CID Report (Death): 0009-04-CID679-83486

. ,. , • . : .
,, SUSPEN$E DATE Onii14,10)
coivimiMpfp REpOnj o(oiscIptinykOy op AppliNisTRApvE Acnont'
-Ftle. use of Oils' fort, see AR 100* thelitepOrieet ageOey is Office Of the PO;Wost MerChal. Deiteral

. ., .. . .. , .. ,. , , , : .,. .: :, , ... .,, „, .,. „,,._ .. -.1:-.)0565o$ . . pRiVel.CY ACT STATNIENT, .. _.
..... .. ........ _. .. . .. .. . . . ,„. -. :... • - • ..„. . ..r . . . , _ , . , • .

At.ITHROITY; Title: 1 p use $.00,1,00 301; Title 5 USC Section 2951; t.Q. 9397 dated Ntixiertiber 22, 1943 ($SN);
' •
pfittiOIPAL PURPOSE.: TP• PrOvicle COnitnandet* alICI laW. etifOrCeinetit of.O0le.li uVitti• rneart.s PI% whItb itiformetitin itt4y be etcLirete1Y itletiOfied: FIOUTINE USES.t „. .. YOtir social settiritY ntsrnber IS ti4eci 4 an adOltionaValternate inegnt Of identification to facilitate filing:and retrievaL • ,.
. . _ ..
'DIS61.05tiht:', . ' ' Disclostite of yOut socia sectitity.titinibet. it VOIttntary. 'I ..' TERI.; ' 2. TO.,'.'..... , . . . 3, FROM. -•
SpeCial Aient in chArgo cop:4'6;16:1er ,
87th lyi.P Dot (A)3N)(C1p): . 1/5th Special r(titCe$•Oitititi .
Fort Oragg,.Ne 2.85.10E .• Fort.covbpil, Icy 42.225:
-
, , .
-
4. . u$Acke coNTRoL NumBp?...-. :. 5, MP REPORT NUMBER, • 6. suti-INsTALkATIoN IpplTIFIEg
. 7. ' : ...., , ,-. ..• ..: • • .•••:- •
' . •0.009-04-CID679-83486:. - ", ..'.... •
_ • . - • ......
The .firit Lientenant, Colonel In the Chain pf Centimarid is responsible end'acCeinfitable for. cOMpledng DA FOriti 4833 With Support dOmententetion (copiet of Artitie I it, _
CoUrt-Marlial ordert, reprirnand$, etc) for ell USACIDC Invettigetlons. The unit and brigade coniniandet orthelr Equiyelent will also recelve a cOjey of the DA Forto 4833 for
, , . • . • . .: . ,... 2 . . . . . •.. • . . .. .... . •

all USACIDc inVestigaeions.:: ',. . • ' , ,', • '•. ' ' ' : • : .-- ••-• , ' . .. • ,•• , : ., ., . . .• • .'•:. . • •: . . . ' ,' : •.'•• , : , . • • :: ,• • ". • • - ' ' •
Corepariy,..ttoOp, and battery lOtel cOkintendete ei-e eisIaiaOhle ORO etOtitintable fOt COMpIotieg.bA fonri 483S with SOOportirig.cloCiotteetrathiit le alicases Inyestlgeted v .
MPI,, Civilian detectives employed by Me Department Of theArainy, end the PMp., Accurete and complete, DA4833 disposMon rePorn are requireri to meet inctelletion, ..
Othifierid, I-IQDA„ DQD, ood federelAetutory repornevegterepeets, The data Is.used to identify crime trends, esteblish command programs in- few enforcement end other
activities; and ne ensure that resoiirceS ere 'Made available to support commanders. who must address Issues of soldier andlamily member inditclpline.'i : .
, . :.,:. ,.. .•. .. .. • : „ • , • . •• .. • .. , • .., . , • . .. . • _ ... ..• „.. , .,•, • . . • , , ... , ::, . . .:•• : : : • . •
hi cotirt-thartialcaset, i cianiiictiott of an offenie at COoronertiel.May 'be fOr a cliffeeeht, Or lesser.inCluded offense. List die offenSe fOr. Which Me Individnal inras CbtilActed t
coort-rnartiel in Me toefork$ sciit,in. • , . .,_ . • .-•.. , _ . — . , ' ' • . , . - " '
.. , ,. ,„ . , .,..,, .,, _ ..,..... . ,_. -... . . . . _ , , . -,
aioqc 5. provost MarShaii Mint enter the MIlltary PoRce Report number fO.raii caSes referred tO cOnintanderS.

. .., , . • . ,„ . . ,...„ .. .. .• ...,,:. „ ,:. .. , , . .., ., .
BlOck•O: Thii hicicic. h USed to enter repOrt humber froiti e c11:411ae IaW enfOrceme.nt agency iitiliCe rePort. Other hitormatiOn cin the. cIVIllie IeW epfOrCeritent agency (e.g,
.0ylliao law ettforceirteyt agency ackitess) irtioy he entered In the reinerkS Section,: ' ' : 7.,.. NAJAF of suBjEcT gaii; Fiat Mg -:. 8, GRADE , 9. SSW , . . _ . 10. DATE oF BIRTH YYYYMIIDD)
', SFQ •
MOM
:„ , , , , ..... ,,,..
. .:.i: ..•
. 1 le. tifFN5Fit) ' I lh. DATE OF OFFENSE(s) 11e. ACTION TAKE,N. •11d. IF NO ACTION TAKEN, EXPLAIN:
graMIYIDD)
.. ,
, YES NO k ,7,1,
FalSp Offidial StAt. enient . 1120040.104 . ..5-e Q,-(-1-4cc t.'it ( f?e,ce.,,
. ... .... , .. . ix]. t, i
YES NO
p-' 20040106
Aggroa.t.p4, Asgaolt :: . .
o:t .
YE5 . -bIll 01
conSpitnCy. Y 20040109 , 12, ACTION TAlepv (check all that .appIy) "'Subject Was adViSed ;hot althOugh no actiOn Wat taken, the rentirt Wouldhe retained in Anny rectirds and that ruttiest; fel. amendment, correctiOn, Or exnungemerit May be sybmitted IAW AR 190-45.10PRegorts) or A1.1.19.5:2 (CID RePor14 • 0 . a, NON-ADVERSE PERSONNEL ACTION REFERRAL: , ' ' ' ''''''''''. REFERRED TO (Check aripropriate blocks) • DATE REFERRED (YYYYMMOD1 DATE RESPONOED (111111,1100)
= FAMILY ADVOCACY
D F.. DRUG/ALCOHOL ABUSE
S =• SPECIAL REFERRAL
E = EQUAL OPPORTUNITY
L = LEGAL OFFICE
M =. MENTAL HEALTH
R .7.; RELIEF AGENCY

P. ADVERSE PERSONNEL ACTION: . •
. REPRIMAND OR.AL WRITTEN

• FILED: A • LOCALLY OMPF
.
LETTER OF CONCERN/COUNSELING .A:
AADVERSE OER/NCOER COMMENT '
SRELIEF FOR CAUSE Q.ER/NCOER. .

SSUSPENDED:SECURITY. 4EARANOTHER. ADVERSE ACTION REGARDING SECURITY CLEARANCE
T:CE Olk
ADISCHARGE PURSUANT To .A,g -55-200 (ENLISTED)/AR.600-0-24 (OFFICER
. .
RegulatiOn Chapter . . . Characterization Dlichatge. Date
c. NONJUDICIAL PUNISHMENT (Article 15, 11CMJ1 (ATTACH-COPY OF AliTICLE 1 if1 .
SUMMARIZED • , . FIELD GRADE PQMC.A I,rAP 05E0

•
. COMPANY GRADE - • GENERAL OFFICER IMPOSED
d. •JUDICIAL (if-subject was tried by conrtrnertial attCch a copir ofthe coert-mortial Wergiving Maws end ientences.)
. . .
. SUMMARY COURT MARTIAL • eg,NBRAL COLIRT-MARTIAL 023'703
_
SPECIAL COURTMARTIAL . . ' CIVILIAN OR MAGISTRATE. CRIMINAL COURT
DA FORM 4833, JUN 2004. DA FORM 4833, Dec 1998, IS OBSOLETE Page 1 of 2

APD V1.00
IA on
"f
1j. JURA-1AL FINDINGS. GUILTY „
DISMISSED NOT GUILTY OTHER (Foe example, guilty of a lesser included offense. Explain in Reitarks.)
14. RESULTANT SENTENCES, PUNISHMENTS, OR ADMINISTRATIVE ACTIOW
a.
REPRIMAND Sb. ADMONITIOSNR (1, . IT (2) IN WRITING

t.
DETENTION Sd. FORFEITURE Se. FINED $S- ISMONTHS
f REDUCED FROMSTO. Srig. EXTRA DUTY FOR SDAYS r7h. RESTRICTED FOR SDAYS '

I.
CORRECTIONAL CUSTOPY FOR , SDAYS , • riJ. CONFINED SYEARSSMONTHS

k.
SEPARATION: ' riPUNITIVE DISCHARGE riOTHER '

..
, Type .S,_ ' ,SChapter:S.S..SCharacterization: . Effective Date: n I. OTHER (For example; suspension of driving privileges. Explain in Remarks.).
16a. TYPED NAME AND GRADE OF COMMANDING OFFICER
LT C
16c. DATE OF REPORT (YYYYMMDD)
gooS 06 19
16d. AKO ACCOUNT E-MAIL ADD
DA FSJUN 2004 Page 2 of 2
APD V1.00
00 002

...,.....,.,,.., , . . ..
st..rspEN.sg .D.t.,Ta.- orrili.mopi-
. -CoN.IMAN.D.E.Ir$ REpORT OF. DISCIPLINARY. OR 40MIIIIISTFIATIVE ACTION. . ,
„ .„,, . ..
• FbrUse of this farm:sae AR 19.0,45;, the grepanen't agency is OffiCe of-the PreVeat Marshal 'general ..-• : 200$0305
,:-. • .:.. ,. ••... .•.: -: ... .... , -,...„. . -..... ., • .„.,-..:-•. • ..-• •-.....,, ,...• ...-... „ •,'...., „,. --. -.. . .. . _ , _ . , . ,.. .............., . „.. , ,..„ , .
• PRIVACY ACT STATEIVIE-NT ',:•••....
AUTHORITY; • -- -„Trtle IQ USC Sec.tiOn 301; Title 5 L1SQ SectIon 2951; E.O.• 9397 d.ated NOVernher 22, 1943 -(SS14)...--.....

.. • . , -..-„,,. , • •' --,..-...„.„.•, •...-. , , •••-., ,-.„..•-.,...,-. •„.. ---.• t. -.,..--..,, • ••-. .• -, . --,-,• ., . -•.-.-" -•...' ,• -
...-. -
FiRIOCIPAL PURPOgEz To provide CornmanderS artd lativ. enfOrCernent officialS wIth Means by iftich inforrnatiott.rnay he acCurately id.e.ritifiecL
.. ... . . .. ...,., , .,, ..... , ., . , .........„ ... ,.... • . ..., . •• . . , .. „ _ .. . . ,......-. .,. -..„, .... ... •

-. .,.. ‘..•...
ROUTINE HStt: -'. Your• SOCIal securitY ntingor is 004 as ait adclitiOnal/alt.0111.ate _means of IdentificaliOn. tO faciiitae filing and- retrieval.
.. , . , ... .. _ ., . OISCIAS1110::. ..DisclOsuie. of yOnt *la SecuritY.nurnb-er is• voltintary. • .. ,, 1.'„; THRll. . 2, TO,:.':. ., ,. _ ... ... ,... . 3.; 'FROM -- . .
. .S.gocial Agot in Charg0: : . Co.mitwoer-..: .. - • ., -•
. .... ........ , . „.. . .. .., -.. „_.. .

