CID Report (Death): 0068-04-CID469-79649

. ' • .. . s' ' : : - , . - • ,.' , .- _ - '''''',7. SUSPENSE-DATE (YYYYMMDD)
COMIVIANDERS REPORT OP DISCIPLINARY OR ADMINISTRATIVE ACTION' - •
'
.
see AR 190-45; the propOnent agency is OffiCe of the ProVost Marshal General
tbrrTir

, , ,
t)r thi PRIVACS APT STATEMENT ,.
tle: , . .
F°F:irt
Title 10 U6C Seal011.301; TitiP 5 .LISC.Section 2.951; 01 9397 dated NoVember 22; 1943 (..52$N
°Q):4°15
'ItliTHO . ' , • ,
PRINCIPAL: To provide commendert and laW enforceinent officiatt with Meant by which inforniation may be.accurately identified.

. . , , , .. . , , . . , , .
ROUTINE USES:, Your 'social sedurity number is used at an additional/alternate. meant of identification tii facilitate filing and retrieval. ,

-,•__:•-• .' , , , -
DISCLOSUREt. DisclOsure of yOur Social securitY nUrnber it voluntaN. _ '
1; TI-IRO : ' 2. TO. • „ : 34 FROM: -
Centkal Crtinifil Court of Iiaq NA) St¦ 6Cial Agent in Ch8ige .
ATTN.; MAJ. 1111111111111r bc, it'' 6.-.1.0( 286th mr, D4 '(citi) (imp)
APO AE 09392, ''.7'H.,-'7"' ' - ' ' ' FOE DaIlgei APO AE 09392: '

„ . , , ... %- , . . ,„
.
4'. USACRC CONTROL NUMBER B. m,P REPORT NUMBER• ' a. . .. . . , ..

. .. SUB-INSTALLATION IDENTIFIER
0068-047CID469.7.79049-5E7/5H9C1.: • . •' '
The-first LieUtenant Colonel in the chain of command IS tesPonsible and actOuntable fel' ofernplet`ing DA Forrn 4833 with Support dOcurnentatien (copies of
Article 15s; court-Martiai ordeth, reprimands, etc) ft( all USACIDC investigatione. The unit and brigade commander or•their equivalent will alco receive a copy of

the DA Form 4833 for all USACIDC inyestigatione. ' . i : . . • .. , -:' . . .. . • -- . ' ' . _:. , - .
•• : , - . ,., • . , : , . ,. .. 7 , , , •, _ , . . ,
Company, troop, and battery reVel coMmanders are I.eSPonsible and accountable for coMpleting bA Form 4833 with Cuoporting ciOcumeritation in all Cases.
.inVestigated by MPI, civilian detectives employed by the Department of the Artily:and the PN10, Aceurate end complete DA 4833 diaposition reports are
required to meet installation, corn.mand, HQDA, DOD, ancl federal statUtory reporting recluireMents, The data is uced to identify Clinic trende, establish ,
Cornmand prograrns in laW enforcentent and ottter activitiet, and tO encOre that repo:tee are made available to support comenanders who must address issues

-RI Ogiudriernagafianeerldigivigfilo_ __..:.__.1._ i¦r? g IA i _:.'offense at court-Martial may lie far a different, or lesser included oftenee. List- the offenSe for which the individual was
OcinVicted at Cburt:Martialin the remark* Secticiii: , . ' , , i ,. . ''

pock 5. 13rOvost MarCha1C Must enter the Military Police Fleport number for all cates referred to Commander*: . . .
Bieck 5..' This block is ose'd to enter report number frorri a civilian law enfordernent agendy 00iiCe report: Other information on the civilian laWenforcernent .

agency (e.g. civilian law enforcement agenCy address) may be entered in the 'titlarks section-. '
. . , . ,
7. NAME OF SUBJECT LaSt,,First MI :: • 8. GRADE 9. SS.rsj 10. DATE OF BIFiTH (YYYYMMDDI
Mr . .
b6,qi a. t0_7 (..,,,S9s) DATE OF OFF , lic. ACTION TAKEN 11d.. IF NO ACTION TAKEN, EXPLAIN:
tyryymkopt
.
• I P
Attenipted Mtuter 20040410 .YES NO
•. .
YES NO
1-10gtile PIO.. 2004010 ‘.
..AtS:il 4r;eLd._ . cg:e.,,,v%eYES NO
1.2.: . ACTION TAKEN (check al/ that apply/0 -.0 .
-0'! Subject was advised that although no action wat taken, the report would be retained in. Army records .and that requetts for amendment,
. _..0.
, correction, or expLingernent May be submitted IAW AR 190-45 (MP Reports) .or AR 165-2 (CID Repbrts).0
a. NON-ADVERSE PERSONNEL ACTION REFERRAL: . -REFERRED TO (Check appropriate blocks)0•0DATE REFERRED (YYYYMIvIDD)0• DATE RESPONDED (YM'MMDD) P• = 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 ORAL,. WRITTEN •
FILED: LOCALLY OMPF

.
LETTER OF CONCERN/COUNSELING
ADVERSE OER/NCOER COMMENT
RR IFF MR rAIISP (1FR/NCIIPP1

. ,
tix.., -
-.
SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE DISCHARGE PURSUANT TO AR 635-200 (ENLISTEDVAR 600-8-24 (OFFICER) Regulation . Chapter ' Characterization charge Date •
I I c. NONJUDICIAL PUNISHMENT (Article 15 UCMJ) (ATTACH copy OF ARTICLE 15)
0SUMMARIZED FIELD GRADE GCMCA IMPODsiEsco
COMPANY GRADE GENERAL OFFICER IMPOSED
. (If subject was tried by court-martial
d—JUDICIAL attach a copy of the court-martial Order giving findings and sentences.) 0094451.16.
SUMMARY COURT MARTIAL NERAL COURT-MARTIAL
01
SPECIAL COURT-MARTIAL CIVILIAN OR MAGISTRATE CRIMINAL COURT
kla .

DA FORM 4833, JUN 2004 DA FORM 4833, Dec 1998, IS OBSOLETE Page 1 of 2
APD V1.00
DOD-050011
DICIAL FINDINGS
GUILTY DISMISSED
NOT GUILTY OTHER (For example, guilty of a lesser included offer's& Explaki in Remarks.)
14. RESLIL.TANT SENTENCES, PUNISHMENTS, OR ADMINISTRATIVE ACTION ,
a.
REPRIMAND b. ADMONITION (1) °RAI-ri () wRitiNd

c.
DETENTION d. FORFEITURE e. FINED $ e MONTHS

f.
FIEDUCED FROM TO r7 g. EXT A Durt FOR DAYS ri RESTRICTED FOR DAYS

i.
CORRECTIONAL CUSTODY FOR -DAYS j, CONFINEI YEARS MONTHS

lc. SEPARATION: PUNMVE DISCHARGE OTHER
Type Chapter: Characterization:

I. OTFIER (For exan"ple, suspension of driving privilegei. Explain in fiemarks.f
15. REMARKS
m¦-trder:
1604 TYPED NAME AND GRADE OF COMMANDING OFFICER
c9Nattkitki°
11:15u4
DA F
Page 2 of 2
APD V1.00
DOD-050012

FOR OFFItaL USE ONLY LAW ENFORCEMENT SENSITIVE
DEPARTMENT OF THE ARMY-
- -RD
22 MILITARY POLICE BATTALION, 3 MILTARY POLICE GROUP
UNITED STATES ARMY CRIMINAL INVESTIGATION COMMAND
286'm ISHLITARY POLICE DETACHMENT (CID)
APO AE 09392

MEMORANDUM FOR SEE DISTRIBUTIOI•I
SUBJECT: CID Roport of Investigation - Final - 0068-04.-CID469-79649-5H7/5H9C1 (DIME)
DATES/TIMES/LOCATIONS OF OCCURRENCES:
1. 10 APR. 2004/2230. 10 APR. 2004/2,245; GRID ME447217, KIRKUK, IRAQ
DATE/T1ME REPORTED:. 12 APR. 2004/1100
INVESTIGATED 13Y:. SA
SUBJECT: 1. RIAYATH; (DECEASED); CIV; M; OTHER; NFI [ATTEMPTED MURDER] [HOSTILE FIRE]
, CIV; M; OTHER; NFI [ATTEMPTED MURDER]
H
rcktti 4 [HOSTILE F21RE(

ill I
3. GUMAA, FAHMIN ALI; (DECEASED); CIV; NI; OTHER; NFI [ATTEMPTED MURDER] [HOSTILE FMB]
ICT ; PFC; MAW
B COMPANY, 1/2 INFANTRY BATTALION, AF'0 AE 09347; M; WHITE; CT; [25TH INFANTRY DIVISION, SCHOFIELD BARRA.CKS, HAWAII] [ATTEMPTED MURDER] [HOSTILE FIRE].
INVESTIGATIVE SUMMARY:
,"THIS IS A_N OPERATION IRAQI FREEDOM II INVESTIGATION"
INITIAL REPORT:
This investigation was initiated based upon notification by the 22' Military Police Battalion operations officer; who reported a soldier was injured during a rocket propelled grenade (RPG) attack in Kirkuk, IZ.
024453
FOR OFFICIAL USE ONLY , LAW ENFORCE1VIENT SENSITIVE
FOR OFFICIAL USE ONLY LAVV ENFORCE1VIENT SENSITIVE

SUBJECT: CID Report of Investigation - Final - 0068-04-CID469-79649-5H'7/ IMIS)
InVestigatiOn eStablished probable eauSe th believe that Mr and Mr.
, , ,
,
conimitted the offense of .Attempted Murder when on 10 Apr 04; theY'attacked with
.
siiiall' ainis fire and One RPG an Observation F'oint (OP) manned by members Of the 1/21st INF BN,
. -, ... -.
injurifig PFC
STATUTES:
Title 18, Section 1113: Attempt to Commit Murder

mAa9
EXIMITS/SliBSTANTIATION:
Attached:
1 Agent's investigation Report (AIR) of SAMS, 29 Mar 04, detailing the Basis for

-, , .
nd • -• • • •
hivestigation; cborditiation with 22 M:P I3attahon Operations Officer; Coordination with the unit;
. .
other coordination's and. receipt of dOcunaents. fitten Statements Ofsuldieis fi.Oni B o, 1/21`t INF BN, FOB Warrior, IZ, who were manning the obserVation post at the title of the incident. • - AIR of dated 22 Jul 04, detailing the receipt of documents..
e
4.
AIR. of' SA. clateci291204, detailing coordination with the 801st CSH, other
coor ma interview of Mr. IMINI and receipt of' documents.

5.
Death Certificate pertaining to Mraillfated 29 Apr 04.

6.
Arabic Langu.age W.aiVer Certificate and Sworn Statement of Mrair, dated 29 Apr 04,
wherein he stated US Forces fired first without warning and therefore t ey ed back.

Englis.h Language Translation of Exhibit 6 translated by Mrigladated 29 A r 04:
8.
AIR of SA dated. 18 May 04, detailing the autopsy of mr
evidence, and receipt of documents.

9.
Preliminary Autopsy Report, ME 04-357, dated 18 May 04, pertaining to Mr

.111
10.Compact disc depicting Mt autopsy (USACRC copy only)
11.Final Autopsy Report, 1VIE 04-357, dated 18 May 04, pertaining to Mr
12.AIR_ of SAIIIIIIIated. 3 Jun 04, detailing the interview of PFCIIIIIIIIIIIIIF other

coordination's and receipt of documents.
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE 0°4-
2
, .
FOR OFFICIAL USE ONLY LAW ENFORCEMENt SENSITIVE
SUBJECT: CID Report of Investigation - Final - 0068-04-CID469-79649-5H7/5H9C1
13. Sworn Statement of PFC da,ted. 4 ay 04, wherein he described,the incident
where he got Wounded: f)tr9 qi b (.7.
14.DA Form 4137, Evidenee/Property Custody Document (ECD), (USACRC a,nd. file copy only).
Not Attached:
Retained in the evidence depository of 22,n Military Police Battahon, Baghdad, IZ:
15.SpeCimen cup containing (2) bullet fragnieins.

