaths) INITIALS OF PERSON MA PAGE Z OFLPAGES 41 FOR OFFICIAL USE ONLY AW ENFORCEMENT SENSITIVE Exhibit 1 DODDOACI D10933 • aw Enforcement Sensitive AGENT'S INVESTIG.M.A.ON REPORTh0265-04-CID259-80296 CID Regulation 195-1hPage 1 of 4 • About 1400,6 Oct 04, the undersigned and SA this office, coordinated with 118th Area Support Medical Battalion (ASMB), Camp.Cropper, Iraq (IZ), and conducted a records query concerning the signature on the bottom of .111.111111111 medical files. • the signature with compared the time and , other medical files of the same time and posib1y determined the signature to began. or was unfamiliar With the physician with that last name but believed the physician may have been a member of a North Dakota National Guard Unit; B Company, 109th ASMB. related MOM (NFI) and or (NFI) may be a) • 11111 to provide additional information, as he believed they had been assigned to. the 109th ASMB. . At. 1702T-6-Oct-04-, the-Undertl-hed-Oblitabted- work phone number: 215-4530M who related he did work at Camp Cropper; IZ, while deployed to IZ and did know allillk Dr ump related he would provide the requested identification information. via Email.. . • . At 1420, 2 Dec 04, the undersigned coordinated' with 1.11.111.11, 011111111111111.16 439 th MP Det, Camp'Cropper, Baghdad, IZ, who conducted a query of their computer records which indicated ad been captured by the Iraqi Survey Group (ISG), alp related there was not a point of contact Concerning capture and additional information could not be found as documentation had been poor and files had been lost or destroyed prior to his unit arriving to Camp CrOpper. Agent's comment: In an unrelated investigation, 0312-04-CID259- Mlle on 28 Oct 04, the undersigned and SA this office, met with ISG, Camp I Slayer, IZ and ISG, Camp Slayer, IZ, who related the ISG does not pick up or transport detainees, but only provides intelligence that leads to their capture and later conducts interrogations. _ SA 111.1.1011.111.11. 78th MP DET Forward (CID) Special Agent, ..IhBaghdad, Iraq APO AE 09342 Date: 11 Jan 05 Exhibit: LAW ENFORCEMENT SENSITIVE CID Form 94hFOR 'OFFICIAL USE ONLY lo 21,14°14-. DODDOACI D10934