47.th mp.pet •6603N)"(c.p.)).-.. .1../3td. Artriottd: .Cay,41.ry.R:egirriOnt •Fo.ft g,i4ggi NC.. 8.3].(i. • . • Fott Carson,, Co. $.0.9, 13- : • - • •
4:,, LISACItC CONTROI. NLIMRE.R : ,„-7 jt 4",. SUB-1NSTALLATION. 1DENTIFI.E.R•
-
Ae-S. AT Tip3cRT lukimept-:., ..
• .:.:•:-.,....:...•.•,...-.: --.
........ .. . ..---. • : -.:

''. : '0009-04--00679-8480. 1)0.
..,. .•.•. .... •..:•• . ... ... . • . •
.• The firit Lieutenant COIOnel in the. Chain Of command it resPOnsibla antraccattinable for completing PA Form 4833 with ttipnart.clactimentation (caplet. of Article. 15s, .
catirktaitial orders, rent-MI*1dt, qtc) for. op. u.s.A.circhiyodg-40.0.: Tile not*. brigade Contrnander ar their600.41aq -will aliti reCelVe, a. Copy. of ;lie pA forin 4$3.$ for
-_:A••.2...A•.•A.•A•A.-..,,....-A,.A..:.-A..,-,.-:...-A.:::::-......•A,... .A
..:.A-....A: .A
..,.A-A-..-.. :A
:A. CoMpaUy, troop,. andbattery leliel cothrtiandert are resPonsibl: fiti acciminable fOr CoMpleting DA Forin '4833 with stipporting dOCUMentation hi ali Cases' IMAsdiated by
all LISACIDCAInvedgatiOiiSi-S.•:...••...A• :A
_.;A.-..••-.A-....A-A....-,.A••.A•.,...A•:::-..•...• ..A
.,A''...• .A
•AL.A•,.-A.... :A
-.---A-..... •A
.:A-..-:A
...A-
-
MPL Civilian deteCliVet ernplOYed bythe pepartMent of Ma 4.4y,. and, the-,PMQ, • ACCtirate arid COMplete. DA 4833 ditnotition reportt.are. requiredta•ineet histailanaki .
cornrriand, }KIM, DOD, -and federal Statutory -reporting requirententS.-.. Tha.data It used to identifY (MO trend; establish cOnimand programs in. latir enforCeinent a.nd other
•activitiet, and to-eniure thatresourcet are. made avaPahie to. tuppot conmandert w.ho must address Istnes..qf tolther and family mem.ber Inclitclpling„ , . • , . , • •
.. ..... ...... .... ,... . , ., „.. . .. . . .., ....... .. ,... ....... .... . . , .,,„ . . . . ..., ,...... ..,,........ .. ..... -,. . -. ,.,.. , • ... ...,..--..,.. .. .,. -. . ,, ....-..-.-. . . .. , ,. ,

.... , .... .. ....... .,....... ,.., ...,... . „. . . . . ....„. , ....„. .,. . . . -, .. ....„

. , .. .. . . .. .
.
• In ctunt-rnartial cates; a' conVictian of an agerite at cout-martial may be for a different,.dr leSSer inclUded OffenSe..14st Me offeriSe for whic.11 Me. lpdividual wit' cOnvitted at
.AcMitt--rnartial. in Me remarld sectioM-:A; • .: -.-.••,. .A
:A': • .A2..A2- ..2. ..,A,•••: ..•A-A•
81.01.t. 5:- .Pravoq..1.4.2.!:0.4; tops* o.tor ogmu.itoy..P.R.Ropp.it ouoii?-0 kr all cat4 Oki+ eci. ta.—Ccitt1Olanciert,. -- • , . . . ,. ,
plod ¦S. This black hilted 0 •eriter repOrt riuMber front-a Civilian!** enfo-rConerit agenCy police tePort. .0ther information. on the civilian law enforcement. agenCy (e.-g:
..., civilian laWeitforcerne.nt agency. addre.0),may heentared -in th..e reinaristSectiOp.... A...A•,• ' -A-A2:As -A.:. - " -:: _A
• 'A
.A-
---. • --• -, ...-. ----.--•-• . . -A
-..A_A-.--,-A..A..-_-.A.. _A
.
7. NAME iiiiiiiiiiii. 8. GRAD.E: ..' , 10, DATE OF $1 • ' • .- YY . . . IvIDD)
: .
.. - ' SPC
. ..... ,.
.. .. .... . .. ,.. „ .. . .
, ,, :.: ,,,.. .........

1.1h. DATE OF OFFENSE(e)
I la. OF:FENS-Rs). -•A
-A--.A-A• •A
•A•A•A-110. AST10.1¦ITAKEN:A••• 11d. IF NO ACTION 'MON, ExpLAR
. .
. _ (rirYymtopy '
YES. NO....
,AsSault 2004.0104 -
.A. YES.. 111). El
?.00401,06. : •
—
ITs •,•HO,
• 20040109 : •
12. ACTIO.N. TAKEN (check all that 1401y) - • , . .. _ .
•
.: * Subject was adviaed that altheugh no action Was taken, the report would.be retained in Anny recorda and that. requests 'for amendment, cane-ohm, or. eigungement niay be sUbMitted
JAW AR 190.-45 1).10Reparts) or AR 185-2 (CIP Reports), .. . . .
' ' • • -'

a. NON-ADVERSE PERSONNEL ACTION REFERRAL; . . .
• REFERRED TO (Check anlitopriale blocks) • DATE REFERRED liTYYMMDO) _DATE RESPONDED (YYYYMMPO
F = FAMILY ADVOCACY D -...- DRUG/ALCOHOI, ABUSE: •. S 74.-- SPECIAL .REFERRAL -E = EQUAL OPPORTUNITY I., = LEGAL OFFICE M = .1sIENTAL HEALTH , . .R = RELIEF AGENCY-
I:117). ADVERSE PERSONNEI„.ACTION:. . . .
. REPRIMAND " ' r7 oRAL: -. . . WRITTEN '
. • . FILED: LOCALLY • OMPF
LETTER OF CONCERN/COUNSELING-

.
ADVERSE OER/NCOER. COMMENT
RELIEF FOR cAu.sg, ogiNcogg..
SUSPE,NDED SECURITY CLEARANCE OR OTHER ADvas.E ACTION REGARDING SECURITY CLEARANCE
DISCOARG.E PURSUANT TO AR 635200 .(E.NLISTED)/AR 600-8 -24 (OFFICER) .

-
-
. RegulatiOrt, • ' . ' . '.. Chapter . . Characterization Discharge Date
C-. SlciNJLIDICIAL PLINISI-II4NT (Arta .15, UCMJ) fATTACH L'OPY OF ARTICLE 15)
.

$ .14.M.MARIZED FIELD GRADE -.. . GCMCA impogo .
COMPANY GRADE . GENERAL, oFFItER iMpOSED

d. JUDICIAL (If subjet was tried by coug-marfial attach a copy of Mono. Int-martial ordet giving finding's and santencoa.)
.
----0 ,! -. •
--SUM.MARY COURT MARTIAL .A• G.ENERAL COURT-MARTIAL.
0237'10
-SPECIAL COURT-MARTIAL . . CIVILIAN OR MAGISTRATE cRimiAAL COURT
DA FORM 4833,_JUN 2004 DA FORM 4833, Dec 1990, IS OBSOLETE Page 1 of 2

.APb vt.do
00 003

1 JUDICIPX FINDINGS
GUILTYS DISMISSED
NOT GUILTYS KOTHER (For example, guilty of a lesset Included offense. Explain in Remarks.)

14. FIESULTANT SENTENCES,PUNISHMENTS, OR ADMINISTRATIVE ACTION A_
a. REPRIMANDSh. ADMONITIONB (1)S• ri(2) IN WRITINGS
.
c.
DETENTION Sd. FORFEITURE -Se. FINED $A1 AMONTH$ •

f.
REDUCED FROM .Srig., EXTRA DUTY FOR, , •SDAYS E h. RESTRICTED FOR S

TO - -. • DAYS
-
L CORRECTIONAL CUSTODY FOR ... SDAYS riJ. CONFINED SYEARS. S•MONTHS
.-S_S.
k. SEPARATION:. ri PUNITIVE DISCHARGE • r7 OTHER : .
. TypeS Chapter: S Characterization: EffectiVe Date;
(FOr eXimple, suspensIon of driving privileges. Explain irt Remarks.P

16a. TYPED NAME AND GRADE OF COMMANDING OFFICER
o
16b. SIGNA 16c. DATE OF REPORT (YYYYMMDD)
2 005-03 (61
aS,AY..
DA FORM 4833, 1LIN 2004
Page 2 of 2
APD VI.00
023711 .
00 .004
SUSPENSE DATE JYYYYMMDD)
COMMANDER'S DEPORT Of DISCIPLINARY OR ADMINISTRATIVE ACTION,
For use of this form, 4e AR 190-45:the proponent agency is Office af the Provost Marshal General 7005030S
PRIVACY ACT STATEMENT AOTH011ift • Title 10 USC Section 301; Title 5 USC Sectkin 2951; E.O. 9397 dated November 22, 1943 (SS ). pRINCIpAL PURPOSE To provide commanders and law -enforcement officials with MeanshY which information may be accurately identified.
ildUTIBIE USES: Your social security number Is used as an additional/alternate means of identification to facilitate filing and retrieval. Disclosure of your social security number is voluntary.
1. TH.R11, 2. TO 3. FROM
Special Agent in Charge Cominander
87th MP Det (Al3N)(CID) 1/5th Spe,cial Forces Group
Fort Bragg, NC 28310 Fort Campbell, KY 42223

4. USACRC CONTROL NUMBER • 6.: $1.113-INSTALLATION IDENTIFIER , 0009-04-CID679-83486
. . .
The firsi Lieutenant Colonel ins the cliabi of Cnituband is reSpOntible end acCbirntable kir COmPleting DA Forni 4833 with Suppcitt tioCUineritAdOn-(COplet-of Article 15S,
couttniartiAl Order's, reprinian6t, etc) sfor ;11,14SACIDC investigAtionS. The Unit and brigade corninander thelr' equivalent willaiso receiVe -Coja,y Of the pA Forin 4833 for
ail usAcipc InVestigailons, • s, • s • s•-‘,s; s s : • : • : , s 's • s
COmpAnys, troop, arid bAttery level commanders are, msponsIbles•and accountable for completing DA Form 4833 with supporting' clocumentAtiOn in-AU cases investiga,ted by.

tietecihiet einplOyed_bY the:1)0004000 of the ArrnsYs,-,and the PMQ: AcCurate and COmplete pA 4833. nispoSitionstePorts are required to ineetinstAllatiOn,s.
coMMAnd, HQDA, DOD, and federarstAtUtOty :reporting remilitenteriti. The data b used to-sidentify piffle trends, establith COmitiAntl•ProgrAins laW enfOrcenientand other
attivitiet, 0,04 ro,en$ore Mat resorirCes Are MOO ayailable to support cortunAnders Who nmst Address IStiteS'of soldier and family menibet ,
tasest,,e rc"....tivl of An n..en,.e 'At COUrt-smarti..„ MAy be .FP

or a , ifterent, leSser included offetiles:-list Me ci..eriSe for 1.01'ch.,0e indlvidual was cOnvicte'd at:
Coart4nartiAl in:Me reinArkS SecdOris,-•• : • , , • _ s : • , •: • . •
• . :. • :
Biotic 5. 'Provo* Maniiab nnist enter the' ponce Report number for all 'CaseS, referred, M einnaiAnderss;

„ . . ,
BlOck 6. 7bit block It used. tO enter report nUmber Mini ChrillAn enfOrcernent agenty pollte reptirt. Other inforinaliOn oh the civilian. iaw„ enfOrCetrient Ageney (e.g

-„ .
civilian enforcemen agency address) May be entered in the reitiarkS Section.-' • , • :
_ . „ . „.... _
.
7.. NAME OF SUB ECT • • 'Mt - 8. GRADE 10. DATE CiF BIRTH YYYYMMDD)
SFC
11b. DATE OF OFFENSEls)
11a. OFFENSE(s) 11c; ACTION TAKEN 11d. IF NO ACTION TAKEN, EXPLAIN:
(YYYYMMDD)
YES NO
False OfAcial Statement 20040104
Ste 44d-Act4 le541 Reviet,
w •
YES El NO
AggraVa.ted Assault 20040106
YES NO
ConSpiraey 20040109
- .
12. ACTION TAKEN (check all that apply)
* Subject was advised that although no action was taken, the report would be retained in Army records and that requests for amendment, correctian, or expungement may be seheitted
IAVV AR 190-45 (MP Reports) or AFi 195-2 VD Reports).
El a. NON-ADVERSE PERSONNEL ACTION REFERRAL:
REFERREQ TO (Check appropriate blocks) DATE REFERRED (YYYYMMOD1-DATE RESPONDED l'ffiliMMDD)
F = FAMILY ADVOCACY
D = DRUG/ALCOHOL ABUSE
S SPECIAL REFERRAL
E = EQUAL OPPORTUNITY
L = LEGAL OFFICE

M = MENTAL HEALTH
R = RELIEF AGENCY

b. ADVERSE PERSONNEL ACTION:
I REPRIMAND ORAL WRITTEN

FILED: ID LOCALLY OMPF
LETTER OF CONCERN/COUNSELING
ADVERSE OER/NCOER COMMENT
RELIEF FOR CAUSE OER/NcOER
SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE.
DISCHARGE PURSUANT TO AR 635-200 (ENLISTED)/AR 600-8-24 (OFFICER)
Regulation -, Chapter Characterization Discharge pate

c. NONJUDICIAL PUNISHMENT [Article 15, UCMJ) (ATTACH COPY OF AR17CLE 151 .
SUMMARIZED. FIELD GRADE r7GCMCA IMPOSED
COMPANY GRADE GENERAL OFFICER IMPOSED

d. JUDICIAL 11 f subject wae Ned by court -martial attach a Copy of the courtmartial order giving findings and sentences.)
-
0,23712
SUMMARY COURT MARTIAL GENERAL COURT-MARTIAL . SPECIAL COURT-MARTIAL • CIVILIAN OR MAGISTRATE CRIMINAL COURT DA FORM 4833, JUN 2004 DA FORM 4833, Dec 1998, IS OBSOLETE Page 1 of 2
APD V1.00
0 0 0 0 5
113. JUDItIAL FINDINGS
GUILTY DISMISSED
NOT GUILTY OTHER (For exaMple, guilty of a lesser included offense. Explain IR Remarks,'