16.SpeciMen cup containing bullet fragment.
The originals of Exhibits 1, 3, 4, 6 through 8, 10, 12, and 13 are-forwarded. With the ITSACRC copy
of this report. The Original of Exhibit 2 is retained in the files of the 1/21st INF BINT, FOB Wai-rior,
IZ.. The original of Exhibit 5 is retained in the files of the 80Vt Cornbat Support Hospital (CSH),
Abu Ghruyeb, 'Z. The original of Exhibits 9 and 11 are retained in the files of the Armed Forces
Institute of Pathology, Rockville, MD. The original of Exhibit 14 is rctained in-the-files-ofthe

nd
evidence depository, 22 MI) 13N Baghdad IZ.
2
"
STATUS: This is a Final Iteport. This investigation is g terminated IA'W Section V, paragraph
4-17(3), CIDIt 195-1, in that on 20 jun 04, Mr as sentenced to six years irt prison for
the offenge of A.ttempted Iqurder..

ort Prepared By: Report Approved By:
SPecial Agen Special Agent in Charge DISTRIBUTION:
1 - Director, USACRC, 6010 6th Street, Fort Belvoir, VA 22060-5505 (Original)
1 - THRU: Conunander, 22nd MP BattaliOn (CII)), Attn: Opns Officer, USACIDC, BIAP, APO
AE 09335 • TIIRU: Commander, 3d MP Group (CID), Attn: Opns Officer, USACIDC, Forest Park, GA 30297-5119 1 — Director, Anned Forces Institute of Pathology (AF1P), 1413 Research Blvd, Bldg 102, Rockville, MD 20850 (w/exhibits)
024455

FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE \\ 3
FOR OFFICIAL USE ONLY LAW ENFORCEMEhlt SENSITIVE
SUBJECT: CID Report of Investigation - Final - 0068-04-CID469-79649-5H7/5H9C1
— THRU: Commander, 1/21 INF 13N, F013 Warrior, 12
—SJA, FOlE3 Danger, 12 (Attn.:1\4M —PM0, lID, F013 Danger, 12 (email only) 1 - File
024456

FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE we'r6
4

FOR G \JAL USE ONLY LAW ENFORCEMENT . -WIVE

ROI NUMBER ite.7ybii7
AGENT . S INVUTIGA T T.E PO RI' 0068-04-CID469-79645
-CIE? 1R-60-43n. i 9,5 PAGE 1 OF 1 PAGES
DETAILS

ThiS WaS initiated based upon notification by the 22nd Military Police (MF') Battalion (BN) Operation OffiCer tliatahout 2245, 10 Apt 04, a soldier was injured as a result of a small anns fire attack while manning an Observation Point With his unit in ICirkuk, IZ.
156." kf,471-
. -
AbOUt 1115,.12 Api 04, SA coordinated with SSG Battle NCO, 1/21st Infantry Battalion, APO 09347, who Provided the subjects names, and ba.sic information concerning this Investigation.
b10-1,b7c'-1
(0•0.
About 1240, 12 Apt 04, SA cOOrdinated with, CPT -2 Section, 1/21 Inf Bn, 0 AE 09341 who stated he wOtild send the incident report coneenung this incident. Further CPT tated orie subject was killed and two subjects were wounded during the incident. The two wouri. e Sti jeetg Weie treated, stabilized and transported to 31't Combat Support Hospital (CSH), Balad, IZ,
41 fOr fitthet StrgdrY:,
AbOut 1310, 2.9 Apr 04, SA coordinated with SA1111111.111111111111111,risoner Interrogation
, . .
Tearn (PIT)(CID) Baghd.ad Correctional Confinement Facility, Abu Ghnweb 09342, who stated his office had located the subjeCts listed in. this investigation. However, SAMEMIrstated the names provided to his office did not match the correct nandes and bio . a Meal data should reflect: Mr.
ational Detainee Reporting SysteM (NDRS) b ate of 13irth (DOB): Place of Birth (POB):RS i,11 ate of Birth"... Additionally, vallillirinfornied this office at Mr. d of his injurilkiuffered during the above listed incident. SA interviewed IVIr who ovided sworn statement disclosing his knowledge of the incident AIR d attachments are pe ding.
(0)-
/////////// ////////////////////////Last It /////////////////////////////////////////////////////////////////////////////////////
tikvittk,
TYPED AGENT'S NAME AN SEQUENCE NUMBER ORGANIZATION

286th MP DET (CID)(FWD), Tikrit, Iraq, ‘19)&11,Abr5 7 SA Iraqi Freedom" APO AE 09392
SIGNATURE

DATE

EXHIBIT

29 Apr 04
CID FO
FOR OFFICIAL USE ONLY
1 F.

77
A
DOD-050017
•
U.S. CENTRAL COMMAND 7115 SOUTH 130UNDARY BLVD ATTN: CCM-DM MACDILL AIR FORCE BASE FLORIDA 33621 5101
Ma4et.:Sergeant Pamela Andkews
andre.W$p@contcOnismiLmil •

(8T3T82T534-17Z.830-'
024453
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE' 0068-04-CID469-79649 AGENTS INVESTIGATION REPORT CID REGULATION 195-1
.
About 1900, 8 Jun 04, SA received the information report from the 75th MP DET
(CID), Baghdad Correctiona on inement Facility (BCCF), Abu Ghruyeb, IZ. The report included an AIR of SA Prisoner Interrogation Team (PIT) (CID) Abu Ghruyeb, IZ, detailing his
investigative ac 'vibes. (See AIR of SA ' or details) ' '
----- t. ...-, --'•
Apo.t.it 19$.0.;.,$ .140: 04,...SA-eceived tbe inforrnatiOnepot from. t________,
be78..•. MP D..ET . . Gib -..... -Life .-Litt--.rtArea_ .... . (I. . -.,.. ..,....Anaconda........._. . .._......„ .........., IZ. Their-60611 .... ..... . ., ... inClUded an ..... ., . AIR„...of _ SAMMIIMIW. .. , .
. .. . .... .„ .......... . .„... _._ .. .. .. ........ ... .... __ /.!--,-- . .

.....„...
... . .„, .._ ...... ....„__ .......

..,,.... _ „ ......:-.. . ..,.. ,..,.„..,......„_...,....,..„,,............_ ..... ..... _.... .. . ....
_.. . . .. .. . .... . .. .

7.3,,,-.-I'vip CIET. .(p.,p):, .1,sA..Atiocono-kizi detailing. bis iriyestigatiVe actiVities„ (pee AIR of
•,, :. -• • ••,••-•, ---•••._,. _•.-.,-;.. • ..._,_,..•....• -----• .-• -• - , ......_,..,E.:-• •• ,-_.----,-,.,-.-:. -, ..• .• -
,• • • -• --.• • : •,,,, . ,-..:........:..:,,•:.,...±.....:•...--, •

..A :for oeti.18)..:,----­
.: -. -..,.:,-,-.:,::.-,:..._,:...:...._-:-.,-,:.
6.....?''',-.4,7:,,,-.7,r.'i-.z(.'.41....77.(.. Abou.t..1i45,,„ 7. 401 o4,!, 5A. .orjefeo. 7.1.1,1-..s-oeoio..pro coot, Staff • JUdge.AdVOCate.,, Kirk* 1::00.#11.0,..0-$000t0 of th..i0..itIV.-e.ti-0,*..10.ni„h10.'.„i'.0.10,t0..cl .M.ranir,-ii,4.-- ..[..--
proSecutecl On. 2.g Jon 04.'ancf.Serytenced .0.'.siX years in- priSOn for the -offe.nSe of AtternpLed MUrder:
. ... .. „,,.„..,..:....,......„.,..._.,...,..„..„..,:... .,...,...„. ...... .........„ .;„..,...,.....,..... ...... ..: .... . :.... ...... „.......:._ ... .. , .„.. ,.... . .. . .

About, 1.6.00,.. 9 J 0.0eived the. -report, repOrt numb -357 pertaining to Mr.• _ Detainee NUrrile. . be ,report.listed. Mr, cause ' d -- ath as. rnultip.e gunshot wounds with .OPOWIldatIOnS and the .manner of-death as HOtnicide. lylr, '--a WOOndedWtien he attacked -a L.J.S. soldier'S- ob-Servation -post. in Kir14,4-, 1Z... (See -
,. - .• • ... ._ . •....,• ....• ....•..., . .. .. . . :- . - . .:-. - . ..: • . . ..• ..
opsy-Report fOrdetailsy .
...,.... ....,...,....-..., ...... •.-...:-„......,. -.............,.:.
,

. . .. .
About 1300, 22 Jul 04, S received the information report from the Hawaii Field Office (CID), Schofield Barracks, Hawaii. The rePort included an AIR of SP411.11111.111, Hawaii Field Office (CID), Schofield Barracks, Hawaii, detailing his investigative activities. (See AIR of SAMEIMor details)///LAST ENTRY///
b4-1 Pt-1
TYPED AGENT'S NAME AND SEQUENCE NUMBER ORGANIZATION: 286th MP DET (CID), FOB Danger,
SA b 2._
APO AE 09392
DATE 22 Jul 04 EXHIBIT ( 1 of 1 )
CID FORM 94 FOR OFFICIAL USE ONLY 02.4459
Protective Marking is Excluded from Automatic Termination (Para 13, AR 34-16) 000024
LAW ENFORCEMENT SENSITIVE

• • k.00,f.,C-.kVet.11 (-2 0068-04-C1D469-79649
•Rol Ni"..imaR,
0019-04-CID789
• CID Rego/at/04105,i •
PAGE 1 OF 1 PAGES
7/47
BASIS OF INVESTIGATION: On 23 Apr 04, this office received a Request for Assistance
(RFA)(0068-04-CID469-79649) from 286th Military Police (MP) Det (CID), Tikrit, Iraq APO AE
0 392, re uestirtg the interview and polygraph examination of Detainee
NFI) in regards to the attack against CF, which injured PFC
, B Compeny (Co , 1/21st Infantry (INF) I3attalion (BN), Camp
1710
About 0900, 28 Apr 04, SA identified Dethinee [corrected]
National Detai ee eporting Sys em NDRS) nd Detainee [corrected
NDRS 2_,
About 1000, 28 Apr 04, interviewed COL (Dr•) 848th Forward Surgical Team (FST), Ghruyeb, Iraq (AGI) that Detainee as In a coma-like state and his kidneys had shut down. COL1111111urther advised tha ould probably die as a result of his injuries.
About 1930, 28 Apr 04, SFC 391st MilitarY Polio ion, , no o ice t at Detainee h d died. SFC provided a copy of the death certificate. (See Death Certifica
About 2000, 28 Apr 04, S nterviewed COL (Dr.
801st COMbat Support Hospital (CSH), AGI, who stated that etainee ad suffered
gunshot woutaii
th cihest and abdomen during his capture which resulted in kidne failure. He further stated ied as a result of se tic shock at 1820, 28 Apr 04. CO tated life saving measures were given to Detaine but his life could not be saved. (See Death Certificate)
64 4 17-7( -1
9
About 0900, 29 April 04, S ith the assistance of Interpreteallginthis office, verbally advised Detaine ational Detainee Reportin SYstern (NDRS) Date of Birth (D013 ace of E3irth (P0E3 : iiiieig rights,
I
he waived and provided a verbal statement in whic stated he, nd
had no intentions of attacking US forces t at evening, but rather were preparing for a figh ocal Kurds. stated the US forces fired first without warning at ich time eithe need back also corrected the identity of Detaine [correcte (NFI). ( ee Sworn Staternent, Translation of Iraqi Language Statement ertificate)
nting and was irfured, therefore he provided a verbal
statement which vvas written in Arabic and verified b