14. RESULTANT SENTENCES, PUNISHN1ENTS, OR ADMINISTRATIVE ACTION
, b.. ADMONITIONA(1) ORAL El (2) IN VVRITING
a.
F1EPRIMANDA

c. DETENTION , Ad. FORFEITUREAe. FINED $ " -A
/AMONTHS

i.
REDUCED FROM ATOAEXTRA DUTY FORADAYS Ell h. RESTRICTED FOR ADAYS

Ellg.
i CORRECTIONAL CUSTODY FOR' ADAYS Ej; CONFINED AYEARS AMONTHS
k. SEPARATION: El PUNITIVE DISCHARGE El OTHEFI
TypeA -_ Chapter: .A • ACharacterization: Effective Date:

I. OTHER (For example, suspension of driving privileges. Explain in Remark,s.)
15. REMARKS
Ste C14-tc(CtteJARevicti, ( Jicr ska4 k
16a. TYPED NAME AND GRADE OF COMMANDING OFFICER
16c. DATE OF REPORT (YYYYMMDD)
goos- 06
DA FORM 48,33, 2004
Page 2 of 2
APD V1.00
00 006
DOD-049274

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SU.SpENSE DATE orltifillp.D/ . 1
COMMANDER'S REPORT OF DISCIPLINARY OD ADMINISTRATIVE 'ACTION
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•A,.A.Ar,A..;A.A:::,A:A....S, : .A
.Ar..:-.A:A.A,:;A.A-A:.A, •A
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For use of tins hunt, see AR 190 -45; the prOponent agency is Office of the Puniost Marshal General • ', 2.005005:'
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, : „ :, ,. :. , .pmvAcy ACT crATEMENT . •.:'.. ._.. . ,All.THOBITY:', : . TitIg 10 usc SeCti.on 301; Title 5 U5C Section 2951; 4.0..9.397 dated NOvetrther 22 '1943 (SSN):
_. ._., • ': • . :• . ... -. ' „ . ,. s:
..,........._. , • • . . ..",.: — . :•._ • .

p13811,CIPAI. pUBP08.k: . TO prOvide. coinntaocierS and laW enfortetnent offieiaIS wItIl,nieJos..by•ioich InfOrtnation May he aCcnrately Identifieci:
ROUTINE lISEk Yi:;tir sOcia1 ect.iritY ntind.3er IS tisecl aS an acklitiOnal/alternate nieariS of idendficatiOn ton facilitate Ong and rettleVal..
01.8CI.0.811fitt:' Discitisitit. of ybtit Social tecuritY iniinia'er is voltintarY: • . •
h THRL1 _ 2: TO-. • . . . . .3 FROM:, •:

Sp0.0.01 AgOt in C4arge, COttiniandet
„. ... .
8701. NiF pet (4,13.N)(cip) 1./$0.i. St.ocial Ft.orCe$ GroupPart 134-4ggi NC 28310 Fort covbeit, KY 42223:
.. .: , .. .. .: . _ . .,
......... _ . _. : . ._.

4.-t.j$AcRc coNTgok, N.p.iBgg,„.•.. .5. MP REPORT NLINIOER 4. $11.40-INSTALLATION IDENTIFIER •
-, -, . .::, . • . . . , . .
. , .-.,,i:: ' •: , , — .
" • 0007.04,C1D679.8348,$„. . .
'The first-Lieutenant Colonel In the chaln'of CotriMand h reStaondble and aCCOuntable for.CoMpledng DA Feint 4833 with suO0ort doCiOnentatIon ,(COples of Article 154 _

cotiftniartial Orders,' rePrIniandS, etc).for 0 usAcipc hive0000, The unitand brigade Coirimander or theIr 0(10h:relent Will also tecelye a COpy of the DA FOrm, 4833 for
„ • : •• ,.., i'i , ,,• ...•::: ".: ..... .,, : ,,i, •,, .„, ,, ',. , , ,,,, : , ,
all 1...1:Act.Dc.ltivestlgaillani, i' ,,,,-": i. ,.::, ..! , --•_„•, .. ,:, , ,.. :.-:,... . •, • .., .,. „. ,::,„ . : :,., :. : •
. , , ,,,,, -,. ,.,-.., ...: .,, _
Company, nntip, and.:b.atteryfevel,,COmritanderS areYeSPonsible.and.aCcittintable ,fOr Conipledng DA Forth 4833 with soulioning doctinientadon in 40 Cases Investigated by
MPI, civilian deteCtiVet ethployed by the Pepartme of the .Anny, and the PMC),. Accurate.and complete DA1a33 disposition reports ,are required to meet installation,: .
cbitnnandil-ICIDA, DOD, arid federal statutory repotting requfrements. The data h used to. idenpfy crime tren.ds, e.stablish commend programs In law enforcement and other:
aCtivities,:, arid to ensure that:retobrces are made available to support commanders yvh,o must:address Issues of soltdler and. famdymember IndiscIplinei -: ' . .
fti &nut-Maeda( Cates, a COnylcdOn of an Offeine at Conrknartial tnay he for a dIfferent, or les:ser. inducied offense. List die. offenSe ftir which the IndivIdual Was conVicted at •

ctiiirt-niatilal In the reittarkS Section., : , . ' • ,'-' -• • -,
" :. . . , .-. ,. . --,:. . ,,:::.."..-— ... :
Block 5'. PrOVOStMardtals nituSt enter the Milhary Poke RePort nuniber fOr all'CaseS 'referred tO COninianders. _
Block 6: •Titts hincit Is used tO enter report' nUinber froth a civilian laiii enforcement agency pollee reuort. Other infOrinatiOn on the civIllan' law enfOreenieitt agency (e.g..

. .
Civilian laid enfOreetrient agenCy aco-eolioay he entered In the remarks secdoit -, . . 7:. NAME 8:, PRADEA. 9, 10, DATE OF 111 TH yrrimmpD)"sso
., : , .
:,,,, ..,
. 11h, oATE oF (IFFENSEIS) .
to: oFFplq$1, 1 le. ACTION TAK,EN,' • 11d. IF NO AcTION tAKEN., g)iPLAIN:.
-' ' (YrityMMDD) _
. _
RI
YE.S . NO
False Official 5tatem.ent .• . 20040104 ez ,.: 444ac keJ 1-.(5'4.1 R'eu'iti.i Y.ES .. ND lt ti
Aggrayated Ag aul.t . 20040106.
. ., .
TEC NO . rj
C6/8. loj"..tH4cY:. 20040109
1 ..: ACTION TAKEbl (check all that apply) ..:..... ,.* SubjeCt was ach4ed that although nO action Was tak,en,the report:would be retained in-Army records and that.iegiiests foe antendinerit, coirection, or expungement may be submitted IAiN AO 1 Ob.45 . /Op #epOrts/ ot AO.105.1 !C./a-Rep-04 • .
a. NON-ADVERSE PERSONNEL ACTION REFERRAL: REFERRED TO (Check apPioprialeblocks) . DATE REFERRED (ITYYMMDD) DATE RESPONDED (VITYMMDO)
*
F AMILY ADVOCACY'
D = DRUG/ALCOHOL ABUSE
S = 5PECIAL 'REFERRAL
E = EQUAL OPPORTUNITY

L.
= LEGAL OFFICE
M = MENTAL HEALTH

-
R. =. RELIEF AGENCY ,•
b. ADVERSE PERSONNE.1. 'ACTION;
REPRIMAND. ORAL WRITTEN

: FILED: LOCALLY F7-OMPF
LETTER OF CONCERN/COLINSEL1NG
ADVERSE. OER/NCOER. COMMENT
RELIEF FOR CAUSE OER/NCOER , .

.
SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDENG SECURITY CLEARANCE
DISCHARGE PURSUANT TO AR 035-200 (ENLISTED)/AR 600-8-24 (OFFICER) .
ReguladOn ' . . . .•. Chapter: . . Characterization • Discharge Date •
1111 c. NON] LIDICIAL. PUN1$HMENT (Article 14 lICMJ) (Al-TAO/WY Of ARTICLE 151 -.
. SUMM ARIZEI) • ' . . FIELD 'GRADE • GCMCA IMPOSED .

-
COMPAN.Y GRADE GENERAL OFFICER IMPOSED
d. JUDICIAI. (If subject. was oleo' by cool -moth attach a copy of f he cOlatinagial ordergiving findings and Sentences.)
SUMMARY CQURT MARTIAL GENERAL•COURT-MARTIAL •
SPECIAL COURT-MARTIAL CIVILIAN OR MAGISTRATE CRIMINAL COURT

DA FORM 4833, JUN 2004 . DA FORM 4833, Ded 1998, IS OBSOLETE Page 1 of 2 ,
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023'714
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U0 007
11, JUDICIAL FINDINGS GUILTY DISMISSEDS, NOT OTHER (For example, guilty of a lesser iricluded offense. Explain In Remarks.)
14. RESULTANT SENTENCES, PUNISHMENTS, OR ADMINISTRATIVE ACTION'
—
a- REPRIMANDSto- ADMONITIOA(1)Ari(2) IN WRITING .S . ,
c.. DETENTIONSd. FORFEITURESe. FINED. t: " ::. _1 _MONTHSS:S. .
.
•,
f.
REDUCED:FROM S. . .... : TO ! pig. EXTRA DUTY FOR SDAYS , rih. RESTRICTED FOR SDAYS

I.
CORRECTIONAL CUSTODY FORSDAYS F71._ CONFINED SYEARS SMONTH5'

. ,. . „ . ...r... .
lc: SEPARKFIO1¦1:" riPiAlITIVE DISCHARGE El OTHER.. ..' : - ,A
.
Type SChaptet: A-A. r•A: Characierization: S Effecdve Date:
I. OTHER (For example, suspension of &Whig privileges. Explain In Rernarici.), . S .
5. REMARKS
fc, y
g44:6•C t.;`7eSLe-5'4 (S;S
,
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• . ••
•
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W•rr
aibt b7-2
E OF COMMANDING OFFICER.
16c. DATE OF REPORT (YYYYMMDD)
5" 06 A
0 ACCOUNT E-MAIL ADDRE
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tiv, a rolY ( kili.)
IIIIIIIIIIIIIMIIBDA FORM 4833, JUN 2004S 'S
Page 2 of 2
023715
.SAPD V1.00
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SUSPENSE DATE fYYTYMMDLI)
commoDER.s oppowr OP DISCIPLINARY OR ADMINISTRATIVE ACTION Fitr USe af thit See AR 19045; tile ainpnfient agency iS Offiee ef the Pfinputt Iviatshai deflate(
psivAcy ACT STATEMENT • AUTHORITY: Tide 1Q.IISC SeCtIOP.,301') Tide 5 U.SC SectiOn 2951; E.O., 9357 dOted NOVenther 15...4 PRINCIPAL PURPOSE.
„ -To 'provide Cornrnandert. acid fAtir enforceitient ofhclais with itteatis by which inforitiatiott !nay be attUratelY•itientified.
•. • .•,. , • •-• •. • . • • • . •• .•
ROUTINE USES:' Your soCial se.CUritY ourober ttsect as art additional/alternate rneanS of icleptiftcadort tO facilitate filing-ancl retrieval..
•.
DISCLOSLIRE: DiscloStire of yOtti- ktdat skUrIty nuinber IS voIuntarY.
2. TO Director, Crime Records Center 6010 6th Street Fort Belvoir, VA 22060-5505 3. FROM Conmiander 87th MP Det (A131‘1)(CID) Fort 13ragg NC 28310
4. LISACRC CONTROL NUMBER 0009-04-CID679-83486• „I/ 6 SUB-INSTALLATION IDENTIFIER

•• • The first Lieutenerit Colonel. In the chein of cOrnmandit teSutinSible and acCOUntible fol. Conitileting DA Forin 4833.with stij3136tt dodinnentatIOn (CPOlet of ArdCle 15t,. co-lift-Ma:lila! otdert, teptiniendS, etc) kir all USAC.IPC Inyestigationi. • The unit. and brigetle. CaniMandet cit their ePitilyalent will alto teCeive a CopY of the DA Fonin 4833 for:
ell LISACIOC inVestigadinit.---.::,:',' :, • ' .:, : •_.,.,, :,...1,.: i : ,.: ': .-::,, :. ,: ' .: :: ' • ,::. :'" ,. i : : ,,, , :". .: . , : , : , • , • ,, -. • . : • ' '
dentiatty, itocitl, end hattetylevel tOinniandeis ate teMonsibte Mid acCOuntable for cOinpietieg DA FOTO: 4833 With tuOriotting dOtinneiitatiOn in all Cates investigated by .
Mpl, dwilaii detecthies emplOyed-by the Deliartnient of the AnnY,' and the PMD. AcCurate and COMplete. DA 4833 displOsition reliOrtt ate replotted to nieet Installation,:
' ,c0inrnend/HODA, DOD, end fedetal ttannon,. teliotting reciiiirennentt, The .dete IS USedM Wend& Cdrne tier* establish Cbtimiand titogtaintin IOW enforeenient and otheracilVities„,and M enture• that retouttes are Made available tO tilOtnitt cOnimandett WhO niust address IstUeS of toldier and family: rnernbet IndisCipfirie. :: .. :
•hi Courvitartiel Caset a Convicifon of ari oftente at cOutt-iiiatdal pney lie for. a different, or les.set Included offente. List die offenSe fOt which Oe 140401 WAS cOnlilcted Ut
Ourt-mardel In the retna,rIct section.' . -: .-. : • .
. . , . ,,, ,, . . . 1 Block 5. PtoirbstMatihelt riiiiit entet die Military Pofice kePort number fat all ceSet refuted M coninianderS., •
.... ..: , : : .-_.--..-,-:.: „ ._„,„ .,. : :. :•:. • , ..• : : . .., ., . .. _ .. ,. , . ,.. , . ,., . . , .
_Block 6. This block Is used to enter report number frOm a clvIllen IOW enfotceMent ageney poilce :report.. Other Inf.:it-Mail:In on,uto civilian tei.y enfOrceinent agency (e.g,civilian law enforcement agency address) may be entered in the remarks secdon.
7. NA Firs M 8. GRADE SPC 9. S 10. DATE OF B1RT )
1 la. OFFENSE(s) 1 lb. DATE OF OFFENSE(s) (YYYYM-IvIDD) lip. ACTION TAKEN; 1 ld. IF NO ACTION TAKEN, EXPLAIN:
Negligent Homicide 20040104 YES NO SEE REMARKS SECTION
Cruelty and Maltreatment 200401:06 YES NO
20040109 YES NO DI