AGENT'S COMMENTIMiraw . . h
About 1210 29 r 04,S c ordinated with SF nd determined that
Detainee name was ectu ly SF rovided a corrected
6-76-/
0 4 4 6
TYPE AGENTS NAME AND SECIUENCE NUMBER oRGANEATIoN _
PRISONER INTERROGATION TEAM (PIT)(CID)
SA
'2_ Baghdad Correctional Confinement Facility, Abu Ghruyeb 09342
SIGNATURE DATE EXHIBIT
q
0 0 0 01)4 5
29 Apr 04
CID FORM 94 crim 1-toirsHIA Ir.r. •••¦ •1.
et-+,44,4 eks-e ev,ty
0068-04-CID469-79649
24.u.
L
ROI NUMBEK
AGENT S INVESTIGATION REPORT
0019-04-CID789
CID Regulation 195-1
,..pA0F..2
lit I AILS
version ssier but was unable to correct the name on the death certificate. He stated the
NDRS ould be correct on the Death Certificate. (See corrected Dossier)
Status: Your RFA has been completed in the attached enclosures. No further investigative activity , is anticipated by this office. , -////////////////////////////////////////////////////////////////////LAST ENTRY/////////////////////////////////////////////////////////////////////
•
024461
TYPE AGENT'$ NAME AND SEQUENCE NUMBER ORGANIZATION PRISONER INTERROGATION TEAM (PIT)(CID)
SA
Baghdad Correctional Confinement Facility, Abu Ghruyeb 0942 SIGNATURE DATE EXHIBIT 2 F
q0
29 Apr 04
CID FORM 94 aim‘171 "Cthrull AI I etAll X/

Page(s)

Referred to:
U.S. ARMY MEDICAL COMMAND FREEDOM OF INFORMATION/
PRIVACY ACT OFFICE ATTENTION: MCFP 2050 WORTH ROAD, SUITE 13 FORT SAM HOUSTON, TEXAS 78234-6013
MR. JOHN PETERSON John.Petersonl@c en. amedd. army.mil
(210) 221-7826
024462

Withheld -to.:
Foreign Language Photos depicting Americans Photos depicting foreign nationals Civilian Agency Records AudioNideo depicting foreign
nationals and Americans
924463

0068-04-CID469-79649
TIVE .
TRANSLATION OF STATEMENT PROVIDED BY DETAINEE
-0900/29 Apr 04: :

The Kurd0 in our area tried to dominate and control our life, and that Cause Arab's hate a' airitt
theni. and we were waiting for the sUitable time to beat them: There Was a man called
nforrned the people in the area that the Kurds Would attack the area. So the peOp e
area made their preparations to defend thernselveS.. Me and tWo of My friends decided td

. . . ,-., :
rePel then', PefOre they enter the area. Tvvo days before that,111111111vehicle who used it in
. transportation service, broke down. He saw some persons were urring 'some stuff he didn't

, ---. . . . _ ._ ,
knoW' what it is, and lie. told me about it and lie saki it could be galvanize Or copper Oct we.
Wauld e)dract it.aho tell it iil the market, When we Went to the plead, Atraf AlkahsSa, we found in
the hOle RPG launcher beeide three or four rOcket8 and five or six hand grenades in bag and '

,
. . , . .
we reburiec:1 them in different lOcation, , ,. At April Stn. 2004, We left our house Without informing our familleS, and me and ent td
. , . . . .
the place of file buried, . weapons, and, we took the WeapOnS, and we. called _ e. Were
. . _ .
carrying' °Ur Machine gcina 'end I- was. carrYing the RPG tod, We drdssPd th0 street and we arrive'
the-Haykal (imfinishecl hbuse). We were stlot arid [was the first person Who haVe b-eon, shot

., ,
and I fell dbwri. After that M friendsillandaillivere shot and fell doWn. After We Were -
, vist... . . ,
.
injUred I thought that .d.ok the rid shoot at no tar-get , and we did not shoot' after
that Then the collation . 8 tame and took Us and they gave ue the Firs aid and they
transferred me to Ben Sina Hospithl, and I stayed there for nine days, and then they broug:ht me

. to Abu Ghrayb priSbn. By the way, an American patrol was pa8sing 15 minutes before the
41.,
Q: At what clay did you find the buried weapons?
A: April 6th. 2004:
Q: At What clay you dug to get the weapons the second time?
A: On April 8th, 2004, the same day when we get arrested. .110;1,7t.,-
Q: Where were you coming from to get the weapons?
A: From home. • ;:
Q:
where did you go after you got the weapons?
VVe were going to the intersection to take a position again8t the Kurds.

Q:
VVas the RPG charged and ready to fire?

A: No, •
Q: VVho was carrying the RPG, while you were walking?
A: Me. , '
Q: VVas it ready to be tired while you were carrying it?
A: The rocket was in the RPG, but it was not charged.
Q.. \alit the rocket in the RPG, and why?
A ut it to be ready for confronting the Kurds.

Q: Did you know that the Haykal was occupied by the AMeriCan forces?
A: I knew that they might be there, but I did not know that they were there every day,
Q: Did yoU hear any call when you arrived at the Haykal?
A: No.
Q: Did you or any of your friends shoot at the American soldiers at first?
A: No. . •
Q: VVho fired the RPO at the Haykal?
A: I do not know exactly, by I think it i ecause he wee the nearest to me.
Q: Did you and your friends planned to hit t AMericans that night?
A: No.
Q: Did you fire any weapon that day?.
A: No.
Q: whd is the shuttle Bus's driver?
024464
A: NW
Q: Who is the person who inforMed you about the Kurds? ogoo32
For Official Use Only
0,06.0-04 C1046.9-79649,
FOR OFk AL USE ONI,Y LAW ENFORCEMENT SE 'fIVE
-
A.
0:DO you wish to add anything to your statements?
A: No, these are my statementt,
TRA SLATE b, VERIFIED BY:
r. TrPrislatOr,.Category Translator., Category II Titan Corporation: • Titan Corporation
ASsigned to: ,
Prisoner Interrogation Tearn (PIT)
75t," Military POliCe (MP) Det, (CID)(-) ¦
. Baghdad Cortedtiorial Confinernent Facility (13QCF)
AbLI OhrUyeb, II* APO AE 09342
0 2 4 4 6 5 000033
For Official Use Only t-,
DOD-050025
FOR - )AL USE ONLY LAW ENFORCEMENT tIVE
0044'04 .cli)14109-716,
ROI NI_IMBER

AGENT'S INVESTIGATION REPORT
0150-04-CID919
CID Regulation 195-1
PAGE 1 OF PAGES
DETAILS:,
th st

n 14 Ma3r 04, this office received telephonic Request For Assistance (RFA) from 286 1V1P Det, 1 1VIP
ompany, 1st Infantry Division, F013 Danger, APO AE 09392, in reference to RePort of Investigation (ROT),
068-04-C/D468-79649, to a nd the autopsy of Mr.

bout 0330, 17 May 04, SA a)R (Dr US1•T, Deputy Medical Examiner, Armed
orces Medical Examiner (AF1P), and , Forensic Photographer, AFIP,
'ved a the Mortualy Affairs Processing Area, LSA Anaconda, l3alad, Iraq, APO AE 09391, to autopsy the
mains of Mr.

were too frozen at the time to autopsy. 1-1M111111111 maths.
bout 1500, 17 May 04, I)r. onducte a Forensic Autopsy of Mr. linable
A
ollected finger prints of Mr.
etween 0930 and 1100, 18 May 04, Dr.11101111Pompleted the forensic auto of Mr NMI
PsY
etween 1020 and 1030, 18 May 04, SA °Heated as evidence a specimen cup containing two
pparent metallic bullet fragments from Dr. see Evidence/Property Custody Document for details).

.
. .
bout 1600, 18 May 04, Dwrovided a preliminary autopsy report regarding MrllIllr(see
reliminary Autopsy Report for details).

May 04, ITIM1111111111111rovided copies of digital images regarding the forensic autopsy of
, .
STATTJS: This action is closed within this office as all requested investigative actions have been. ompleted.///LAST ENTRY///
b 6-1076.-V
ali
4
TYPED A AME AND ORGANIZATION
SA 75th MP Det, I_SA Anaconda, Baled, Iraq APO AE
09391

roe Acc,
SIGNATU DATE EXHIBIT t 'J

18 May 04
00003 4
nu-) P R (IFFICJAI I ClAll V

Page(s)

Referred to:
-U.S. ARMY MEDICAL COMMAND FREEDOM OF INFORMATION/
PRIVACY ACT OFFICE ATTENTION: MCFP 2050 WORTH ROAD, SUITE 13 FORT SAM HOUSTON, TEXAS 78234-6013
MR. JOHN PETERSON John.Petersonl cen.amedd.army.mil
(210) 221-7826
024467
AGENT'S INVESTIGATION REPORT.
0221-04-CID108

ClD Regulation 195-1

FOUO-LAVV ENFORCEMENT' SENSITIVE PAGE.PAGES
OF.

DMWLS
About 1030, 21 APr 04, SA.this office, received a'
Reqtest for Assistance .(RFA). frOt. Branch' Office, USACIDC, to
CondUct a'. victim interview Of PPC.-Pertaining to an attack on an

Observation,Pobt -(0P), he and other soldier8 Were. manning tri Iraq. PFC
wa$ later transPOrted tO TriPler ArMY Medical .Center (TAMC), HI,
or Urther treatment of the injUries he.sUStained-dUring the -
afOrementioned attaCk. AO,additiOnal request:Was Made-tO obtain the
medical treatment.reCordS pertaining to PFC.injuries.

AbOut. 1515; 22 Apr 0.4, the Undersigned Coordinated with Ms
Registered Nurse (RN), TAMC. who related PPC.had surgery
qn. e. morning of 22 'Apr re Unit (ICUX.. Ms

04-and waS in the Intensive.111111tre],ated PFC.would be in the-ICU until the morning of 23 Apr
,... ...

Would not be i.

able condition to see ViSitors until after.the
weekend...

About 1350, 27 Apr 4 the Undersigned coordinated with Msfill.who
related PFC was:no longer in ICU' and was in a sta le-Condition:
Ms.was consciouS and coherent, and cOuld be

sta
interviewed during norma visiting hours...

6-1 krit-1
About 1520, 4 May 04, the.ned and INV., this
office, interviewed PFC.who rendered a statement per aining to
his knowledge of the incident on 10 Apr 04 in Kirkuk, IZ. (See Statement)

About 1530, 4 May 04, the undersigned and INV.re-interviewed PFC
who provided consent to obtain his me cal treatment records,
ocumen ed since his_arrival at TAMC.

AGENT'S COMMENT: The Medical Correspondence Sectio , TAMC, retained the
Medical Disclosure Authorization.

About 1600 4 M 04, the undersigned and INV coordinated with Ms'
Medical Correspondence Clerk, ; ,whO related since
is still undergoing.surgical d'ocuents had not

atm nt, his
been comp eted and submitted. Ms.related She would contact this.
office upon completion of all docUtents.

About 1855; 12 May 04, the undersigned apprised the Iraq Branch Office,
USACIDC,. on the status of the investigation.

About 1530 2 Jun 04, INV., this office, obtained PFC
medical recor s rom Ms (See Records)

AGENT'S 'TYPED NAME AND SEQUENCE NUMBER ORGANIZATION Hawaii Field. Oftice
6th MP Group (CID), R%i.
SA Schofield Barracks, 41,15114C63

SIGNATURE DATE EXHIBIT
3 Jun 04 0 0 0 1
FOR FFI IAL USE ONLY
0 C =CUMIN it0
III/ r¦ I¦ ir..ftr,lbesi—asiriwir "r¦ air.ri-nsr.
0068-04-CID469-79649`
FOR OF IAL USE ONLY LAW ENFORCEMENT
'TIVE
ROI NUMBER
AGENT'S INVESTIGATION REPORT'
0231-04-CID108
ci0 Regulation 195-1

FOUO-LAW ENFORCEMENT SENSITNE
WWI*

Ah;Out: 0 3 Jun 04. the undersigned coordinated with SA Iraq Branch Office, UBAOIDO, who related no additiona activitY ed from this office. //iLast EntrY///
AGENT'S TYPED NAME AND SEQUENCE NUMBER ORGANIZATION Hawaii Field Ottice
6th MP Group (CID), USACIDC
SA Schofield Barracks, HI
DATE

3 Jun 04 FOFI OFFICIAL USE ONLY
J
1 FEEi TT LAW ENFORCEMENT SENSITIVE
ENCIAM0)4469
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE
EXHIBIT
OW1106
ntmn nannon
QP68:04-CID469-79649

FOR OF TAL US110116NGYO,AW ENIOSIGEMENT

7

Urri"t" u"
null/
'bp Unu LA w 5NE CEMENT

Sensitive
swoRN STATENENT
rile Ndmber.: 0231-04-CID108
Location. Cks; HI 96857'

: Schofield'H
Date :.4 MaY 04 Time;- 1520
Statement o :

:
ssgJ
Gradelistatus: -Orgaddresd : B Co 1/21' INF BN Schofield BarrackS, HI, 96857
ANT TO MAKE THE FOLLOWING STATEMENT UNDER
APr 04, while manning an observation post

0ATH: out

(OP) in Kirkuk, IZ, mY squad observed some'enemy movement in a

field outside of the windows of our OP. There were three Arabic
males, one carrYing a Rocket ProPelled Grenade Launcher (RPG),

and the other two carrYing what seemed to be AK-47 assault.
rifles. In accordance with our standard oPeration Procedures

(SOP), we engaged the three unknown males from. our OP. The' guy

with the RPG was hit and fell to the ground, and then theY.

mi.
• • e moved away from the windows and I rn°ved t° the doorwaY. I continued to laY down fire feb1W-the
doorway. A few moments into the firefight, I realized I had
been hit in the arm by something. At that point, I was already
on the ground. One of mY squad members, SPC applied

a tourniquet to mY arm. -I can't-remember exec Y everYthing

that happened, as things started to get kind of patchy and hazy.
My squad ended up calling for the Quick Reaction Force (QHF) te
get us out of there. I'm not sure how much time passed, but I

was-loaded into a vehicle with two of the enemy gumnen, who were
also being treated for their injuries. I was brought to a cache
unit, where I received initial treatment for my injuries. I was
taken to Landstuhl, GermanY soon after I left the cache unit,
then I was flown to Wahshington, D.C., then to California, then
I finally got b ck to Hawaii.

Q. SA h76-1

A: PFC

Q: Did you ow any of the enemy gunmen that you were engaged in the firefight with?
A: No.

Q: Did you hit any of the gunmen with your fire?

A: I believe so.

Q: Was anybody else from your squad, to your knowledge, injured
in this incident?

A: Nobody else was hurt.

Q: Did you see which of. the gunmen hit you with their fire?

A: No.

Q: How did you find out you were hit wi h an RPG?
-- INITIALS Page 1 ofie5

FOR OFFICIAL US ONLY

LA W ENFORCEMENT EXHIBIT
Sens!thie r-
ENangURF
024470
FOR OFFICIAL, USE ONLY LAW ENFORCEMENT SENSITIVE EXHIBIT
000107
rrIxo t. ul Ot8,-.9;c1b469-79649
FOR.oF '1A1,,IJSA#11LVO.,1111eNtre.VMENT
F;14 I L. •-• -
LA. Wi- ENFO....

111114,

strATmgo OF DATED:. 4 MaY 4', TAKEN AT HAWATT. PICB SCHOFIELD BARRACKS, HI
.

.

A: It Wes front one of he doctors Or somebody saying it ig-Lt, 76'
-

resembled at APO injury:
sound

Q: Do,the names

faMiliar to You?
A; Negative.

Q: How long were You on Your OP before YoU were in this

firefight?
2214 we were there abOut an hour.

Q: Hoik.manY PeoPis were in yOur squad at the time?
A; Ab°utill PeoPle.

4: Do You know if'You had taken fire from anY of these same'
gunmen before the incident on 10 APr 04?
A:, I don't know. .

Q: What was your position in the sqUad?

A: I was using a thermal imaging device to scan the area fdt
movement from' the OP.

." =IP
-
A: I had a large portion of my left arm blown off, and I took PhraPnel'in mY right hand.and left leg. I also got a smell Piece of shraPnel.in mY left eYe, but'it's'fine now.
Q: Is this statement a clear and accbrate dePiction Of the
eventS that yoU Were involved in on'10 Apr 04, while manning

.-

yOUr Op in Kirkuki TZ?:

A: YO'. HaVe you answered all-of my questions truthfully? YeS, Z,hacte,
at Is there anything else you wish to add to or delete from thi8-
statement?

A: NO./// END TENENT ///
-INITIALS Page 2 of-4-3
FUR OFFICIAL E ONLY
EXHIBIT

LAW ENFORCEMENT

-2 4 471
SenSi" ENCLOSURE ( 2)
FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE EXHII3IT
U 0 1 0 8
q.9,05.4-QP469-79649
FOR Or 'IAL USVisflpp.,IttX ENif§tMENT k. ix/mg
ur r
LAW EN ''41 .
CEMENT 0 N LY
Sensitive
-
DATED: 4 May

STATEMENT OF
TAKEN AT HAWAII' FI D OFFICE (CID), SCHOFIELD BARRACKS, HI

•
HAVE READ OR HAVE HAD READ TO ME THIS

/.

WHICH BEG $ ON PAGE 1 AND ENDS ON PAGE 3. I FULLY

STA

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 COEHCDM4,,
UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT.

authorized by law to

S sorl e

MaY, 2004 at the CID Office,

administer oaths, this 4 day of

SChofield Barracks HI.

(TYPad Name of Person Administering Oath)

ARTICLE 136 (bH4) UCMJ

(Authority to Administer Oath)

WITNESS:

-
'(TyPed NaMe)

(Signature of Witness)
INITIALS Page 3 of ,V.3
FOR OFFICIAL USE ONLY
EXHIBIT

LAw ENFORCEMENT
Sensitive
•

ENCLOSURE (
024472
_FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE EXHIBIT
0001o9
9 -7Pg?

MPR/CID SEQUENCE NUMI3ER
EVIDENCE./PROPERTY CUSTODY DOCUMENT
0150-04-CID919-FOf use of this form sec Aft 190-45 and AR 195-5; the proponent agency is US .Arrny CRD REPORT/CID ROI NUMBER Criminal 1nvesdgation Command RECEIVING ACTIVITY LOCATION 756 MP DET (CID) (FWD)
LSA ANACONDA, BALAD, IRAQ APO AE 09391 NAME, GRADE 'AND TITLE OF PERSON FRO OM R.ECE1VED
• ADDRESS (Include Zip Code) 1413 Research Blvd.
.
owNot cdr nix
Bldg, 102
Deptay Medical &airliner
ROCkVille, MD 20850 -
X OTHER
LOCATION allirBTAINED REASON 0I3TAINED T1ME/DATE OBTAINEDHands of Dr hile at field morgue adjacent to Bldg. Evidence 4026, LSA Anacon alad, Iraq APO AB 09391 1020-1030 IS May 04
.
,
ITEM
DESCRIPTION OF ARTICLES ,
QUANTITY
NC).
(Include model, serial number, condition and unusual marks or scratches) I 1 Specimen Cup, plastic construction, clear in color coritaining_gyMetal coast:medal) bullet fragments, cup markedME04-357, 18 May 04. Marked for ID with 1020, 18 May 04,11. (Neck). 2 1 Specimen CUp, plastic construction, clear in color c.ontaining_ Urnetal Construction bullet fragment, cup marked ME 11111111111 11111111111111/1 °4-357• 18 MaY 04- Marked for ED with 1030, IS MaY 0411.-(Pelvia) /111/1/1111/11/1111/1111111/11111111111111111111111111111111111Last.EntryfillffiffillI/1/1111111111111111/111//111/1/1111/11//1111111/1/111//1111/111111/111/11
_ . ,
•

.-
•-.
.

,
,
.
. -
-
CHAIN OF CUSTODY
HEM

DATE RELEA.SED BY PURPOSE OF CI IANGE
RECEIVED BY
124-1
NO.
OF CUSTODY
—Rim+
MEV
AI Evaluation as
1 18 We _
.4 Evidence
6/(-
and
' - -. • ' '.. -. • ,"4',01*11):41111 2 Dr.
SIGJ
J
JIIIL--'111E11

Releaseu to
anid ifeAgill ,- 1 4.1. • ...., - , N 1 1-1)
' .., ---Evidence Cus-todian
2 SA SA
SIGNA

SIGNA
NAME, GRADE OR 'ME
NAME, GRADE OR TITLE
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
SIGNATURE
SIGNA111RE
,
. .
NAME, GRADE OR TITLE
NAME. GRADE OR TITLE
T1A VCIDNA .4121
, ug .
0244,73
I Jul 76

DA FORM 4 I 37-R Privacy Act Slailirlen,t)C:4:ir;:k
. • • DOcUmEl‘rr d: • j • L.. /
11; Cu". Whiell orr Clhcestro.
tICATICINT
NU rhirIPP e" 71'(-‘
/1.--1
Zel.X0 \A. CLUJ 4'CiV (1' L own°
DATE: 30 APR 04
FROM: SAC, 286th MILITA_RY POLICE DET (CID)(FWD)
TO: 'DIRECTOR; USACRC, USACIDC, FORT BELVOIR, VA
CDR, USACIDC //CIOP-ZA//
CDR, 22nd NIP BN (CID)(FWD)//OPS//
CDR, 3D NIP GROUP (CID)//OPS//
PROVOST MARSHAL //PMi/lID
CDR, ta1ST INF BN
lID, CHIEF OF STAFF
111), SJA

-SUBJECT: CID REPORT OF INVESTIGATION - 2D STATUS/SSI - 0068-04:CID469-179649 51-17/5H9C1 -
DRAF'TER.:
RELEASER: - / 7t-1

FOR OFFICIAL USE ONLY
1.
DATES/TIMES/LOCATIONS OF OCCURRENCES:
10 APR. 2004/2230 - 10 APR 2004/2245; GRID ME447217, KIRKUK, IRAQ

2.
DATE/TIME REPORTED: 12 APR 2004/1100

siummiummar
3. INVESTIGATED BY: SA
WIN
4. SUBJECT: 1. UNK_NOWN; (DECEASED); [ATTEMPTED MURDER] [HOSTILE FERE]
Ili06,,y
(CORR.ECTED) 2. CIV; M; NDR 1111111111110.11.1,
OTHER; [ATTEMPTED MURD ][H ILE FIRE] ,

(CORRECTED) 3. 14111111111111141R(DECEASED); CIV.; M, NDR
4676
OTHEIt; [ATTEMP E FIRE]
5. VICTIM: 1. PFC;ifirsigralomilk
c , /21 INFANTRY BATTALION, APO AE 09347; M;
WHITE; CT; [25TH INFANTRY DIVISION, SCHOFIELD BARRACKS, HAWAII]
[ATTEMPTED M1JRDER]; [HOSTILE FIRE].

6. INVESTIGATIVE SUMMARY: THE INFORMATION IN THIS REPORT IS BASE,D UPON
AN ALLEGATION OR PRELIMINARY INVESTIGATION AND MAY CHANGE PRIOR TO
THE COMPLETION OF THE INVESTIGATION.