12. ACTION TAKEN (checic all that apply)
* Siibject was advised that althoudh no action wes taken, the report would be retained in Arity records and that requests for amendment, correctiou, or expungement may be submitted IAVV AR 190-45 lie iktorts1 Pr AR 195-2 OD Reports'.
ria. NON-ADVERSE PERSONNEL ACTION REFERRAL:"
REFERRED TO (Check appropriate blocks) DATE REFERRED trYYYMMOD) DATE RESPONDED trYYYMMDD1
F = FAMILY ADVOCACY D = DRUG/ALCOHOL ABUSE SPECIAL REFERRAL E = EQUAL OPPORTUNITY = LEGAL OFFICE: M MENTAL HEALTH = RELIEF AGENCY9b. ADVERSE PERSONNEL ACTION: I REPRIMAND ID ORAL 1:3 WRITTEN
FILED: r7 LOCALLY OMPF. LETTER OF CONCERN/COUNSEL1NG ADVERSE OER/NCOER COMMENT RELIEF FOR CAUSE OER/NCOER SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE DISCHARGE PURSUANT TO AR 635-200 (ENLISTED)/AR 600-8-24 (OFFICER) Regulation Chapter Characterization Discharge Date
Oc. NONJUDICIAL PUNISHMENT (Artide 15, UCA1J1 (ATTACH COPY OF AqTICLE 151 SUMMARIZED FIELD GRADE' GCMCA IMPOSED COMPANY GRADE GENERAL OFFICER IMPOSED
d. JUDICIAL flf subject was tried by court-martial attach a eel* of the court-martial order givkg findings and sentences) SUMMARY COURT MARTIAL GENERAL COURT-MARTIAL SPECIAL COURT-MARTIAL CIVILIAN OR MAGISTRATE CRIMINAL COURT
DA FORNI 4833, JUN 2004 PA FORM 4833, Dec 1998, IS OBSOLETE Page 1 of 2
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-, 13. JUDiCIAL FINDINGS
GUILTY DISMISSED
NOT GUILTY OTHER (For example, guilty of a lesser Included offense. EXplain in Remarks.)

14. RESULTANT SENTENCES, PUNISHMENTS, OR ADMINISTRATIVE ACTION
...¦•••¦••
a.
REPRIMAND r— b. ADMONITIONR (1) 0(2) IN WRITING

c.
DETENTION cr. FORFEITURE e. FINED $ MONTHS

E REDUCED FROM TO ' rig. EXTRA DUTY FOR DAYS El h. RESTRICTED FOR DAYS CORRECTIONAL CUSTODY FOR • DAYS ID I. CONFINED YEARS MONTHS
k. SEPARATION: pi PUNITIVE DISCHARGE ri OTHER
. .
Type' Chapter: ' Characterization: Effective Date:
.
1 I I. OTHER (For example, suspension of driving privileges. Explain In Remarlcs.).
15. REMARKS
pER gmAIL DATED 7 MAY 2005 BE 87TH mp DTD.ANP CPT (CONIMANDER, S&T SQUADRON), CPT ON JA THAT NO CHARGES COULD BE BROU SPC ND DROPPED ALL CHARGES AGAINST HIM. BASED OFF OF THE J E, THE
i
16a. TYPED NA AND GRADE OF C HANDING OFFICER
1111111111.111W4 S ecial gent in Charge
16c. DATE OF REPORT (YYYYMMDD)
2oos—bgo_3
16d. AK ADDRESS
DA FORM 4833, JUN 2004
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DOD-049278
SUSPENSE DATE IYYYYMMDMCOMMANDER'S REPORT OF DISCIPLINARY OR ADMINISTRATIVE ACTION
For use of this fonn, see AR 190.45; the proponent agency is Office of the Provost Marshal General
PRIVACY ACT STATEMENT
,
.
10 USC SeCtion 3011 Title 5 Usc Section 291; E.O. 9397 ClatedNoVember 2Z 1943 (SSN):
Piaitieilik. PURPOSE prOvide commanded and law enforcement ofOCIals with Means by which information may be accurately identified.
ROUTINE USEE Your sodial security number ft used aS an additional/afternate means of identification facilftate filing and retrieval.
DISC:1.01U* DistlOture of your soda sectrrity number is Voluntary:

1. THRLI 2. TO 5. FROM
Director, Crime Records Center Commander
6010 6th Street 87th mp Det (Al3N)(CID)

Fort Belvoir, VA 22060-5505 Fort Bragg, NC .28310 •
4. USACRC CONTROL NUMBER. 5. Mp REPOK(NUMBEii 6. SUI3-INSTALiATION IDENTIFIER
0009-04-CID679-83486

. .
The first Lletiterdnt Colonel hi the chain of:torn-mind Ls reStiOnsible and AtcOlintable far tionipledrig DA form 48.31with.tuiljOrithitirrilentation {Copies' of Ariltle.1 St, •
totirt-Martial orders, reprInnAndS, ete) -fdt lISACID( InyestigAtiOnS, The Oft And. hrigarle coMmander Or their enulyalent'Wl• AlSo reCelv.'e i.tOPY of the pA.Fonn
' - 483.3 for-
•'4,1 ',.• • •-•-•'' • • • • •: • •-' • • • -• • • • • •
Cori:Many, trooj, and bAtiery level Corithianded Are responsibleand AtCrinotable for.CproPlerhig PA Podia 4833 Witiftiiiiportifii dritOneritation In afi cAies irivestigated b.y

Mpl„ detectiVes' eitiployed by ifie.Depaninent of the Milt And the PM0....ACturate.arid .Cioritlete DA 4833 ditObsItiOn. repOrd Ate redUlred 'to. Meet installatlok,
•toMinarld, HQDA, 'DOD, and. federal Statutory repordirgrecirdreinertn, The datali tr;ecl Mentify•crline trends, establIsktcninnand Orogrants in lei•V enforcement and other, .
attlyideS, and td ensure that resoUrceS aro Made available to sudpOrt ComiriAnderS'WhO Must Address Issrles of soldier And fAnilly•inemher Indhcldliner, " - • .
..• •.. • ..• . .,.. ,• •.. • •..• •• . . • ..• -..•• ••. •... . . , •
. . • ... • .. . -.....-.. ..•
•In cdrirtldartlal tases,.A cOnvictiOn ofakoffe.40 couremartial Maybe. for a different, or lesser Included offense, .LISt.the offense Sir Which the inrilvidual waS cOnyitted at .
.
CondMardai In the rernarks sectiOn..• • •
-
Block 5. PrOVOit. MArshAIS MuSt enter the Military poOce RepOrt.niimber fOr All Caset referred :id cOrinrnanded,. .
••• , .-.....-.......... . . . . . . .

•Sloth Thb. block ft :lied M. enter report number toani tivillAn eirfortern-ent Agency polite repOrt. Other InfOrMatIon on the civilian laW enfOrcernenta.genty (e.g..
-
&Warr: laW enforCeMentagenCY addreis)•May the. reolotkoectio6.• . • . .... • ... • . • . • , • . :
7. NAM ECT last First MI 13.. GRADE' 10. DATE OF BI D)
SOT
11h. DATE OF OFFENSEsi
11a. OFFENSEls) 11c. ACTION TAKEN 11d. IF NO ACTION TAKEN, EXPLAIN:
(YTYYMMDD)
Negligent Homicide 20040104 YES • NO' 10 SEE REMARKS
Cruelty and Maltreatment 20040106 YES
YE NO
2004010
12. ACTION TAKEN (ched all that aPPIYY
• Subject was adviseil that although no action was taken, tire report would be retained in Army records and that requests for amendment, correction, or expungement May he submitted
IMIV AR 196-45 (MP Reports/ or AR 195-2 (CID ReportsI. -

Ea. NONADVERSE PERSONNEL AcrioN REFERRAL:
-
REFERRED TO (Check appropriate blocks' DATE REFERRED (VVYYMMOD) DATE RESPONDED (YYYYMMDDI
F = FAMILY ADVOCACY
D DRUG/ALCOHOL ABUSE

= SPECIAL REFERRAL
EQUAL. OPPORTUNITY
LEGAL OFFICE

M = MENTAL HEALTH
R = RELIEF AGENCY

b ADVERSE PERSONNEL ACTION:
REPRIMAND El ORAL El WRITTEN

FILED: inLOCALLY OMPF
*LETTER OF CONCERN/COUNSEUN
ADVERSE OER/NCOER COMMENT
RELIEF FOR CAUSE OER/NCOER
SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE
DISCHARGE PURSUANT TO AR 635-200 (ENLISTED)/AR 600-8-24 (OFFICERJ.
Regulation Chapter . Characterization Discharge Date

r7 c. NONJUDICIAL PUNISHMENT lArtkile 15, 11CMJHATTACH COPY ARTICLE
SLIM/vIARIZED FIELD GRADE GcmcA Impo§ED_
COMPANY GRADE . GENERAL OFFICER IMPOSED

d. JUDICIAL fif subjeci was tded by Court-martial attach a copy of the mug-martial order giving fin.dings and sentences.)
SUMMARY COURT MARTIAL GENERAL COLIRT-MARTIAL
SPECIAL COURT-MARTIAL CIVILIAN OR MAGISTRATE CRIMINAL COURT

A
DA FORM 4843, JUN 2004 DA FORM 4833, Dec 1998, IS OBSOLETE 0 2 `) 7 1 Page 1 of 2
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JUDICIAL FINDINGS
GUILTY • . DISMISSEI)
NOT GUILTY OTHER. (For examole, guilty of a lesser inclUded offense. Explain in Remarks.)
14. RESULTANT SENTENCES, PUNISHMENTS, OR ADMINISTRATIVE ACTION
_S,_,
a.
REPRIMANDSb. ADMONITION,_ (1)SI I, (2) IN WRITING

c.
DETENTION Sd. FORFEITURE e. FINED $S1 _ MONTHS

f.
REDUCED FROM SSTO Srig. EXTRA DUTY FOR SDAYS rih. RESTRICTED FOR SDAYS

,
I. CORRECFIONAL CUSTODY FORSDAYS I I I. CONFINED SYF.ARS SMONTHS
k. SEPARATION: riPUNITIVE DISCHARGE riOTHER
TypeS Chapter:S Characterization: 'Effective Date:
OTHER (For example, suspension of driving privileges. Explain In Remarks.)

I L
15: REMARKS
PER CONVERSATION BETWEEN MRS: (87TI-1 MP DET) AND MAJO ILITARY JAG FOR 3RD ACR, FORT DO, NO ACTION WAS T FOR THE LISTED OFFENSES.
t •
162. TYPED NAME AND GSCOMMANDING OFFICER
ecial Agent in Charge 16c: DATE OF REPORT (YYYYMMDD)
Zoo_ro o 3
IL ADDR
023719
PA FORM 4833, JUN 2004
Fage..2 rpf
• AOD VtOo
00 012

*7'
suspgNsE DATE (MINIM)
COMMANDER'S REPORT OF DISCIPLINARY OR ADMINISTRATIVE ACTION
For use of this form, see AR 190-45; the proponent agency is Office of the Provost Marshal General

. PRIVACY ACT STATEMENT
AUTHORITY: Tide 10 USC SeCtion 301; Title 5 USC SectiOn 2951; E.O. 9397 dated November 22, 1943 (SSN).
, • . „
PopoPm. pusPosp. To provide commanders and law enforcement officiaLs with means by which information may be accurately identified. FujuTIK 88E8; Your social security number Is used is an acIditionaValtemate means of identification to facilitate filing and retrieval. 8188E0888E: Disclosure of your social security number is voluntary.
2. TO 3. FROM-Director, Crime Rec..ords Center dommandet 6010 6th Street 87th MP Da (ABN)(CID)Fort Belvoir, VA 22060-5505 Fort Bragg, NC 28310 •
4. USACRC CONTROL NUMI3ER 5. MP REPORT plliMBER SUB-1NSTALLATIONIDENTIFIER 0009-04-CID679-83486
. The first Lieri.teriant• Colonel In the Chain of.cornMand h respOnsible and accOuntable for- comPletingDATOrrn .4833- w.ith tupport dotrinientaficin. (copies of Ar.dele 15s; .
cotirt-ntrdal 'Order*,Seth) for all LISACIDC invettiptiOnt .Tlie.uu.lt andhrtgade cOrnmantler.or their eqUivalent, will ahO. recehie C:opy of the DA FOon 4831 tor
•..„.S•S•S•...,••••••••S•,••S•S•••S".•,.•.••••S••S•S•S..•S• .S
•S•S-S• -•S•S..-S••S•S•S••.••S-•S••,•S,S•S•S•S•••S•••-•
-S -
COrtipany, trtrOP, and battery level torturrandert are r8thinsible ari.d a.ectirintable. kr' COinpleting DA FOnn 4033 ivith stiPpOrting tIOCultrentatitio. hi all Cates investigated by: .
MPI,.tivIllan detecdvet•empItryed- by the. Department of the Arnik, and the pmo. -Accurate and tOMPI.ete DA 4033 dispOSitiOn reprorth are reijrilredtb Meet Mitallatfort,
cornrtiand, HQDA, pop, -arid fedetal,statutory repoitirgreatilrenientS. T.he data 4 wed to-iderifify.crinte ttends.,- es.tablish COnintand Prograjnt In law enfOrcernent.and other
actIvidet, arid th• ensure that resoUrceS are Made avaliable to. st.MpOrt.Corni.nandert whO rirritt address issues. orsoloiet and family memberS - • •A•
• -....••S•:S.•S •.... r.S
, ,.S•A •
.A .
In COnirt-ifiartial tateS„ ConVIttlOn ofan offenSe at torirt-nrardatniay be for a differeut, or.letter included offense; List the offnse fOrwhith the incibilduai viat. convicted at
trOur.t-iti.arrtal In the reniarkt SectionS•:-. - • .A. • •A•• .A-A- • •A• -A•-•A•• --A•A-A.-A•
Ofock 5. PrOvott IvIarthaiS Mutt enter the illItary PoAte ILepOrt number for all Cates referred to coriiinandert.-, S.
.
•:,A.•A..,A•A .A.A.A .A,A.
Block 6. Thit blOck -u-sed enter report nirmber front a civilian laW enforceMent agency polite-report. .Qtlier.in.fOrmation On die civilian law enforcement agency (e.g. ,
.S .
Civilian law enforcement agency addrest) inayhe entered In din' ternarld section.
••, • •-•• •.• • • , •-•• • -• •-••• •• ••,S
.,•••S••S.•S•-•S•• .•.S ••••••••..• .•••:.•S
.S.S.

7. NAMEST Last'Sirit MI 8. GRADE SPC 10. DATE OF BI DD)
Aggravated Assault 1 lb. DATE OF OFFENSE(s) (YYYYMMDD) 20040104 11c. ACTION TAKEN YES No 0 11d. IF NO ACTION TAKEN, EXPLAIN: SEE REMAI2ICS
False Official Statement 20040106 YESSNO
Conspiracy 20040109 •YES
12. ACTION TAKEN (deck all that aPPIY)

Subject was advised that alihough no action wes taken, the report would be retained in Army records arid that requests for amendment, correction, or expungement may be submitted IAW AR 190-45 (11/1P Reports) or AR 195-2 IUD Reports).
n
NON-ADVERSE PERSONNEL ACTION REFERRAL: REFERRED TO (Check appropriate blocks) DATE REFERRED (YYYYMMDDI.DATE RESPONDED (YYYYMMODI F FAMILY ADVOCACY D DRUG/ALCOHOL ABUSE S = SPECIAL -REFERRAL E = EQUAL OPPORTUNITY L = LEGAL OFFICE M = MENTAL HEALTH R = RELIEF AGENCY
b. ADVERSE PERSONNEL ACTION: SREPRIMAND IDORALSriWRITTEN
FILED: n LOCALLY riOMPF LETTER OF CONCERN/COUNSEL1NG ADVERSE OER/NCOER COMMENT RELIEF Pog CAUSE OER/NCOER SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE DISCHARGE PURSUANT TO AR 635-200 (ENLISTED)/AR (500-8-24 (OFFICER) Regulation S ChapterS CharacterizationS Discharge Date
ric.ANONJUDICIAL PUNISHMENT fArtick 15, 11CMJHATTACH COPY OF ARTICLE 7 5i. . summAi iZEt• ' FIELD GRADES•Sri.GCMtil IMPOSED COMPANY GRADE - -S-SGENERAL OFFICER IMPOSED
ill_ ICIAL SUMMARY COURT MARTIAL.SGENERAL COURT-MARTIALS
rid. h afsuiileci Was tried by court-martial attach a copy of the court-martial Order giving findings and sentences.)
_: , . 0 2 S) 7 I.-0
SPECIAL COURT-MARTIAL - . SCIVILIAITOR-MAG1STIVCTE-CalMINAL-COURT DA-FORM 41333, JUN 20.04 DA FORM 4833, Dec 1998, IS OBSOLETE Page 1 of 2
APD VI.00
tiO 013
13: Jubity.p. moiNos
GI.114TY DISMISSED
NOT GLIILrf OTHER (For example, guilty of a lesser included offense. Explain In Remarks.)

.
14. RESULTANT SENTENCES, PUNISHMENTS, OR ADMINISTRATIVE ACTION
—A ,
a.
REPRIMAND b. ADMONITIONR (1) ri(2) IN WRITING

c.
DETENTION d. FORFEITURE e. FINED $ MONTHS

f.
REDUCED FROM TO g. EXTRA DUTY FOR DAYS rih. RESTRICTED FOR DAYS

I.
CORRECTIONAL CUSTODY FOR DAYS CONFINED YEARS MONTHS

rih
lc. SEPARATION: [-I PUNITIVE DISCHARGE pi OTHER

Type Chapter: Characterization: Effective Date:1-71. OTHER (For example, suspension of driving privileges. Explain in Remarlcs.) IS. REMARKS,
PER CONVERSATION BETWEEN MRS. (87TH MP DET) AND MAJO CHIEF MILITARY JAG FO ORT CARSON, L DO ON 2 AUGUST 2005, N
AGAINST SPC FOR THE LISTED OFF ES.

16a. TYPED NAME AND OF COMMANDING OFFICER CW Special Agent in Charge 16b. SI 16c. DATE OF REPORT (YYYYMMDD) 2,00S-0 8 03
-aft-
16d. • VI "Y• • -4 SS
ri„.37 .1
DA FORM 4833, ILIN 2004
Page 2 of 2
APD V1.00
00 014
SUSPENSE DATE fYYYYMMOD)
COMMANDER'S REPORT OF DISCIPLINARY 011 ADMINISTF1ATIVE ACTION
For use of this form, see AR 190-45; the proponent agency is Office of the Provost Marshal General
•
pRivAcY apT8TATEmENT
A.P11100.0.: L1SC Seq100 301; Title' NOyeinbet 2z,. 191$ .(5,1):=
pRIN8WAL.pOppo8E: cOininantlet$, 'and 10‘, enfOrCetnent offlcialSwith mean.s.bY which infonnatiOn ;.nny aCCOtately identified,
ROUTINE (18ES::. ' YOU!' §ectiiitYiiintiber Otect it in idditiOnaliaJtertiate riiean§-of idenfifitetion tO facilitate and tettiev4
818CLO8U.Rti Dtsclositte of Yout soda tectiitY nutn6ei-. Is Voluntii-Y.

1. THRU 2. TO' . FROM
Director, Crime Records Center dommanclei
6010 6th Street Fit BMrP4Dg,etN(cAB2N)i. pip).

870th83(CFort Belvoir VA 22060-5505
4. USACRC CONTROL NUMBER 6. SUB-INSTALLAT1ON IDENTIFIER
0009-04-CID679-834g6
-- ..• • •
Tffe first LieUtenant Colonel In the chain of conima h responsible and accountable lot coMpletIng 1)A Form 4033 wit supPOrt documentation (copies, of ,Article,
tOurilitardal order*, retptitands, etc) fot ell USACH)C investigatiOnS. Tfie unit and brigade 'cornmendet or their equivalent will alio receive, a cOPY of the DA FOrin 4833 for
-_ , ", . •. •.••,-, „ • -, • . . . , • .• -• ,. • 2.. . ; .
. • . •
CoMpany, ttoop, and batl.ery level commanders, are responsible and atcotintable for completIng D. .Form 4833 witirSUPporting docernentation in aU casesliveStigated
cIvillan detect-Nes eniployed by the Deparfinent of Ole ArttlY, a.nd the pmci Accurate and• complete DA 4833 disposition .repottt are required to Meet InstailatiOn,
toinnitand, HCIDA, pop, and federal statutory rePorthigtequireirienti. The data it used to identify crline trendt, eitablish ccitnniand progtaniS In lay,/ enforCernent and other
'aCtividet, and na ensUfe tlia,t resotice..s" are made available tO sUpPOrt commanders Wh0 Must addi-esi isSties of soldier' and fainilyniernberindlscipline,. • • •
•..; • •:" _ • •,•• .
in cOtirt-Martial'eases, a trinviction Ora!' offenie at court-Maidal rnay•be for a different, or leisetiriciudetroffense. List the offeriSe for. Which the individuai Was cOnVicted at

tourt-rnartial•In the rematiti, Section.; • •.• , • • •: •,.. • . -• • . • -. ..• -• . • -• '•
Biock 5: ProVtistMarshais intr.St eiltet the Military POffte Report: number fat caSes refetred tia•tainmandert, • ,

••. •.. .,.• -•.• --. •-• ._.•
BloCk This blockis uSet1 tO ent.et tepott nimilier front a civilian enforcernent agency polite report. inforMadon on the civilian latii enftieceinent.agenty (e.g

. „ , .
civilian law erifotcetn.ent ageritY, oddeess) May be•entered in the fernarld section:. ,. • ' • , • • • - • • ,,••
. -•
Last first, MI), 8. GRADE 10. DATE OF BIRTH' (YYYYMMDD)
PFC
1 lb. DATE OF OFFENSE(s)
11d. IF NO ACTION TAKEN, EXPLAIN:
(YYYYMMDD)
YES ,NO
Negligent Homicide 20040104 El SEE REMARKS SECTION
YES NO
Conspiracy 20040106 : Ell NO
20040109
12. ACTION TAKEN (check all that apply) • •
* Subject was advised that although no action wis taken, the report would be retained in Army records and that reque.sts for amendment, correction, or expungeMent may be submitted
IAW AR 190-45 IMP 1?eports) or AR 195-2 fC10 Reports). • '

, .
ria. NON7ADVERSE PERSONNEL ACTION REFERRAL:
REFERRED TO (Check appropdge blocks) DATE REFERRED liTYVANDO1 DATE RESPONDED fYYPIMMODI - •
FAMILY ADVOCACY
D DRUG/ALCOHOL ABUSE
S = SPECIAL REFERRAL
E EQUAL OPPORTUNITY
L = LEGAL OFFICE
M = MENTAL HEALTH
R = RELIEF AGENCY

b. ADVERSE PERSONNEL ACTION:
I REPRIMAND ORM. IDWRITTEN

• FILE0: E1LOCALLY n OMPF
LETTER. OF COTICERN/COUNSELING
ADVERSE OEIVNCOER COMMENT
RELIEF FOR CAUSE OER/NCOER
SLI$PENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE
DISCHARGE PURSUANT TO Alt 635-200 (ENLISTED)/AR 600-8724 (OFFICER) ,
ReguIntion chaptet Characteritation DisCharge bate

NONJUDICIAL PUNISHMENT. 15, IIC141,11 (ATTACH COPY Of ARTIG'1515)
-
SUMMARIZE!) . FIELD GRADE Ell GCMCA IMPOSED
COMPANY GRADE GENERAL OFFICER IMPOSED

d. JUDICIAL flf subject was tded by courtmart ia I attach a. copy of the cogiTtipardel order giving Wks and sentences.)
SUMMARY COURT MARTIAL GENERAL COURT-MARTIAL

.0 23 22 .
SPECIAL COURT-MARTIAL CIVILIAN OR MAGISTRATE CRIMINAL COURT . DA FORM 4833, JUN 2004 DA FORM 4833, Dec 1998, IS OBSOLETE Page 1 of 2
APD V1.00
U0 015
13. JUDICIAL FINDINGS
GUILTY ¦¦¦¦ DISMISSED
NOT GUILTY OTHER (For example, gillty of a lesser included offense. Explain in RemarIcs.)