024474
00011i
“THLS IS A_N OPERATION IRAQI FREEDOM II INVESTIGATION”
2D STATUS REPORT:
TIIIS STATUS REPORT IS BEING GENERATED TO CORRECT THE NAMES OR

SUBJECTS TWO AND TH:REE AND TO LIST SUBJECT THREE STATUS AS DECEASED.
ON 29 APR 03, THIS OFFICE WAS NOTIFIED BY TFIE PRISONER INTERROGATION

TEAM (PIT)(CID), BAGHIDAD CO ONAL CONFINEMENT FACILITY, ABT.J
GIIRUYEB, IZ, (AGI), THAT MR IED OF IN.TURIES SUFFERED DURING THE
pREVIOUSLY REF'ORTE1D INCID
A_BOUT 1820, 28 APR 04, COL (DR.) 1_JPPORT HOSPITAL (CSH), AGI, PROlir 801sT COMBAT NOUNCED IVIR. DECEASED. COL

STATED LIFE SAVING MEASURES WERE ATTEMPTED HOWEVER MR.
, ,
IED OF SEPTIC SHOCK.
oN 29 APR 04, MRIMINEWAS ADVISED OF HIS LEGAL RIGHTS, WHICH HE WAIVED AND ADMITTED TO FIRING TI-IE.gfiG AT THE AMERICAN FORCES DURING THE PREVIOUSLY REPORTED INCIDENT. HOWEVER, MR TATED THE
ql • " /91 8 = 114--11v 111 • II • " IRATOR IRST.
A RE-INTERVIEW OF MR.111.11IS PENDING.
ENTVESTIGATION CONTINUES BY CD.
INITIAL REPORT:
• THIS INVESTIGATION WAS INITIATED BASED UPON NOTIFICATION BY THE 22D maITARY POLICE BATTALION OPERATIONS OFFICER; WHO REPORTEDA SOLDIER WAS INJUR1ED DURING AN ROCKET PROPELLED GRENADE (RPG) ATTACK IN KIRKUK, IZ.
pRELIMINARY INVESTIGATION DISCLOSED IVIEM13ERS OF THE 1/21st INAITIE, RE mANNING AN OBERSAVATION POINT (OP) IN KIRKUK, IZ, WHEN MR. MR. AND AN UNKNOWN SUBJECT FIRED UPON THE OP WITH S G. MEMBERS OF THE 1/21 ST INF BN RETURNED FIRE KILLING ONE SUBJECT AND SERIOUSLY 'WOUNDING IVIR. AND MR. DURING THE ABOVE ATTACK, PFC USTAINED NON-L1FE T ATEN1NG SHRAPNEL INJURIES TO HIS LEF ARM; SUBSEQUENTLY, PFC 11111111111111VAS TRANSPORTED TO LANDSTUHL REGIONAL MEDICAL CENTER (LRMC), LANDSTUHL, GERMANY, FOR FOLLOW UP MEDICAL TREATMENT.
MR. AND MR.111111111101PWERE APPREHENDED BY MEMEFiERS OF 1/21s INF BN, SUBSEQUENT TO THE CIDENT, THEY WERE TREATED FOR THEIR uNICNOWN INJURIES AND TRANSPORTEUTO BALAD, IZ. ATTEMPTS TO LOCATE'024475
noolu

FULLY IDENTIFY AND INTERVIEW MR. .ON GOING.
7. COMMA_NDERS ARE REMINDED OF THE PROVISIOI•IS OF AR 600-8-2 PERTAINING TO SUSPENSION OF FAVORABLE PERSO ­
NNEL ACTIONS AND AR 300-67 FOR THE SUSF'ENSION OF SECURIT'Y CLEA.RA_NCES OF PERSONS UNDER INVESTIGATION,
8. CID REPORTS A_RE EXEMPT FROM AUTOMATIC TERMINATION OF PROTECTIVE MAR_KINGS IN ACCORDANCE WITH CHAPTER 3, AR 25-55.
024476
FOR OFFICIAL USE ONLY
000113
DOD-050036
FROM: SAC, 286th MILITARY POLICE DET (CIDXFWD)
TO: DIRECTOR, USACRC, USACIDC, FORT BELVOIR, VA
CDR, USACIDC //CIOP-ZA//
CDR, 22' MP I3N (CIDXFWD)//OPS//
CDR, 3D MP GROUP (CIDXREARPOPSH

DR, 3D MP GROUP (CIDXFWD)//OPSH
ommiD
PCROVOST MARSHAL
CDR, I/21ST INF BN
lID, CI-IIEF OF STAFF

1113, SJA
SIJBJECT: CID REPORT OF INVESTIGATION - INITIAL/SSI - 0068-04-CID469-79649
5117/5H9C

DRAFTER:
RELEASER:

FOR OFFICIAL, USE ONLY
ot-
1.DATES/TIMES/LOCATIONS OF OCCURRENCES:
10 APR 2004/2230 - 10 APR 2004/2245; GRID ME447217, KIRKUK, IRAQ

2.
DATE/TIME REPORTED: 12 APR 2004/1100

3.
INVESTIGATED BY. SA IIMIBMIlla

11111119-z-
4. SUBJECT: 1. UNICNOWN; (DECEASED); [ATTEMPTED MURDER] [HOSTILE FIRE]
2.1/11110111111=1 CIV; M; OTHER; [ATI'EMpTED MURDER]
[HOSTILE FIRE]

3. M; OTHER; [ATTEMPTED MURDER]
[HOSTILE FIRE]

5. VICTIIv1: 1. PFC;11111111111MONNINO
13 COMPAN , 1/21 INFANTRY BATTALION, APO AE 09347; M;
WHITE; CT; [25TH INFANTRY DIVISION, SCHOFIELD BARRACKS, HAWAII]
[ATTEMPTED MURDER]; [HOSTILE FIRE].

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

024477 FOR OFFICIAL USE ONLY
U00114
)) FOR OFI'IY1'"'"-, FOR OFFICIAL USE ONLY
au" „ .
"THIS IS AN OPERATION IRAQI FREEDOM II INVESTIGATION"
INITIAL REPORT:
MIS INVESTIGATION WAS INITIATEI) BASED UPON NOTIFICATION BY THE 22D
MILITARY POLICE BATTALION OPERATIONS OFFICER; WHO REPORTEDA SOLDIER
WAS INJURIED DURING AN ROCKET PROPELLED GRENADE (RPG) ATTACK IN
KIRKUK, IZ.

PRELIMINARY INVESTIGATION DISCLOSED MEIVIBERS OF TH8T/214 MANNING AN OBERSA.VATION POINT (OP) IN KIRKUK, WHEN MR. 1111111111, MR.11111111111111ND AN UNKNOWN SUBJECT FIRED IJPON THE OP WITH L ARMS AND ONE RPG. MEMBERS OF THE 1/21 ST INF BN RETIJRNED
KILLING ONE. SUBJECT AND SERIOUSLY WOUNDING ANI) MR.
DURING THE Al3OVE ATTACK., PFC AINED NON-LIFE
G SHRAPNEL INJURIES TO HIS LEFT ARM; SU13SEQIJENTLY, PFC A 6.-

AS TRANSPORTEI) TO LANDSTUHL REGIONAL MEDICAL CENTER
hit-7
(LRM STITHL, GERMANY, FOR FOLLOW UP MEDICAL TREATMENT.
MR.
1/20 INF BN, SIJBSEQUENT TO ID NT, THEY WERE TREATED FOR THEIR
UNK.NOWN INJIJRIES AND TRANSPORTED TO BALAD, IZ. ATTE1VIPTS TO LOCATE,
FULLY IDENTIFY AND INTERVIEW MR.

AND mit.arimrior ARE
ON GOINa
REQUEST NAME CHECKS OF THE ABOVE LISTED SUBJECTS.
INVESTIGATION CONTINUES BY CID.
7.
COMMANDERS ARE REMINDED OF THE PROVISIONS OF AR 600-8-2 PERTAINING
TO SUSF'ENSION OF FAVORABLE PERSONNEL ACTIONS AND AR 300-67 FOR THE
SUSPENSION OF SECURITY CLEARANCES OF PERSONS UNDER INVESTIGATION.

8.
CID REPORTS ARE EXEMPT FROM AUTOMATIC TERMINATION OF PRO'TECTIVE
MARICINGS IN ACCORDANCE WITH CHAF'TER 3, AR 25-55.

• FOR.OFFICIAI, FOR OFF:IpIAL pSE:.ONLY
024473 (mai i5
'
•C p) ..F ORM 6
1. DATE 2. TINIE RECEIVED 7. CASE NUMBER 1 2 Anr 04 1 00 0068-04-CTD469-79649
3. OFFENSE Attempted Murder
9. TYPE OF ACTION GC
5. VICTIM PFC 13 Co, 1/21 INF, Kirkuk, 1Z 6. CASE DESCRIPTION Soldiers of 1/21 INF received small arms fire while manning an OP in Kirkut 11. OTHER ACTION I 12. CID FUNDS ACTION RQRD COMPL DATE AMOUNT TyPE , TA/Ire.D2),L) 5aceolk) "66C arA S446 6Psc, SUSPENSE I SA I-q VW'? 31ANOY I Ma)? WI COMP 3 Aer 1)045\-6(4 og 3OtIft 4 (i tt Wrote
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024479
000001

11,1 J12.e 1 1 12..t _IL/ 11411 0008-y-t
lID469-79649
DA,TE Onr, SUBJE
.
12 Apr 04 AtteTivied Murder Mr. FC
DATE NOTED' 12 Apr 04 Interview of soldiers (1/21 INF Send RFA to Interview victim Obtain medical treatment records Schedule interview of soldiers (1/21 INF) pc-ci 1,61 04701 DATE ' COMPLETED 9 /94p Y-a I 11-p
Received info reporti iktaset. if 111--p
Prepare final report
Close
F, Pi-u-1-0A5

MISCELLANEOUS ACTIVITY
ACTION COMPLETED ACTION COMPLETED NCIC entry on stolen prop Sources targeted
2701 Given to Victim(es) Medical records requested 2701 Given to Withess(es) Name check dispatched
Case # on all documents Name check results received
CONTACTSIPHONE NUMBERS INVESTIGATIVE STANDARDS
ACTIVITY/PERSON pHONE NUMBER VICTIMS INTERVIEVVED 24 hours -
EYE WITNESSES INTERVIEWED 24 hourt
EVIDENCE DEPOSITED 1 duty day
SIGNIFICANT VVITNESS INTERV: 5 duty days
LAB REQUESTS 5 duty days
RFA'S SENT our 5 duty day
MEANINGFUL INV ACTIVITY 10 duty days
RFA FOLLOVV UP 15 duty days .
KNOWN SUBJ FINALS 15 duty days
UNFOUNDED FINALS 15 duty days
UNKNOVVN SUBJ FINALS 30 cal day9.244 n
C.) 11
FORWEPtittliTO§CoNLY
000002
1.1 re, ire -E 01.e0 ileAe
TIME', PATE, AND AGENT':

1 100 r 04
1315, 12 Apr04
!Mr".

1430, 12 Apr 04
111.1111.111,

15 min
1552 12 Apr 04 20 min 2000, 12 Apr 04
CID FORM 28

'men gem 4rP 71,11-f
Control NuMber
0068-04-CID469-79649
SUMMARY OF INVESTIGATIVE ACITIVITY

This investigation vvas initiated based upon notification by the 22nd Military
Police (MP) Battalion (F3N) Operation Officer that about 2245, 10 Apr 04, a
soldier was injured as a result of a small arms fire attack while manning an
Observation Point with his unit in Kirkuk, IZ.

About 1115, 12 Apr 04, SA oordinated with SSG 1111111111
11111Battle Nco 1/21st Infantry Battalion APO AE 09347 who provided the subjectS names, and basic information concerning this investigation.
About 114-5, 12 Apr 04, coordinated with SG4111111/11S-2 Section, 2d 13rigade, APO AE 0934.7, however, SG111111111.was 'unable th provide any additional information concerning this investigation
About 1230, 12 Apr 04, SA1111111toordinated with SG who stated he would have the enlisted record brief concerning PFC 111111111111111rafter 1300, 12 Apr 04.
S-2 Section, 1/21st Inf Bn, APO AE 09347, who stated he send the incident report concerning this incident. Further, CPT
tated one subject was killed and two subjects were
wounded during the incident. The two wounded subjects were treated,
stabilized and transported to 31st Combat Support Hospital (CSH), Baled,
IZ, for further Surgery.

' •
About 1315, 12 Apr 04, SPIIIIIIIIIIIIPcoordlnated vvith SPOliffar
XXXX, G-1 section, lst Infantry Division, Camp Danger, APO AE 09392,
who provided this office with a copy of the Causality Report concerning
this incident.

About 1430, 12 Apr 04, SGM Division Retentio
Camp Danger, APO AE 09392, provided this ffice with t B of PFC

, 47c- V
About 1552, 12 Apr 04, SAIIIIMItoordinated with SAMS.
1/1111111F 75th MP DET, LSA Anaconda, IZ, and requested his office coordinate with the 31st CSH and ensure the subjects were alive and being treated for wounds suffered during this incident.
Drafted RFA to Landstuhl, to interview victim and RFA to interview
subjects.

024481
FOR OFFICIAL USE ONLY
4:,;(c ml ea
efrA ezi.56tnc /14 UP
PREVIOUS EDITIONS or THIS FORM WILL BE USED UNTIL EXHAUSTED tiii0003
,544s,,,Li Lie
e 7C, ff-4-,4,72seily ­
1
Aammrp AcrivrTir stawarg CONTROL NUMBER . 1. ' (CIb Regulstion 195-1) OP& 9-aze'-
TIME' DATE, 414p AGENT UMMARY OF INVEETIgATIVE,ACITTVITY
2000, '12 A r 04 SA oordinated with SAIIIIIMIIIrAnaconda RA, who
stated SA as not in the office, however he believed SA
ad coordinated with 31st CSH and determined there no
detainees being treated at there facility. However, he would have SA

111.111111.1111ontact this office.
1••¦•••••• DRAFTED INITIAL REPORT, UPDATED AAS' TO SAC FOR REVIEW.
About 1130, 13 Apr 04, this office was notified by S who reported he coordinated with 31s CSH which disclosed 36 detainees were treated, however, none of these individuals match the narnes of this investigations subjects. Additionally, SAIIIIMP coordinated with the local mortuary affairs office, which disclosed there where three local nationals in their office, one was confirmed not to be a subject of this investigation, and two unknown persons. -
_ a a • a t• • , a 11 a• ••tape ••_
Officer who stated if we can not confirm the whereabouts of the subjects, min then this investigation should not be flagged as an ROI.
SAIIIIIIriscussed this investigation with the SAC and determined
that this office will confirm the whereabouts of the subjects and their
status, before preceding any further with this investigation. SIM.
will coordinate with the medivac personnel to determine the status of the
subjects.
SAIIIIIIIItoordinated with the Battle NCO, 1/21st• who provided the
POC for the Bn's Medics who arranged for the mediVac for the subjects.
SA coordinated with MAJ 1/21st Inf Bn, Bn Surgeon,
who stated the two subjects were in stable conditi when they left their
AO. However, MAJ coul not provide any c rent status of the
SU bjects. MAJ rovided office the POC or the medivac
unit. --(1, Y
SAIMIllicoordinated with SPCIIIIIIIIMmedic, Medivac company,
who stated once the patients leave the flight, they were not responsilDle for 10 min maintaining the status of thern.
FOR OFFICIAL USE ONLY 024482

te) rr-71,1-Mre e )94 411" ,e-fit4;t'
cip FORK 28 PREVIOUS EDITI NS OF THIS FORM WILL BE USED UNTIL EXH4USTED
11in-13104
AGENTS ACTIVITY SI.H. RY PQNTFPL NUM:3ER (CID Regulation 193-1).`
TIME, bATEi AND AGENT
1410 13 20 rnin 1420, 13 A 1-04
mln
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1$4,41,0L6Jrf
1430, 13 Apr 04 WM".
2130, 13 Apr 04
11111,111/!1111
1130, 16 AprO4
11.1111111111111
20 rnin 1630, 16 Apr 04 min 1930 16A r04 0 min
O
CID FORM 28
SUMmARY'OF INVE8TIGATiVg AdiTIVITY_
Attempted several tirnes to contact 225th FSB, met with negative contact.
About1420, 13 Apr 04, S coordinated CPT Commander, C Cornpany, 225 . Forward Support Battalion, APO A 09347, who confirmed the two subjects involved in the incident with 1/2 Inf Bn on 10 Apr 04, were still alive returning to Camp Warrior, IZ. However, CPT as unable to confirrn the names of the two subjects, the aperwork con ing the two individuals were with the CPT provided a contact n ber td the rnedivac unit fro alad, IZ, w ere the subjects were being tra'ated .
,Zt.heir wound
)66- el/ 647C-
Submitted Initial report and'RFA to K-town to interview the victim, to the
.
SAC for review and transrnittal.
, -
" "1"•• .11 II "A -"••il -•11
Updated dated case fire, AAS".and IP, to SAC for reviewa
Contacted K-town RA, their office did not receive the RFA sent loy this office, SA esent the RFA and initial report.
. concerning the su jects of this investigation. Attempts met with negative results will attempt at a later date..
SA1111111111111attempted to obtain a copy of the detainee packets
Little to no investigative activity from 14 Apr 03, through 16 Apr 04, due to priority ROI's conducted on various FOB's throughout 286th's A0k. To SAC FOR REVIEW. Pending trip to Kirkuk, IZ.
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FOR OFFICIAL USE nm Y
PREVIOUS EDITIONS OF THIS. FORM WILL BE USED UNTIL EXHAUSTED

000005
DOD-050043
FOR OFFICIAL E ONLY
AGENTS ACTIVIST StkAdJAEY ' (CID Regulation 195-1)
TIME, DAWN, AND AGENT..

4-e) 1-71 tr;r -e e A 4m' -t
commor, NUMBEE.-.f.

(,,e,-1 et A qt." 796, l(5..
.

summuuT OF INVESTIGATIVE ACITIV/TY

1100, 19A r 04 60 rnin
-150(), 19 Apr ()4
1630,_19 Apr 04 !Tun 1830, 19 Apr 04
min 1300, 21 Apr 04 30 min -
20 min • =
)-T r 611
Mir 46— I ,671,4
44411*-
p¦bOut 1100, 1-9.APr 04, SA thiS office'
obtained the CoalitiOnPrOviaiOnal AU.thOritY-FOrCea. Apprehension Fotrns

r. ,
and. written.staternentS of sok:lie-ea. explaining:the incident. (See FOrrns and r Writ*. StOtOr6 06# t 00 i IS) r: : - • • •
Redelved e-mail from SA ho related victim was transported to
Tnpler Army Medical Center, HI. .

Drafted RFA tib Tripler Army Medical Centel-, HI, to :interview victint
: •
•
Scanned subjects aPPrenension forms to inclucle in RFA to Al3U. Further,
Corrected and drafted RFA to ABU; to interview subjects.

RFAs dispatched.
. '
PREPARED CASE FILE FOR TC/SAC REVIEVV:
Pencling receipt of info reports.
4; 7c-Y
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02448
--FOR.OFEICIAL USE ()my
c-e em 1--0.1 1 (Lila
4.4)0000006
CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED

.
jr--1,7,17V(t.-rig
FOR OFFICIAI --)1s
Control. Nindoer
AGENTS ACTIVITY SUIARY (CID Regulation 195-1) , r, 0068-,04-CID469
'V.-Mk; DATE, iop AcENT 29 April 2004
111111111-

0245 30 April 2004

30 APril 2004

3optr. I cY4
IIIIIIIII

SUMMARY OF 47.7.5.;;PATIVE AC TIVIT
TC SA.died while-in

.notified SAC'that Mr..
the Abu PriSon for injuries he sustained during the
fire fight On,:l0.APril 04... Discussed' Status-Report
with SA

, .

. :

SAC REVIE,W.:. ReViewed Becond'StatUS Report.. Minor . Corrections. DisiDat6bed; Ensure we. COordinate with Abu PrisorCon the interview'qf Mrallig,a$ $0on a$ possible. ..,-44,•„1
Received e.Lmail from Oparations Officer. who wants all
Pertinent ase related documents coRied_anP

sent/brougat to Baghdad as soon'aS-POSsible-.

%. 4
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024481
FOR OFFICIAL I IPP nr\II Y r(e m .7` 5-ei4 'Palo
PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED U00007 CID FORM 28
n,* An
• •-ff_f' f,I .,
rut -yrr.k.4i.q..
Control Nutter
AGENTS ACTIVITY k -ANARY (&ID Regglation f:98-1): 0068-04-CID469.-79649
TIME, DATE, AND AGENT
1500, 4 May 04 Coordinated with S ho related RFA was completed as requested by this office. Info will be forwarded to this office upon 20 min completion.
1500 9 Ma PREPARED CASE FILE FOR TC/SAC REVIEVV:
20 rnin RFA was cornpleted by ABU. Pending receipt of info reports.
c?1?(,014 GoA, loPcik)s. cC'r1-()r'j-, .44
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02441
FnR OFFICIAL UEE Ot ;L.
W 1;7 r M0 la^e CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL HE USED UNTIL EXHAUSTED 1 Oct 80 000008
.77:;*'7C ?yr! CV(
FOR:OFFICIAL1'7-, _
DATE, ANDGENTCONTROL NVNEEE',H-,.
AGEANTS ACTIVITY SIJ,41ARY (CID Regulition CZD
. .

SUMMARY OF INVESTIGATIVE ACITIVITY
1745, 16 May 04
1100 17 Ma 04 30 min 1100, 22 Ma 20 min
/44'4 Col
M1111111111

. .
Received call from SAIIIIIIIrwho requested all documents pertaining to this ROI for AFIP personnel prior to autopsy of Jerad.
on 17 Mgy 04, this office received an information report from the 75th MP DET (CID), LSA Anaconda, IZ.
PREPARED CASE FILE FOR TC/SAC REVIEW:
Pending receipt of info report.
14
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FOR OFFICIAL USE ONLY 024487
CID FORM 28 1 Oct BO (et ca Cntclfr'errievrf 5e1,4*It 1 i RREvioUS EDITIONS OF THIS FORM wiLL 1373 USED uNTIL ExHAUSTED U01.1003

-
fficial T_Te Only Law Enforcement Sensi.
Control: Numbe4' ,

AdENTS ACTIVITY SPWAIO'
0068-04-C10469-79649 -

(CID Regulation 1SS-1) ,
,TIME, DATE, AND AGENT

SUMMARY OF TIGATIVE ACTTIVITY,

.
1300, 24 May 04. About 1300, 28 Ma 04, SA received an information
report from SA Hawaii Field Office Schofield

11//1111111111111111,
20 rriin . ' Barracks, HI, re a mg the on y pending lead to corn lete the RFA is to
receive the medical treatment records of

About 1100, 4 Jun 04, S n information report from SA ho related RF'A Was completed as requested by this office'and the info report will be forwarded upon completion.
PREPARED CASE FILE FOR TC/SAC REVIEVV:
Discussed wit ending original info report from Abu and info report from Hawaii.
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02448E
CID FORM 28 FREVIOUS EDITIONS OF TmIS FORM WILL SE USED UNTIL EXEAusTED 0 0 0 U 10 1 Oc 80 FcT Offici41 Use Only La* Enforcement.Sensitive
DOD-050048

FOR MCIAL USE ONLY LAW ENFORCEMENT,1. yiSITIVE -
AGENTS ACTIVITY StividIARY CONTROL NUMBER 0 0 b 04 -CID4 6 9 -79649 (CID Regulation 195-1)
TIME, DATE, Axp AGENT summAAT pv INVESTIGATIVE- ACITIVITY
1900 8 Jun 04 About 1900, 8 Jun 04, SA eceived the information report from the 75th MP DET (CID), Baghdad Correctional Confinern,____
ent Facility 30 min • (BCCF Abu Ghruyeb, IZ. The report included an AIR of SALMIllr risoner Interrogation Team (PIT) (CID), Abu Ghruyeb, IZ, his investigative activities. (See AIIR of SA1111111111.for details)
1930, 8 Jun 04 About 1930, 8 Jun 04, SA received the information report 111111111111111.11111 from the 78th MP DET (CID), Li port Area LSA) Anaconda, IZ. The 0 min report included an AIR of SA 8th NIP DET (CID), LSA Anadonda, IZ, detailing his investigative activities. (See AIR of SAalliagfor details)
0930, 17 Jun 04 VVorked on final report.
ININERRIM
150 min
1 000 19 Jun 04 PREPARED CASE FILE FOR TC/SAC REVIEW:
5 min
411111111111111111111.- Drafted final for first review. Pending final autopsy report of subject and
receipt of info r rt from Hawaii
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CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED
.1 Oct 80 For Official Use Only Law Enforcement Sensitive