14.
SRESULTANT SENTENCES,SPUNISHMENTS, OR ADMINISTRATIVE ACTION

a.
REPRIMANI)SADMONITIONR (1)Sri(2) IN WRITING

t.
DETENTION Sd. FORFEITURE Se. FINED. $ SMONTHS

.
f. REDUCED FROM STO L j g. EXTRA DUTY F0/2 SDAYS rih. RESTRICTED FOR. DAYS
.
L. CORRECTIONAL CUSTODY FOR .• SDAYS ri1. CONFINED SYEARS SMONTHS
Ic. SEPARATION: 0 PUNITIVE DISCHARGE_ riOTHER.
Type , SChapter: S Characterization: S Effective Date:

1. OTHER (For example, suspensiOn Of driving privileges. Explain In Remarks.) 15.. .REMARKS
PER EMAIL DATED .7 MAY 2005 BE (87TH MP DET) AND C (COMMANDER, S&T SQUADRON), CARSON .JA NED THXT NG CHARGES COULD I3E AND DROPPED ALL CHARGES AGAINST HIM. BASED OFF 0 TION.
16a. TYPED NAlvIE AN GRAD OF COMMANDING OFFICER CW Special Agent in Charge
DA FORM 4833, 11.IN 2004
Page 2 of 2
APD V1.00
00 016
SUSPENSE DATE IYYYYMMOD)
COMMANDER'S REPORT OF DISCIPLINARY 011 ADMINISTRATIVE ACTION
For use of this fonn, see AR 190:t4t the proponent agency is Office of the Provost Marshal General
psivAcy AcT sTATE.MgNI
, . „ ,
Title 10 tjsc $ecticia 301; Title 5 usc Sectiort 2951. E.O. 9397 dated November 22, 19'43 (SSN)..
TO :provide toinnianders. artd enforcenient officiais With Meant hy which information may be accUrately identified.

PHIN'oem. PURPOSE: t. . t. t . .
RUUTIRig USES: YoUr tocial SeCurity dumber it cited at an additional/alternate Meant of idendficadOn. to facilitate filing, • , and retrieVa4

. . •
.
DISCLOSURE Dischiture of Your social seCurity number it volUntaty.. 1.RLI, 2. TO 3. FROM
Director, Criine Records Center Commander 6010 6th Street 87th MP Det (ABN)(CID) Fort Beivoir, VA 22060-5505 Fort Bragg, NC 28310
USACRC CONTROL NUMBER , 5. Mf' REPORT NUMBER 6. SLIB-INSTALLATION IDENTIFIER
0009-04-CID679-83486
The firSt Meitteriaitt Colonel In the chain coninfand respOnsible and accountable for cempleung• DA forth 4833' with. SuPpOrt .dciCinnerit4On (COpiet of Artide • 1 5S, ..•

COurt-itiartial ordett reprittiands,, -etc) fOr all.L.1-5ACIK.VIVestigatienS, Tliejedt.and brigade Contender far theft equivalent wIII alSO tecelVe g copy of die, Forte 4833
. ••••-•••.-. •••• ,.• • ••_. • . ....• ••_ • .,,-•:•••••••• •• -,.•••-• -• •••• .• .• • .• • • .,•••• ••••••• .•, ••-••,.. • . ..•••• •••, -••••• .. •

conniany, trOtip-,. and batter.y ievel COniniande4.atensporisible and aCcOnntable for COMpleting DA FOrrn 4833 With•SuPporting CiOctitilentatiOn In all caSM inVestigated .
rip,i; dete.ctiVes einploYed by the Departnientof the ArtitY, and-the PMQ. AcCUrate and-Complete DA 4833 disposition reports -ate required to Meet installatiOni
COMitianit HCIDA',.1001), and federal stattittiry repaithigreqUiretnentS, Pre data it used' tO ide'ntify ctline -0-ends; Mtablish cOminatid p.rograms in law. enforCe.iile.0; and other .and.tel en-Suit. that resourcet ate made avallable.0-S.Upport contittanders Who rnuit address ISsOM of soldier and farnily ineinber • -" '
In Con.ft-nierdaleaset, a donvictien..of an Offense at.o*srentartial -,inkbe fora dIffeOnt, Or, les,ser.in.cIuded„ offenSe.. List. tiie :offense for WhiCh the Individual:WAS convicted at
COurp,rtiartial In the reinar4 secdon.•.--.• • -•••• • • -• • • • • .• • . •

-• .„ •• • . . . . „ • .
Sleek -prOVOtt 14-arShalt ninstentet the Military PACO Report nuMber for all Cass tefetted to doininanders, .

, • • ., . :• • _ •• • • •„, . • • -. .•., . • • • . • .• . • -.• • .. • _ . ••• .
Blecit Thii.hiecit IS Med tO. enter repOrt. nuitiber Th36 a Civilian laW enfintenterit agency pollee repOrt. Other infortnatian On- Me civilian lai4t enforcement agency. (e„ g •,
, ....... .„ . ..• .

enforCetnent agency address) May be etiteie4 -reMarIti section. • - • - .
. . .
7. NAME OF 8. GRADE 10. DATE OF BIRWM. DD)
SPC
111 DATE OF OFFENSE(s) 11c. ACTION TAKEN _ Ild, IF. NO ACTION TAKEN, EXPLAIN:
(YYYY141.4DD)
yEs NO
False Official Statement 20040104 SEE REMARKS SECTION
Conspiracy - 20040106 YES.
YES NO
20040109 ,
12.- ACTION TAKEN (check all that apply) -. , ,
• Subject Was advised that although no acticin waS taken, tie report Would be retained in Army. records and that requests foi arriendment, correction, or expungembnt may be submitted
lAiN AR 19045 (M i ' Reports) or AA 195.2 ogflepora

.
ni a. NON-ADVERSE PERSONNEL ACTION REFERRAL:
REFERRED TO (Chad appropriatahlock.$) DATE REFERRED (YrYYMAIDD1 DATE RESPONDED (YrYYMMDD1
F = FAMILY ADVOCACY
D = DRUG/ALCOHOL ABUSE
S SPECIAL REFERRAL
E EQUAL OPPORTUNITY
L = LEGAL OFFICE
M = MENTAL HEALTH
R RELIEF AGENCY

b. ADVERSE PERSONNEL ACTION:
REPRIMAND El ORAL,SnWRITTEN

FILED: r7 LOCALLY pOMPF
LETTER OF CONCERN/COUNSEL1NG
ADVERSE OER/NCOER COMMENT
RELIEF FOR CAUSE OER/NCOER
SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE
DISCHARGE PURSUANT TO AR 635-200 (ENLISTED)/AR 600-8-24 (OFFICER)
Regulation S 011apter S• Characterization , Discharge Date

c. NONJUDIC1AV PUNISHMENT (Article 15, UCMJ) (ATTACH COPY OF ARTICLE 15)
S
SUMMAR! ED FIELD GRADE GCMCA IMPOSED
GENERAL OFFICER IMPOSED

RAD rIOLUDICIA.1.:6,,,fsubfect vites triedbipuri-, 'alba a copy of the courtniartial oder giving findings and sentences.) sumgXky COURT MARTIAL GENERAL COURT-MARTIAL 02,3724 SPECIAL COURT-MARTIAL CIVILIAN OR MAGISTRATE CRIMINAL COURT • DA FORM 4833, JUN 2004 DA 'FORM 4833, Dec 1998, IS dBSOLETE Page 1 of 2
APD V1.00
b • -7c/ U0 017

i3;..11:11. tit-FINDINGSS
..."=GUILTY DISMISSEDF1 NOT GUILTY OTHER (For example, guiliy of a lesser included offense. Explain in Remarks.)-
14. RESULTANT SENTENCES, PUNISHMENTS, OR ADMINISTRATIVE ACTION
a.
REPRIMAND Sh. ADMONITIOS,,,F1 (1) ,SE (2) IN WRITING

t.
DETENTION Scl. FORFEITURt Se. FINED- , $ .S. ISMONTHS

f.
REDUCED FROM STO Srig. EXTRA DUTY FOR SDAYS r7 h. RESTRICTED FOR DAYS

,
I. CORRECTIONAL CUSTODY FORSDAYS - I I 1. CONFINED SYEARS SMONTHS
lc: SEPARATIONi riPUNITIVE DISCHARGE n OTHER
_SType' i.S . Chapter: , Characterliation:

.,A

ISI 1. OTHER (Foi example, suspension of 'driving privileges. Explain In Remarks.)
1 5. REMARKS
.
PER EMAIL DATED 7 MAY 2005 BETW 87TH MP Dgr) AND C
(COMMANDER, S&T SQUADRON), C RT CARSON JAG OFFICE DE ,
THAT NO CHARGES COULD 13E BR AND DROPPED ALL CHARGES
AGAINST HIM. BASED OFF OF ACTION.

190

16a. TYPED NAME ANDSD OF COMMANDING OFFICER
W4 Special Agent in Charge
16b. 16c. DATE OF REPORT (YYYYMMDD)
20 os-o 6 v3
16d. ACCO NT E- ADDRE 0 2 5

DA FORM 4833, JUN 2004
Page 2 of 2
APD V1.00
00 018
DOD-049286
,
•, . . •
SUSPENSE DATE OWYMMDDI
COMMAII1DER'S REPORT OF DISCIPLINARY OR ADMINISTRATIVE ACTION •
For tise of this for* see AR 190-45; the proponent agency is NO of this Proirost Marshal General . . .. 200,50412 . •
F..
.
. pluvAcy ACT STATEMENT • .
• . . , •
iff ORITY:'. ' Title 10 USC Section 301;. Title 5 USC;SectIon g9si; i.O. 9397 dated November 22, 1943 (-SSN).. .
.0 . . .
PRINCIPAL PURPOSE: ' •.To• provide commander's and law .enforceitient officials With means by which InfOrmation may.be accuratelyidentified.:
ROUTINE USES: . . . `ics'ar social.security number h thed as an additional/alternate means Of Identificadon.to facilitate filing arid rettlevaL
'DISCLOSURE; • DIScloSure of your social security number Is voluntary..

.
li THRU 2. TO . . . • -3. FROM ,
. .
. Special Agent in Charge . • Commander . • 2133rd Trans Co.. . , . .
0Folart.E.gDgIVIrom) Cenfthille IA 52544 "
.
.. _
::11.„ USACRC CONTROL NUMBER ' 5. MP -REPORT NUMBER ' 6: SUB-INSTALLATION IDENTIFIEFt
, i• . -
-0009-04-CID679-83486 .• • . . ,
::The first LieutenatitColOnd In the chain of command is resisortilble and ac&mintable for compledng DA Form 4833 with supPort documeotation ,(copies of Artide 15s, •

' ccturt-mardal orders, reprlinands, etc) for all USA.CIDCinvestigadons. The milt and brigade commander or their equivalent will alio recehre a,dany Of the DA Forrn 4833 for
'i, ' ill USACIDC InVesdgations: . •
* • . .
_ Company, troop; and battery level commanders are responsible end acedUritle for cOmpledng DA Fenn 4833 with supporting_ documentation In aircaSes invesdgated by*
MpI, dvlian detectives employed by the Department of the Arty, and the ?rip. Accurate and complete DA 4833 disposidon reports are required to meet Installation, .
command, HQDA, DOD, arid federal statutory reporting requirements. The data Is used to Identify crime trends, establish coinmand pregrams In la* enforcement and other
activides, and to ensure that resourcee are made available to support commanders who must address Issues of soldler'and family member Indiscipline. :
lis court-mardal cases, a conviction of an offense at court-mardal May be for a different, or lesser Included offense. List the offense for Which the IndivIduai was convicted at

court-mirdal In the remarkS section. — -, . .
•
Block .5. ProVost Marshals roust enter the Military Police Iteport number for all cases referred to commanders. .
'Block 6. This block Is used to enter report number from a dvillan law enforcement agency poke' report Other informadon on the &Man law enforcernent agency (e.g. •

chriflan law enforcement agenty address) may be entered in the rernarki secdom
7. NAME Orlaiiiir) 8. GRADE ' 9. 10. DATE OF BIRTH DD) •
•SSG
.
1lb. PATE OF OFFENSE(s)
•11a. OFFENSE(s) 1 le ACTION TAKEN . 11d. IF NO ACTION TAKEN, EXPLAIN:
(YYYYMMDD) -
'
-.D.'dreliction of Duty 20040104 • YES tli NO

, . .
•
False Official Statement 20040106. YEtS NO, 1:3.1 • :
, .....:anspiracy 20040109 -YEs N0 - . .
. '
-.I:2i ACTION TAICEN (check all that/VW. ' • . .
-
5Subject was advised that although no Bodoni/as taken, the renod would be retained m Army records and that requests for amenchneht, co-rrection, or eipungerrient may be *submitted
• LAW AR 19O-45 (MP Reports) or AR 185-2 (CIO RePortsl. ' . .
•
. a.. NON-ADVERSE PERSONNEL ACTION REFERRAL: . .
REFERRED TO (Check appropriate blockal . DATE REFERRED (YYYTMAIDO1 DATE RESPONDED IYYYYMMODI
F = FAMILY ADVOCACY -

.
. D = DRUG/ALCOHOL ABUSE
.
.
S ri SPECIAL REFERRAL '
•
E = EQUAL OPPORTLINITY
.
= LEGAL OFFICE
.
M MENTAL HEALTH .
. R = RELIEF AGENCY •

•
'-' :
Nilta. ADVERSE PERSO sINEI.ACTION: .
' REPRIMAND ErORAL SWRITTEb. ' - .
. . FILED: LOCALLY XOMPF
. -•
LETTER OF CONCERN/COUNSELING
1• ADVERSE OER/NCOEi COMMENT .