FOR IC(' AI, USE 'ONLY LATI ENFORCEMENT )"'TTIVE
AGENTS ACTIVITY. S131.6.6.JARY CONTROL NUMBER 006b -04-CID469-79649 '(CID Regulatien 195-11
TIME, DATE Am AGENT UMMAFY OF INIMTIPATIV$ ACITTVITX,
PREPARED CASE FILE FORIPSAC REVIEW:
.
20 min Pending redeipt of info and autopsy reports.
/14010--La.„) € t_F
'/""'"di..1\rtSsAJ . CIA
re-144, , ex.)
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02447
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CID FORM- 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED
I Oct 80 For Official Use Only Law Enforcement.Senaitiva

DOD-050050

,
_ ,
FOR IAL USE, ONLY LAW ENFORCEMENT ITIVE
AGENTS: ACTIVITY S-IJMNIAltY-FORAM, NUMBER 0068-04-CID469-79649 (CID RegulatiOn 195-1) .
'

3:14E8 DATE; AND AGENY ScMMARy OF INVESTIGATIVE ACITIVITY

Coordinated with MA ho related coordination regarding this investigation had o e made with 1L Kirkulc, IZ, as is his AOR.
-; A57t-:?,
About 1545, 7 Jul 04, S1111111111.1111/briefed 1LT Special Prosecutor, Staff Judge Ac
_l_vosale, Kirkuk, IZ, on t e aspects o this investigation. He refated Mr.111111111/was prosecuted on 20 Jun 04 and sentenced to six years in prison for the-efferse otAtternpted M rder.
-6,7t-
About 1600., 9 Jul 04, 441111111111111111F received the aUtopsy.report, report number ME 04-357 pertaining o , r. ,,, :
WIIMIMIII Detainee,: Number110011The report Wed Mr.111111111116auSe of death as,_,_ . . , , ., . . multiple giinshot wOundS with ccirriplicatiOnsand the mariner of death a$ .. Hornicide. Mr.ingavas wounded when he attacked a. U.S. soldier's observatiOn post in Kirkuk, IZ. (See AutopsyReport for details) . - ,
PREPARED CASE FILE FORIO/SAC REVIEW: • : : = •
. . .
Pending receipt of info report from Hawaii..
4-A
,
XX ti'-e)1/4 A-k-/ cocca 44-Aro
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0 4491

CID FORM 28 PREVIOUS EDITIONS oF THIS FORM WILL BE USED UNTIL EXPLACSTED 0 0 0 0 13 1 Oct 80 F04. Official Use Only:Law Enforcenent Sensitive .
0068-04-CID469-79649
XAL USE ONLY LAWENFORCEMENT TIVE • .
Control. Number
,AGtNTS ACTIVITY SUMMARY -CID Regulation 19t-i) 0068-04 -CID469-79649
TIM, DATE , ANP AGMNT ACITIVITY
1 025, 17 jul. 2 0 04 About 1025, Jul 2004, SA briefed MAJ
CCCI on the aspects and merits of
o Investigation.. Based upon MAJ
review, he opined there is sufficient probably cause to believe 11111111 committed the offense of Attempted Murder and that CCCI will seek Pros ecut ion .
. -.
0 4 9 2

CID FORM 28 PREVIOUS EDITIONS OF THIS FORM WILL BE USED UNTIL EXHAUSTED 000014 I Oct 80 FOR OFFICIAL USE ONLY LAW ENFORCEMENT SENSITIVE EXHIBIT
FOR e CIAL USE ONLY LAW ENFORCEMENT
AGENTS ACTIVITY SUMMARY
CONTROL ITCHBER 0068-04-CID469-79649
(OrD Regulation 195-1)
TIME DATE. MP AMIAN7 surapsAY IOyEpTTGApip AcrtxviTr.
22 Jul 04

About 1300, 22 Jul 04, SA received the information report from the Hawaii Field Office Schofield 13arracls, Hawaii. The report included an AIR of SA , Hawaii Field Office (CID), Schofield Barracks, Hawaii, etailing is investigative activities. (See AIR
of S for details)
PREPARED CASE F1L.E FORIF/SAC REVIEVV:
Drafted final report. All documents marked and case file ready for closure.
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CID FORM 2p
PREVIOUS EDITIONS OF THIS PORN WILL BE USED UNTIL EXHAUSTED

3. pot po Par Official Use Only LaW Enforcement Sensitive 000015
, \...

OFFIgit USE •. ENFORCEMEN1 •

• • '
DEPARTMENT OP.TEE ARMY .
HAWAII FIELD OFFICE (Pip)
UNITED STATES ARMY CRIMINAL INVESTIGATION COMMAND
SCHOFIELD BARRACKS, HAWAII 96857 5455 •

-

CIRFI-RHI (195-2b1. 7 Jun 04

MEMORANDUM FOR Special Agent in Charge, 286th MilitarY Police
Detachment, 22ndMilitary Police Battalion, APO AE 09392

SUBJECT: 3rd Information Report (0231-04-CID108)

1. Reference is made to.your Request.for Assistance,'0068-04-
CID469-79649, received by this office on 21 Apt 04. All
inVestigative activity has been completed as documented. No
further investigatiVe activity is anticipated,

2, Man-Hours:

6.5

a.
Investigative:.

b.
Administrative:.

c.
Travel:.1.5

4

3. No .0015 funds or Privacy Act Disclosures were used.

wow
kb-LI 6-7c-Y
4.
One DD Form 2701 was issued to PFC

5.
POC is SA.at COM: 41111111111111, DSN:
schofield.army.mil .

41111111Wr erne],.

d4-1 177c,--1
•
3 Encls

1.
AIR of SA CW3, MP

2.
Stmt of PF Special Agent in Charge

3.
Medical Records of
PFC

4.
44 of PFC

0 44-.94.
• otlf - -• \ii
L A. W ENFORCP E . . OFFICIAL USE '''. . S.016itiVOONLY
0068-04-CID469-79649
FOROi• IALUSEONLYIAWENFORCENIENTSF IVE
OFFICIAL USE
AW ENFORCEMENT-,
ONLY
Sensitive
„

DEPARTMENt Or THE ARDIX
;Mail FPILD'OFFICX (CID)
UNITED STATES.ARMY CRIMINAL INVESTIGATION COMMAND
SCHOFIELD SARRACRR,' HAWAII SSS47-5455

CIRFI-RHI (195-2b) 7 Jun 04

MEMORANDUM FOR SPecial Agent in Charge, 2BehMilitarY Police
Detachment, 22nd MilitarY Police Battalion, APO AB 09392

SUBJECT: 3r41 Information Report (0231-04-CID108)

1.
Reference is made to Your Request,for AssistanCe, 0068-04-
CID409-79649, received by this office on 21 Apr 04. All
investigative activity has been c6mpleted aS documented. No
further inVestigative activity is anticipated.

2.
Man-Hours:

a.
Investigative: 6.5

b.
Administrative: 4

•
Travel: 1.5

3. .0015 funds or Privacy Act Disclosures were used.

44-46 zw-r
4. One DD Form 2701 was issued to PFC11111111111,

( 5. POC is SA at COM: DSN:
schofield.arm .mil .

111111111.1. email:

3 Encls

1.
AIR of S CW3, MP

2.
Stmt of PFC Special Agent in Charge

3.
Medical R
PFC

4.
44 of PFC dlit /6 76. y

024495 L W ENFORCEMENT OFFICIAL USE Sensitive ONLY
U00017
•
— — — • •• • . r • ••r
r'r,Nrs ,11—`1\ //171..
C,C1007MTIM
t-t-M v-ty o.648-e14-cit /4,61 96 z-tf7
4..se_e-:):441.4"1 0068-04-CID469-79649
FOR Oi ,c__\frtigEff,ntlisiAt-tmENT Sr „JIVE
DEPARTMENT OF TIIE ARMY )
Prisoner Interview/Interrogation Team (PIT)(CID)(FVVD)
75th Military Police Detachment (CED)(FWD)
2rd Military Police l3attalion (CID)(FWD)
Baghdad Correctional Confinement Facility (BCCF)
Abu Ghruyeb, Iraq APO AE 09342

CIRFR-PIT
MEMORANDUM FOR Special Agent in Charge, 286 Military Police (MP) Detachment
(CID), FOB Danger, Tilcrit, Iraq APO AE 09392

SUl3JECT: Final Information Report (0019-04-CID149)
1.
Reference your RFA (0068-04-CID469-79649), dated 18 April 04, is complete.

2.
Man-hoirs expended were as follows:

a.
Trivestiptive: 10

b.
Administrative: 3

c.
Travel: 0

d.
.0015 Funds 0

e.
Privacy Act Disc. 0

3, If these detainees are no longer required tO remain on CII) Hold, please notify CW21110. %ND 22nd M? Battalion (CID), at .11111111111111
4. Point of contact for this report is SA .11111111111111Wat DNV111.11111,r e mail:
.mi

L4-I
LW, I
Ends
1.AIR of S C ,

2.
Dossier of NDRS Special Agent in Charge

3.
Waiver Certificate of NDRS

4.
Sworn Statement of NDRS

5.
TILS of NDRS 4-76-v

6.
Death Certificate o NDRS 4.11/Ply

7.
Dossier of NDRS

8.
Dossier [incorrect] of NDRS

ft--‘ve,..t a.9-e 6 v-2cut/ co4e.
x,if
024496
000018
• ',Tit A in\ Fr 0 CIO 7T1 l/C vv-tiro 1-r
nr-N n nannrn
POrpf-Get..564 Cake dt&lt(
gr.-El/46404 T ITIVE° g '4)668("111‘61"9"11° gel 'DEPARTMENT OF THE ARMY
US ARMY CRIMINAL. INVESTIGATION COIVIMAND
751" MILITARY POLICE DETACHMENT (CID)
22D MILITARY POLICE BN (CID)
LSA ANACONDA, BALAD, IRAQ
APO AE 09391

tit st
MEMORANDUM FOR: Special Agent IP Charge, 286 militaiy Police Detachment, 1 MP ComPnaY, lst InfantrY Division, FOB Da.nger, Apo AE 09392
SUBJECT: 1 Information Report (0150-04-C1D919)
1- Reference yatz Res:Fest for Assistance (RFA) pert.aining to case # 0068-04-CID469-79649received by this office on 14 May 04. -
2. All anticipated investigative activity has been completed by this office and is annotated in the
.
3. Administrative Data:
a, Administrative hours: . 1
b.
InVestigative hours: 3

c.
Investigative travel: 1

d.
Privacy Act Disclosures: None

6. .0015 Funds expended: None
f. 2701 Issued: None
4. Poi o. Contact (POC) this_ office is the undersigned at DNVTIIIII.r E-MAIL: us.army.mil .
64-I, iie-1
ottt

(5) Encls:
1-AIR of StAllnall19 May 04 W2,
2-Preliminary Autopsy Report pecial Agent in Charge
3-Finger Prints
4-DA Form 4137 (copy)
5-Cornpact Disc 040150.919

024497
FOR OFFICIAL USE ONLY
2o-w
U00019
• FOFOFFICiAL Page 1 of 2
bc68°.-4-.ettly6c1-7-doe/7
Froni : .
,Sent ;45.prij-
us.arni .rnil
. cc:

Subjact, ,FW; Dead. Detainee:-.....,••. •
Attachrnent.51. -00-19-04.-CID789...pdf 383K
4.11 here is the stuff I told' you about. Please review it and do not
change the original initial. See you later.

4, -/ etiO a„,„/„.841-
,. .':..s-,:....:;.,:,,,,:.,.:,..-:•:..,.,,„.....-:„.•:::::.......,.......•........, '.• -:•.• -• .
tt,...;t:Qr.i • inal MeSta e„...,,--.77,...-..,.. • ... -...• ,:-. •. - .. • , . b -1

....„, ... ....„.......