• '
RELIEF FOR CAUSE OER/NCOER
. SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE
DISCHARGE PURSUANT TO AFL,635-200 (ENLISTED)/AR 600-8-24 (OFFICER) . •
Regulation Chapter Characterization . Discharge Date •

.
Oc. NONJUDICIAL PUNISHMENT (Article 15, 11CMJ) (AMC,/ COPY 0 F ARTICLE 157
..----
. .' , .
SUMMARIZED . FIELD GRADE ' . GCMCA IMPOSED
•• — COMPANY GRADE GENERAL OFFICER. IMPOSED '

.
A d. JUb ICIAL (If Sub/ect was &et% by court-martial attach a copy of the court-maftial order giving findings and senteitcesJ
_ . SUMMARY COURT MARTIAL . GENERAL COURT-MARTIAL' . . . 2*.)7' G4,) .... . SPECIAL COURT-MARTIAL CIVILIAN OR MAGISTRATE CRIMINAL COURT . DA FORM 4833, JUN 2004 DA FORM 4833, Dec 1918, IS OBSOLETE Page 1 of 2 •
APD yi.00
bli#516-7G tiO 019
13. JUDICIAL FINDINGS —
' ' GUILTY DISMISSEDA .: -

NOT GUILTY OTHER (For example, guilty.of a lesser included offense. Explain In liernarks.).
)RESULTANT SENTENCES, PUNISHNIENTS, OR. ADMINISTRATIVE ACTION

, —
a. REPRIMANDAb. ADMONITIONA(1) c.mAl: El .(2.) IhIWRITING "7" 6: DETENTIONA4. FO.RFEITURE.A6. FINED $A/ .AMONTHSA ,
—A—A0 .A. . .
f. REDUCED FROM .A
.. .. TO. .A. . .Ag. E)CTRA DUTY FORADAYS El . RESTRICTEC.FORA. DAYS
—AI. CORRECTIONAL CUSTODY FORA- . DAYS.AAJ. CONFINED ' YEARSA. MONTHS
El .A
......
— li. SEPARATION: ..[:] F5Ufft IVE DISCHARG El ' OTHER:.': – 'A TypeA. AChapter: A,ACharacterization: A Effective Date:
L OTHER (For ex4mple, suspension of driving privileges. Explain. In Rentarks.) ".

letter o refirimand aUd counselling statemehts are attached.

. '
16a. TYPED NAME AND GRADE OF COMMANDING OFFICER
LTC, Iowa ARNG

16b. SIGNAT
AKO CCOUNT E-MA1
. 2'
111111111111@us.4rmY•mil
DA FORM 4833, JUN 2004
Page 2 of 2 APD V1.00
00 020
SUSPENSE DATE (YYYYMMOD)COMMANDER'S REPORT OF DISCIPLINARY OR ADMINISTRATIVE ACTION
.
For use of this form', see AR 190-45; the proponent agency is Office of Me Provost Marshal General
PRIVACY ACT STATEMENT
AUTHORIT,Y;;: Tide 10.USC Section 301; Tide 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSN).
PRINCIPAL PUOPOSE: To provide Commanders and !law enforceinent officials Means by which infonnadon inay be accurately identified.
ROUTINE USES" Your social Security number is used as'an additional/alternate means of icientfiCation to facilitate filing and retileval.
RISCLOSUREi : . DisclOsure of Your social security tiuMber Ls volUntaijr.
2. TO' 3. FROM Director, Crime Records Center Conithander 6010 6th Street 87th MP Pet (ABN)(CID) Fort l3elvoir, VA 22060-5505 Pai Bragg, NC 28310
-
4. USACRC CONTROL NUMBER 5. MF' REPORT NUNIBER 6. SUB-INSTALLATION IDENTIFIER ; 0009-04-CID679-83486
L
The first:Lieutenant COlonel in the chain of Cornmind Is, tesi)OnsIble and acCOrintahle for COMpleting D.A. Font' 4833 with SUpOort.doternentatioii (Corilet of Article:154
:Cdurt-nraitial ordert, repifinandS; etc) for all USACIDC InVes-tigatiOns. The unit and brigade banirtrafider dr theit eMrivalent als0 recehle a•Copy of tho DA FOnp 4833 (of
inirestigabienS. -.: • -•••• .• ' , . .; • ,,. , • , ''„ .„.
„. • , ...„ ..„ , • „,
toripiany, trOOO, arid battery level cOrninanrlers are veipiansliiie arid atcoUntab.lofor Col-pole-Ong DA: Frain) 4831. with SUOtiortirig doCOMentatiOn in all CaSes.lriVeirigated by,
1.4P1,: civilian CletectiVeierimlOyed by the Deraarnnenttif the ArrnY, and the PMQ.-, .ACcuratatict cotitolete DA 4833 disposition' reports ire rennitedltoPieet
cOnirriand,11Q6A; DO6, andlederal itatutery 001344 req01.renienti.. The data linsed to identify.crirne trench,- eSt.ablish COMMand prOgrarrp inlaW enfOrcernent and Other
attlyitles, a-,nd tia ensure that restinrtes are niade avalable to Support COMMandera yvho muSt adOrest tisues sokliet and farnilyniern.ber .„ • • '-. •
. . . , ...• . „ , • _ ,••• • • - „ .•. • • .
„ A, .
In Ciaiirt7Martial CaSe.i, COnvictiOri of an offense at Cr:wit-Martial ritayhe fOr a different, Oriesser IriCluded Offerne. List the offense for Whictithe IndivIdual was cOnvicted a(
Ccilirt-thaetial the reniarki seCtion. . -", , • . • :" -
Btock ProVoSi.M*rsitz0.'inoSt enter. Me. I¦lititary PakfiCe ReMart nurtiber for Cakes referred. to COmittandets:
.BIOC1c Pitt hiocic 4 USerttia enter report nniriber fitini a civfilan laW enforCeMent igeitcy polite tepote Othei- infotmadOn on the civilian:law enfOrcernent agerity
IOW enfcirCentent.agericy.adifieSt) .May he onte;eclinSreinerki sectiOn. I • "
. . .
7. NAME OP. SUB ECT fiast,,Firat . 8. GRADE. .SPC 10. DATE OF BIRTHSMDD)
11a OFFENSE(s) 11h. DATE OF OFFENSEIs) ..SYYYYMMDD) 20040104 11.c. ACTION TAKEN YES D NO 11d. IF NO ACTION TAKEN, EXPLAIN: SEE REMARKS
False Official Statethent 20040106 YES • NO
Conspiracy 20040109 YES
12. ACTION TAKEN. (check all that apply)

* Subject WO advised that although no action was 4km:the report would he retained m Army records and that requests for amendment; correction, or expungerrient may be submitted IA1111 AR 190-45 (A 3 Reports) or AR 195.7 (CID lleportd. •
r7 a. NON-ADVERSE PERSONNEL ACTION REFERRAL:
r REFERRED TO (Check appropriate blocks) . DATE REFERRED (YYYYMMOD) DATE RESPONDED InTYMAIDD1
F = FAMILY ADVOCACY
D = DRUG/ALCOHOL ABUSE SPECIAL REFERRAL EQUAL OPPORTUNITY LEGAL. OFFICE
M MENTAL HEALTH R = RELIEF AGENCYnb. ADVERSE PERSONNEL ACTION:
SREPRIMAND EI ORALST7 WILITUN
FILED: nLOCALLY F-7 OMPF LETTER OF CONCERN/COUNSELING ADVERSE OER/NCOER COMMENT RELIEF FOR CAUSE OER/NCOEIL SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE DISCHARGE PURSUANT TO AR 635-200 (ENLISTEDWAR 660-8-24 (OFFICER) RegulationS. SChapter.S Characterization S Discharge Date
1-7 c.SNONJUDICIAL PUNISHMENT (Article 15, 11CMJHATTACH COPY OF ARTICLE 151 SUMMARIZED FIELD GRADE SGCMCA IMPOSED COMPANY GRADE . SGENERAL OFFICER IMPOSED
Sd. JUDICIAL (If subject was tried by court -martial attach a copy of the courtmartial order giving findings and sentences.) SUMMARY COURT MARTIAL'SGENERAL thURT-MARTIAL 0'23723 SPECIAL COURT-MARTIALSCIVILIAN OR MAGISTRATE CRIMINAL COURT
DA FORM 4833, JUN 2004 DA FORM 4833, Dec 1998, IS OBSOLETE Page 1 of 2
APD V1.00
r oc,

0 0 2. 1
13. JUDICIAL FINDINGS
GUILTY DISMISSED
NOT GUILTY. OTHER (For example, guilty of a lesser included offense. Explain in Remarks.)

14. RESULTANT SENTENCES, PUNISHMENTS, OR ADMIAIISTRATIVE ACTIONS ..
a. REPRIMAND — b. ADMONITIO (1) (2) IN WRITING .
c. DETENTION d. FORFEITURE e. FINED $ MONTHS
f. REDUCED FROM g. EXTRA DUTY FOR DAYS 1. CORRECTIONAL CUSTODY FOR DAYS 1-71. CONFINED SYEARS lc. SEPARATION: El PUNITIVE DISCHARGE El OTHER. h. RESTRICTED FOR MONTHS DAYS
Type. Chapter: Charicterization: Effective Date:
I 1 I. OTHER (For example, suspension of driving prIvileget. Explain in Remarks.)
1 5, REMARKS
PER CONVERSATION I3ETWEEN MRS. (87TH MP DET) AND MA.TOR CI-IIEF
MILITARY JAG FOR 3 ACIt. FORT C SON, DO ON 2 AUGUST 2005, N N
AGAINST SPC FOR THE L D OFFENSES.

b

16a. TYPED NAME AND COMMANDING OFFICER
CW4 S ecial Agent in Charge
,
111111111111
161). S 6c. DATE OF REPORT (YYYYMMDD)
2o03-$403
14d. CO NT E-MAIL ADDRESS
ryce, 101V, 'MA)) V ;711 NO
DA FORM 4833, ILIN 2004
Page 2 of 2
APD V1.00
00 022
.e.1111
) ENFORCEP.ALN I I w
tOR OFFICIAL VSE ONLY
-DEPARTMENT OF TITE-ARNIY
8711I MILITARY POLICE DETACIIMENT (AMBORNE)(FORWARD)

DIVISION SUPPORT ELEMENT (CO .
AR RAMADI, IRAQ APO AE 09384

CIRC-A.1313 2 May 05
MEMORANDUM FOR. sa DISTRIBUTIOIxT
SUBJECT: CID REPORT -TINAL SUPPLEMENTAL/SSI - 0009-04:-CM679-83486--
510375C1L/5Y2P9/5y2D1/5M3/5C2/X1/9G1
DATES/TIMES/LOCATIONS OF OCCURRENCES:.
1.. 9 JAN 2004/0730 — 9 JAN 2004/0900; DETENTION FACILITY, FORWARD OF'ERATING BASE (FOB), RIFLES BASE, AL ASAD, IRAQ, MGRS 38S KC 60160 40494:
2.
4 JAN 2004/1730 — 4 JAN 04/1830; ALTERNATE SUPPLY ROUTE BRONZE, IRAQ.

3.
6 JAN 2004/1000 — 6 JAN 04/1300; ODA 525 COMPOUND, FOB RIFLES
BASE, AL ASAD, IRAQ

4.
10 JAN 2004/1200 10 JAN 04/1800; 947 MP COMPANY BILLETS; FOB­RIFLES BASE; AL ASAD, IRAQ. • •

DATE/T1ME REPORTED: 9 JAN 2004, 1010
INVESTIGATED BY: SAINSSA
SUBJECT:
1. SFC; MON
M; TE; ODA 52 , ANY, 1sT BATTALION, 5 SPECIAL FORCES GROUP, FORT CAIVIPBELL, KY (F0)3 RIFLES BASE, IRAQ, SP. [AGGRAVATED ASSAULT], [FALSE OFFICIAL STATEMENT], [CONSPIRACY}
. 2.
M; WHITE; ADA Y, 1/3S()RED CAVALRY REG , FORT
CARSON; CO (FOB RIFLES BASE; IRAQ); CT. [ASSAULT]

1111111111111111111111.11; SFC•
111111111111.1 M; WHITE; ODA 525, )3 COIVIPANY, BATTALION, 5TH SPECIAL FORCES GROUP, FORT CAMPBELL, KY (FOB RIFLES BASE, IRAQ; SP. " [AGGRAVATED ASSAULT], [FALSE OFFICIAL STATEMENT], "CONSPIRACY]
LAW ENFORCEMENT SENSITIVE FOR OFFICIAL USF- ONLY
FOR OFFICIAL USE ONLY ProteteNe markiii excludegi torn attoirgdc termination (Chap 3, ia x5-55).
02-A.
6c/

bla
6
bic
0237a
U0 023
LAW ENP-ORCEIVIENT SENSITIVE
0009:4),K10679-83486
FQR OFFICIAL USE ONLY
, SSG;
111ft M; WHITE; ODA 525,13 COIVIPANY, l• BATTALION, 5 SPECIAL FORCES GROUP, FORT CAMPBELL, KY (FOB RIFLES BASE, IRAQ; SP. [AGGRAVATED ASSAULT],[FAL,SE OFFICIA_T., STATEMENT], [CONSPIRACY] '
SPC;
. . . .
m; WHITE; S & T SUPPORT SQUADRON, FORT CA_R.SON, CO;
. ,
[NEGLIGENT gomxmEi, [ci.V.E1_,Ty AND MALTREATMENT].
. , .
6. ; SGT; winTE;
mANTE1.1-AN:tE TkooP, suppokr SQUADRON, FORT CARSON, CO; CT
[NEGLIGENT HOMICIDEI [CRUELTY AND MALTREATIVIENT]

. 9 .
7: SPC; M; WHITE; AVIATION E ANCE TR. PORT UADRON, FORT' CARSON, CO; CT [AGGRAVATED ASSAULT], [FA.LSE OFFICIAL, STATEMENT], [CONSPIRACY]
PFc M; WHITE; S & T, SUPPORT SQU: ARSON, CO; CT [NEGLIGENT I-10MICTDE], [CONSPIRACY]
,
9. SPC;
-
41111111111111111M; BLACK; S & T, SUPPORT SQU RON FORT CARSON CO. CT-
, 9 5
[FALSE OFFICIAL STATEMENT], [CONSPIRA.CY]
. 10. , SSG; 4111=1/11.. Mi WHITE; 2133 TRANSF'ORTATION COMPANY IOWA
9 9 , :
NATIONAL GUARD, IA; CT [pEREucrioN OF DUTY], [FALSE OFFICIAL
STATEMENT], [CONSPIRACY]

1 1.
ammos m; WI-111E; AVIATION MAINTENANCE TROOP, SUPPORT S UAI5RON, FORT CARSON, CO; CT [CONSPIRACY], [FALSE OFFICIAL STATEMENT] . .
VICTLM:
1.
DECEASED]; FORMER LTC, IRAQI ARMY; DETAINEE NUMBE BAGHDAD, IRAQ; M; C; DULA'AB, IRAQ; ZZ; (NFI) [NEGLIGENT HOMICIDE , [ASSAULT], [AGGRAVATED ASSAULT', [CRUELTY AND MALTREATMENT]

2.
U.S. GOVERMENT. [FALSE OFFICIAL STATEMENT], [CONSPIRACY]
[DERELICTION OF DUTY]

LAW ENFORCEMENT SENSITIVE. FOR OFFICIAL USE ONLY
. FOR OFFICIAL USE 0 023731..
Pr.otective tiwidng is.e.xdiJd . tennittation (Chap 3, AR 25-551 Coigt, (Jo 4
DOD-049292

"FoR"0.-"F‘F-iaiAt- USE ONLY Ou09-04-CID679-83486
INVESTIGATIVE SUMMARY: MC/63e-C—
i‘e1/46ve-1
TI-IIS IS AN OPERATION IRAQI FREEDOM INVESTIGATION.
On 9 JAN 04, the 94th Military Police Company, FOB Rifles Base, AI Asa.d, Iraq, • '
notified thiS office an Iraqi detainee died at the FOB Rifles Base. detention facilit-y.
.

Investigation established prObable cause to believe SPc coMmifted the offense .
of assaultwhen shortly after the caPttire of Mr. SP kicked Mt.

.
the chest two or three tithes SPC stated the reason for the assault
.
was tO stop Mr.11111.111froin standing. Mr. Was restrained with zip ties at the
time of the assault, . ,

Investigation established probable cause th believe SFC SF
. S.S .S
.
and SSG1.1111committed the offenses of aggravated assault, conspiracy, and fa se
official statera. ent _whentfier ettte'red filth an_agi:eement tO a.unifOrtned stat. ement
as to the alleged attack on SFC y Mr s All throe then'proVided . .

-. , -.
offioial statements stating Mr, attacked. SFC d attempted to reach
:
for the pistol located in his shoulder holster They stated thoy ha.d to subdue Mr
bY stri-lOng MT. 0-eatedl flit. one to two minutes. SSGIIIIIISFC . •- -

- — .
and SFC atecl they never a.ttempted to gain Control of Mr. •
artclS in order to preVent hitn from reaching for the weapon. Mr
injuries were pot consistent With thiS explanation in that the niunber Of injuries ari .

. _. .. . . , ,. . . . ..
severity of the injurieS exceeded. the force that Would reasonably be required fOr three . .
. . , . , . -.. .. . . . . : . . . -
. . rnen tO subdue him: .. -• .. ... . , . . , -. .. ., .. ,.: : . • . . - ' -' . .
. .
Investigation established probable cause to belieVe SP ominitted the .
offenses of aggra.yated assa.ult, conspiracy, and false official staternent; s c kin
cOminitted the offense of false official statement and conspiracy; spc
committed the offenses of false official. statement arid conspiracy; and SS
committed the offenses of derelietion of duty, conspiracy, a.nd false official statement

•
when they entered into an agreethent prior to being fitteryiewed by CID, that they would
not disclose. the fact that Mr adtually made it outside die detention ficili

: .
dining hiS eScape att SPC and have stated SI)
a rehended Mr.Maill alone by grabbing his shoulders from behind, cauSing Mr.

o fall backwaids in a twisting motion onto his buttocks. At which time SPC
tep ed over, ofaround him; to a position near Mr s legs and feet.
SPC hen esc.ortedIVIr.. to the sleep deprivation area located directlY
in fi-Ont of the guard stand. However, SS tated SPCIRIffircaught Mt. 7.

prior to hiin,leaville building. tated Upon firSt contact, SPC slammed 1Vir.1 into the back wa. ; then-bear hugged. Mrealli • •
from behind and slammed hina to the floor witla. SPC ding on top of Mr. •
Further, SSA.. 'failed to initialb:r report how SPC, pprehended
uring the escape attempt, ' .

LAW ENFORCEMENT SENSITIVE
FOR OFFICIAL, USE pwx

ProVP,W-FAnitikeVAERAYm. tennittOm (chap 3"25-55)
00 025
DOD-049293
LAW .....;NFOIRX;mren,,, _ , 1 , .
FOR OFFICIAL USE ONLY' OW9-04-7CID679-83486
_f
Investigation established probable cause to believe PFC coMmitted the offense 6( ef/00-1°file ent homicide when he utilized a Military Police A le baton brin Mr.,th his feet after he refiised to stand. SPC stated PFC
jc,rfrti-
ameared to be very u set about the escape attempt and when Mr efiised to
stand PFC placed the baton under the chin of Mr , while standirig .
behind him. and pulled him to a standing position, there by fracturing the hyoid bone

. ... , , , .
which. wa,s the major contributing factor for the death of Mr.
investigation esta.blished probable cause to believe PF CoMinit-ted the, offense'
of conspiracy when he elite into an agreement with SPC sgGiiiiirsPC

and SPC rior to being interviewed by CID in that they would not : _ c91111CEurther . '
,
. _ ,
disclose the fact that Mr ctually made it outside the detention facility during ., .
, .
his escape attempt. , .
In'sreSti ation established probable,,. ,.. canSe to belieVe SG. d SPC '
_ , . , . , , .
ecinhnitted the offense of hegligent hoinicide and crueltY andinaltreatMerit - •
when they Ordered Mr.11111111,tio stand as part of a mass purnshnient then after Mr.

• ' —" • •. • - , . . . ..-:. . . . -. - . _ . .. .. ,
failed to comply with eir order they handcuffed Mr to the dbor. • „.
, ‘ ---,' -: , , . : -. . ..-.. -
an10. 0 lliS cell in Sikh a manner tc,J fotee hit" to rethai-0 'stall : SOT d .
SE.C. hen ,gagged Mr a.ft.er" lie refilsed to:. Sid- niakiti hoiseS. SPC •
. . . ., . . : • ,.
stood behind. Mr. -with. the gag aroinid. Mr.. head, as' "
SGT thzed pressure points on the upper jaw an : . to force . s rnou.

, , .
open. SPC en Pulled the gag liito Place and tied it off behind Mr.
.ea
.., -
-.
.Consideringthe totality of die facts and 'events regarding the detention Of
. .
tett Was t10 one-incident which caused the final demiSe of Mr Rather he was
.
ste.,adily subjected tO physica traurna, brou t on b his own actiohs, however, excessive
force .Was utilized by ssq , SFC , and SEC SPC -
arid PE There is ind.ication to Suggest SGT r sPC
aeted in a negligent: manner When they gagged arid forced Mr:

, • • . . ".
Stand as punishment for talking. The nutial incident with:SP as deemed
.
hiSignificant to- cause grievous bodily injury from dye witnesS staterhents, froth niern.befs
f his 't, and froin the interviews of the otb.er Iraqis detained at the same time as Mr.,

Further investigation was tb document filial SJA coordination; CRC nan-ie checks arid
clarification of queStions froth ati operational. reView of the final report:

STATUTES:
ARTICLE 134, UCKI: NEGLIGENT 110MICIPE
ARTICLE 128, UCKI: AGGRAVATED ASSAULT
ARTICL,E 93, UCKT:' CRUELTY AND MALTREATMENT

ARTICI,E 128, UCW: ASSAIJLT , •
ARTICLE 107, UCKI: FAL,SE OFFICIAL STATEMENT
ARTICLE 81, UCW,-CONSPIRACY ,

•
•
LAW ENFORCEMENT SENSITIYE.
rt4
FOR OFFICIAL USE ONLY 4,4 4"( %„.15.,1) _ regeOrgaggg .
Pro'
terminatjot) Pap, AF624-54

IJO 0:6
414.FoRctivic.1,, ONLY •S)
FoR. OFFICIALS 009-04-C113679-83486
ARTICLE 92, UCIVII, DERELICTION OF DUTY,
EXHIBITS AND SUBSTANTIATIONT:
I Added Attached; vcd
•
81. Agent's Investigation Report (AIR) of SA 2 May 05., detailing Anal

S.TA coordination, CRC name check results, and clarification of queStion from the
,
operational revieW of the final. AddedNot Attached: . None..
Tlie'briginal of Exhibit 81 wag attached to tlie USACRC copy of this report: . STATUS: ThiS is a Finl.Suppletnental R.eport.
Report Prepa.red By: Report Approved By:
,
Spepia
DISTRIBUTION:
1 — Director, U.S. Army Crime Records Center, USACIDC; 6010 6th Street, Fort

Belvoir, VA 22060-5506 (original).
1 — TBRU: Coitunander, 3rd Militory Police Group, (CID), Fort Gilliam

' GA (Erriail. Only/Less Exhibits).
Commander, 10'' Military Police Battalion (CID), Fort Bragg, NC 28310-5060(Email Only/Less Exhibits).
TO: HeadqUarters, USACIDC, ATTN: CIOP-ZA, 60i0 6th Street, Fort Belvoir, VA 22060-5505 .
1 — THRU: Cominander, 5th Special Forces Group, Fort Campbell, KY 42223 (Email Only/Less Exhibits).
, LAW ENFORCEMENT SENpITIVE FOR OFFICIAL L1SE ONLY
FOR OF ICIAL COI-3,7
TivntUtiM504...
3 e=.1Aw
Firowetrine
•
terriArialjon (chap3,Afk2-5-55).
1, 2 3 3 4
00 027
LAW L...1ORCEIVIENT SENsi iv=
Ob09-04-CiD679-83486
FOR OFFICIAL USE ONLY
. ,
. . . . .
. .
• . . •
Conthandet, lit Battalion, 5th Special Forces, &blip, FOrt Campbell, KY 42223
-. .
. . •(Email Only/Less Exhibits). • ••
TO: CoMniander, B Conipany, lit Battalion., 5th SPecial ForCes Group, Fort Campbell; KY 42223 (Email Only/Less EXhibits).
1 THEW: ComMancler, 3rd Armored Cavalry R.eginient (ACR), Fort Carson, Co 80913 (Email Only/Less Exhibits). . • • • . •
• TO: COMMandet; ADA Battery, st Battalion, 3rd ACR, Fort ekton; O0 80913 (Eil-i4i1Ohlyitess txhibits). . • -
TO: COrrim'ander, S & T Stipport Squadron, Fort Carson, CO 80913 (Email Only/Less .; • -•
TO: Coinmander, Maintenance Troop, Support Squa.dron, Fort Carson, CO (Ernail Only/Less Exhibits). -• .
•
TO: Commander, Aviation Maintenance TroOp, Support Squadron, Fort Carson, CO 80913 (Email Only/Less Exhibits). '
TO: Commander, 2133rd Transportation Cornpany; Iowa National Guard, IA (Email Only/Less Exhibits).
17 Director, Armed Force Institute of Pathology, AFIF' Annex, Bldg 102, 1413 Research Blvd, Rockville, MD 20858 -, -
1 — File.
LAW ENFORCEMENT SENSITIVE FOR OFFICIAL USE ONLY 023735 FOR OFFICIAL USE 014LY
Protecuve Marking occluded from avtoriwit
Immihation (Chap 3, AR 2,5-c,55)

0
•.