• FrOni„,,•:•: ,I,US,,arni...,..rnill. --:. • .. -, • .
TO.- -0,11!Mr us.a.rmy.mil --, . ... ...., ...,.. ........ .. .. . .
$00 :- Un--.ayi-_a.y..1:6', 2004 '9-:39 pm. '
• subiet,0:..,4:-paor.pet,a1.0,00 . -,',. -__ • ..-,. _. -,.
this is the deal. When the two were procesSed here Detainee
was in processed a (later determined middle narne was

,471-Y
Detaineeallaapas in roce5sed as During a reveiW, of
the caPtUre packet,, tdiscovered tbat1111.111111

uffere e wound to the
shoulder while -suffered the wound to the chest and foot.

_
betairiee had the chest and foot injury and later died. I interviewed
nd verified his name to b
on tory short, 11111101is alive an was processe wi the Correct name.
Detainee ampis dead and was processed with.a version of his brothers
name. The death certificate has the wrong name but the right NDRS number of
aim This information was provided to the C/A. I can understand the
confusion. They probably need to do a stat.
I am attaching the entire info report. The key is the last couple of
entries on the AIR. Also vvith the file is all dossiers to include the
incorrect one foraillep

SA
75th-g15-Det (CID)(-) •
Prison Interrogation Team
Abu Ghruyeb, Iraq APO AE 09342

1/11011,
Ori inal Message
From: us.army.mil
Date: un ay, y , 4:46 am
Subject: Re: Dead Detainee

Thanks, bro. Got it both.
024498
. iginal Message
U0OU,Z0
. _FOR.OFFInIAI I IPP nmi v
FOR OFFICIAL USE ON! Page 2 of 2
ect,u, 1), .e
0014--€Pit
us.army.niil
W01. US Army" us.army.rnil
Sen : un ay, May 1.6, 2004 2:24 PM

• SulDject Dead Detainee

fter our conversation, I realized we had'a detainee die more
64 '47e-1
recentlythan the one I was tallcing alpout. I'm sure the other one
we had to reopen
is afready buried. I eenailed IDoth. The one you are probably
looking for is
detainee As a precaution I emailed the other

. (detain ees
•
s
5 SA _ .
7Sth Nip Pet. (CID)(-)

.
Pri$on Intettogetion Team.
A0.0 qhti4yeb, Iraq Apo Ag 09342

024499
FOR OFFICIAI. ONLY 000021
64.4) A7Are'erliben71-

e-k5-e OP e-7
McCLENDON . Page 1 of 2
e,/cexee.k.f.
0614`-‘111-Ct64611-7/&q?
FrOm
Sent Friday, May 28, zoo4 3:35 OM
To," uS.arm us.army.mil

a
13'cc
-Subject
5A
/am sa waking Pr infonnation fivin Med CorrespondenCe TAMC pertainins. to

collection o0 meclkal information.0 15 5t111117 ) 1)6— L-1
,
hOSpitalpencling (un nown date as of now). Theif ar-e scippo.5e 4,70
-.0,
.0
.0=
collecting hi's:current- reeorcl.4 pencling receipt-of-further mecilcal info. A5 of today (27
A/1.3.9 019, they .sti clic/not have 1715 rec-orcls togethei: 517Oulcl have them by I. Jun. Do
you need al1 of them together (as he is ch:schai-ged), or wi I his current recorc1.5of
treatment t-eceived t-o date bc ouff-c.icni? ficasc me Lack at
us.anna.miIorthis emaiIaddress. IwiI
inform you when we have his
information (current or total). Ifthere 15 anything else uou need, please let me know.
Thanks.
VAZ
Hawaii Field Office (CID), 6th MP Group
Child Abuse Team (CAT/GC2)
Scho ield Barracks, HI 96857

DSAI
Cell)

CONFIDENTIALITY NOTICE

The infOtthation contained in thi.4 e-mail and accompanying attachments constitute
cOnfidential inforMation which May be legally ptivileged.' If you are not the,

. intendd tecipient of thi0 inforMation, any disolOgureicopying, distribution, or
tbe,t4king of any actiOn in teliance on thi$ infOrmation i$ striCtly prohilpited, If
yoU tedOilied thia e-mail in etroti please -notify US imMediately by retUtm e7Mail ot
by calling (808).. 65572035

FOR OFFICIAL USE o.Nuy
LAW ENFORCEMENT SENSITIVE . 024500
000022
.. • 1 G /1 /111AA
DOD-050060
FOR OFFICIAt les: r‘Ni )
--796qT
) Zat-d 67(ernev4444.4
filton
crntymail.26asg.army.rnill SPeciaiAgent rom: PrIt 10, Z904 9:22
,66-1,47t
ent: us.army.mir
o: :c: A 0068-04-CID469-79649
;ubject: . . '
. . . -
3A. (mimic) ; -iiand.stuhl
Medical Managemen.t Centet'
oo A.E. 09180, whO stated PFC',' '..,-,.
1Deployed Warrior
our i
T jtit spoke with stated PFC
edical Center (T4RMC) ri, Landstuhl Post. (LP) ptoinvicER:e. ion was medeVaced. tO Triplet Attny llediCal Center. The, , however, they do not haVe
,. .. . Apt Q4) .,
,
.
- ' n julia.ri Date 1-00 (1.. PleaSe let tile-
Air Fiptc .1"114rews,
WaOsed LW40 Sna 'Went Ptraight,to
eparte„ Andrews , -
PFC
ari arriVal date:-
: can dO1
: ' . , la an„yt, , ,: ct-7 e,Se We.
....
knoW;if t.here ,, ,_ ., , . , • ,
.
Special Agent.
ent Agency. (CID)
KaiSerslauter es..
Polide tattalion (CID) .,
.th Mi.lita ,
DSg

'1 2 45'1
7.'
FOR OFFICIAL USE ONLY 000023
7.1 .
_) FOR OFFICIAL. IJSE OWPreelmo _C-e4A 6-n(4 (
einc4-0q-6-4116-7 /co/19
-DEPARTMENT OF THE ARMY r
UNITED STATES AR1VIY CRIMINAL INVESTIGATION COMMAND
286th MILITARY POLICE DETACHMENT (CID)

ND
22 MILITARY POLICE l3ATTALION APO AE 09392
13 April 2004
. .
NIEMORANDI.TM FOR Special Agent in Charge, Kaiserslautern Resident Agency, Fifth Military Police Battalion (CID), TJnit 23119, APO AE 09227-5213
SU13JECT: Request for Assistance (0068-04-CID469-79649)
1. This office was notified by the 22' MP BN (CID), F3aghdad, Iraq, that PFCIIIINNII \
co, 1/21st Infantry (INF) Battalion (BN), Camp '

T
arrior, IZ, was injured as a result of a Rocket Propelled Grenade (RPG) attack vvhen manning an Observation Post (OP) with his unit in Kirkuk, IZ.
2. PFC111111.1111was subsequently transported to L,andstuhl Regional Medical Center (LRMC), Landstuhl, GM, for further treatment of his injuries.
. .
3. Request yOUr office interview cOriCeming the aforementioned
incident. Further, obtain irxedical treatnientiretorda of pFc Conduct any
other investiga0e proCedures you deeni. rieCessary.

. .
4 Point of Contact is SA 0111/11111,or SA at us.arni .mil o .rnil .
Encls: 1
1. Initial Repbrt pecial Agent in Charge
FOR OFFICIAL t ISE oNil v
611 A/) re.emiewt- 5;47 si
024502
000024
From: VV4 CJTF7-Operations OffiCer
Sent: d- r 04 7:40 PM
To-. . SA
Cc: 4
Sul3jec :

AttemPted MPrder CaPe for Y01-4 are not wOrkign alreadYi
RPG AND SAT,ATTN ON 1-21IN OP IVO KIRKUK: 1.US WIAI 1 EN KIA( 11D-86116160 )

MSC 1 ID. UNIT 2-25 CategorY Aftack(e) On COalitl.on.
Date '
Posted 10-04-2004 2317 Date OcCurred 10-04-2004 220 .

_.Posted BY 1IP

.

Target Patrol,.Region North Central
Location 3SS m8447217. Complelt YE$
IZ SecPor NOT APPLICABLE.

Type Of Weapon RPG.Vehicle N/A..

IZ EecFor DEATHS/INJURED 0/0 EnemY
DEATHS/INJURED 1/2.coalition

Neutral DEATHS/INJURED 0/0.DEATHS/INJURED 0/1 '.'
Detained 2 AT 102240APRO4 NEAR KIRKUK (ME447217)AN OP MANNED BY B/1-21 INF (8 PAX) RECIEVED SAP AND RPG FROM 3 ENEMY PAX. THE OP RETURNED FIRE. 1 CP WIA IS
.

WIA..
WOUNDED HAVE BEEN EVACUATED TO KRAH.

b1RdL/: 1WV MUUNihai LLEMLNI4 hNi(oUIL 10 LOCATION. 1 ENEMY KIA,.

FOR OFFICIAL USE ONLY
Zek-u) trn ree
0245'03
UUOU25
DOD-050063

Page 1 of 1
From-
•
RIM
Sent: • Thursday,„Septernber 30, 2004 6:37 AM
To: 1111111111rforcetarrny.smil.mil •
Cc: CID001 CRCSC@SBELVOIRDMS.ARMY.SMIL. MIL
Subject:. RE: USACRC Request 0066-04-CID469 pt 3
V/R
CW2
Specia Ont.—• -

111.111.111
'• -
286tb mp DET CID (Ist MP CO)
OIF 2 FOB Danger

• Tikrit, Iraq APO AE 09392' DNVT
SA r 30 2004 2:21 PM forceLarmy.smiLmil LVOIRDM MY.SMIL.MIL7 Subject: IICACRC,Recriect nn6R-n4-cm469 pt 2
V/R
CW2 1111111111=

Specia Agent
286th MP DET CID (!st MP CO)
OIF 2 FOB Danger
Tikrit, Iraq
APO AE 09392 DNVT
024504 UUOUZ6
9/30/2004
Page(s)

U.S. ARMY MEDICAL COMMAND FREEDOM OF INFORMATION/
PRIVACY ACT OFFICE ATTENTION: MCFP 2050 WORTH ROAD, SUITE 13 FORT SAM HOUSTON, TEXAS 78234 6013
MR. JOIJNPETE,RSOIN John.Peteroill co.amecki.army.mil ..
(210) 221-78.26
Tc-4505
• Referred. to:
CENTRAL. COMMAND. 71.1, SOUTH .130UNDARY BLVD NUM, ,mAcpILL AIR Fo.gc_IA.sE FLORIDA.. 33621-5101
Master Sergeant Pamela Andrews andrevvsp@centcom.smilmil
-(813)-827:534172830
r1245R6
ge

Referred to:
U.S. ARMY MEDICAL, COMMAND FREEDOM OF INFORMATION/
PRIVACY ACT OFFICE ATTENTION: MCFP 2050 WORTH ROAD, SUITE 13 FORT SAM HOUSTON TEXAS 78234.-6013
MR. JOHN PETERSON John.Petersonl@cen.amedd army mil
(210) 221 7826
U S. ARMY HUMAN
RESOUR_CES COMMAND ATTENTION: AHRC--FOI, RM 7S65 200 STOVALL STREET ALEXANDRIA, VIRGINIA 22332 0404
MR. THOM JONES thom.jones@hoffman.army.mil
(703) 325-4053
11(24508
-`1
ors-C7 - 01401"
(000 -7PCT-
INTERNMENT SERIAL NUMBER -
FINGERPRINT CARD
Fof use of this tom% see AR 1904; the proponent agency is DCSPER.
/C110 7-Cc7
LAST NAME
GRADE
POwER SERVED NAUTY
SEX
AGE HEIGHT
WEIGHT
OTHER MARKS OF IDENTIFICATION
COLOR OF,gSoee
COLOR OF HAIR
3 _.14
LEAVE 77-11S SPACE BLANK
SIGNATURE OF OFFICIAL TAKING FINGERPRIN
CLASSIFICATION
SIGNATURE OF EPWIGNIUAN INTERNEE REFERE NCE
- — - -•
"
usth..00
+c i•
• TT . ••••••—
n (.14 5V1
• tiontlifq
DOD-050069