CID Report (Death): 0128-04-CID259-80194

.Refetred .tOt -
ARMyr
SOURCES COMMAND
ATTENTION:::. MIK-FOLR1VI 7565 .
200 STOVALL STREET
•EXAND., VIRGINIA 22332-0404

MR. :11-101g..10*S. • • .;:tOnijones@hoffmari.arrnyinil .• •
(703)325 .
-4053. • • •
•
013847
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DOD-015797
k LAW ENFORCEMENT 'SEW" yE *.
DEPARTMENT Of THE..ARMY -' .: •
insiguistAitsk004*thiAuhivEs:tiGATioti:coktmANci" ____:._ • : • -.3'.• i - .
14intitAtty_ruicsGitpuplopy
48th MILITARY POLICE DETACHMENT (CID) (FWD}:: . ' : • 5 • • • . BAGHDAD, g -..,: ..--, .
• • .:
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: -APO AE 034 -l•
. . .
•
. .• • •
. • • .
OMPR-FR • 15 APRIL lops . •
. • • •.• -(U) MEMORANDUM FOR SEE DISTRIBUTION • ..:••• .
(U) SUBJECT: CID REPORT OF INVESTIGATION — FINAL SUPPLEMEN'TAL/SSI 0128-04-CTD259-80194—/5H9B
• , ^ .. •
. • •
•
. - . • ..
DATES/TIMES/LOCATIONS OF OCCURkENCER. . . 3 NOV 2003, 0910-3 NOV 2003, 0910; Caktri.CT,at' idi,.CoMpound 6, Baghdad dental
s.
danfinernent.Facility (BCCF), Abu Ghraib, Iraq (IZ).
•-.. . A

(U) DATE/T1ME REPORTED: 27 May 2004, 1206 ,;.fi. (7 17--• • •
•• • bC :••••''. . ." - •
INVESTIGATED BY;:
•:6'
SA
.
• . , . .
• , • •. • •• . • • - • . • •.
_
NED MANNER OF DEATH
• . 1NO VNDETERM1
. • . .
:. . ••
VICTIM:` --.-.. -12. (19) ;-1-1- /.12 tiKc) 4- 1-- -.-...:'( ' :::.. 1 . : .. , ...: . . .
.:.;;.... • ,
-- :.:.:..!..., .. . - .. . . ... . . . . .(DECEASED);CINT,.ikAQI.;1XTEMMENT.St - - .. . NUMBER. (ISN): 1 JAN 1955; BAGHDAD, .t; MALE; WHITEt •XZ -.DATt- . ; ••• '• - ; • ' .. '. OF CAPTURE: 25 SEP 2003; UNDETERMINED MANNER OF:DEATH (141). . . " • • :2' . :.- ..: .. '
.... ,. ..... ..,.
......; ''''• : :'' ''.(U) INVESTIGATIVESUMMARY: . -.: : s :•!
. .:
. .. ,. . . . . ,

initiatedl)ated upon. itirottiation extracted - • •
•::•:••• About 1200, 27 May 04, this investigation died of a'stisfleCted cardiae 'arrest:. . ‘:. . ;
• from SSI Only 0235.-03.-CID259 ., detaitee . .
• - .....: .: . 4. .• ., .: - - • • •
.: .. . -
...... :. - •.- • , .. Ori4: Nov 03, the 10. Military Police•Battalion (CID),..PaigiViddrY, Iraq reported thdy •• . ..

. . •
Were notified by unknown persons) froth the Abli Ghraib Detention Facility (BCCF) flat. ...: .• - . . •
:.. - f ::•.- • . .- • •. _.. . detain dieclwhile in theicustody..of U S,.Forces •. ... • • ....
bu -. :.z..,;; .• ; - . ., ,._, • - . ." 0.,.. , . . . %. .
-at te.,BCCF; A Ghi=aib.; 1Z... ..:
. .i., ., -:%.:
\b..(?) 7 9/ 11(,)(c.)..
' -•
• . -:.' . . :.-: SEC,RETBX1/ ,''-'• ..:-... . , • 'I;
. .
IFIED WHEN SEPERATED FRO.11/1 .exHIBIt 2r-• ••
(UNCLASSIFIED
...
000084'- 9'......
. .
¦-•
:: .:-:. . . . ,. ' ..:. •. • •.
... ... 4! .'
. • .. 1. . .
• LAW .ENFORCEMENT. SENSITr )1 r .
.• 128-04-CID50-801 94
• (U)-InTfeitigation disclosed on 3 Oct 03, defain-ee-_was detained vvithidthe BCCF for
-alleged attacks on coalition forces. On 3 Nov 03, while detainee111111111 was being escorted
. from Camp Ganci to the aid station, BCCF, due to chest pains, he collapsed and went into , cardiac arrest. DetaineeM1111 was treated with cardiopulmonary resuscitation (CPR) and 'administered IV fluids with 50% dextrose and 1% Lidocaine. About 0841, 3 Nov 03, Maine
was Air Evacuated to the 28 th CSH, Baghdad, IZ,.where he was subsequently. . .• • . pronounced dead at 0910, 3 Nov 03. An autopsy
ofdetainee was not conducted; 'therefore, the cause and manner of death remains undetermined: . .
• • r.
•:
STATUTES: -
. ' •
• Not Applicable
(U)
EXHIBITS/SUBSTANTIATION: ••

(U)
Added Attached: • ' .

•. 6jej , . -

(U)
21. Agent's Investigation Report (AIR) of SA111110 15 Apr 05,.detailing the restflts

' the review of the original final report and attached exhibits and the corrections made to the • . .•
Supplemental Final. • • : . • • -• • • : -- • • •
. • „
22. English lariguage translation of Iraqi Meniorandinn, EXhibit 16 (previonslyforward
• USACRC), translated by Mr. , Titan Linguist, -48th Militmy • 15..1C U:) Police Detachment (CID). . -
•• ' -
(U) Added Not Attached:
•• -•
, ForWarded with the original UASCRC Copy of this-report (IMProperly Marked FOLIO):: . ..• . -,
(Secret//X1) 2.320x' MP BN Seriou; Incident Report, 3 Nov 03; pertaining to the death of. ' •
detainee. b((e b(qC-.) -14
The originals of Exhibit 21 anct.22 are forwarded with USACRC copy of this repOrt: The • • original Exhibit 2 Was .forwarded with the USACIRC copy of the final report; lioqet, it as • • . improperly marked "For Official Use Only" when it should ha-tie been marked `‘Secrit41 .".
. . . . . ' ' (U) STATUS: This is a Supplemental Final Report. No DA Form 4822 (Commanders Report of
.
Disciplinary Action) ispending.
.
, _ . . •
• . Report Prepared By: . :Report. Approve
s „: .
•1.67.6-1 1
••• • :
•• -
•. • -• •
. • . .
•...•. . • •
. . •
. • .• Agent in Charge DetaChrnerit Commander
. -• • •
;.:.
0 1 385 0
.
' • ... • • • • • .
ri 0 0 0 0 •
• SECRET/!X1 . : • • (1)091SSIFIDI..WHEN SEPERATED. FROM EXHIB IT 2) .•.
•1-*E. 0.::RCENOT-sEN'siTh:

-
- 1-DM., USACRC, 6010, 6th Street, Fort Belvoir, VA 2206 75506 (original) 1- Ishm: CDR,. Mt MP Ms]. (OD), APO AE 09342 : • . ,

Thm: CDR? 3rd mp .
.
(CID) ,
tO: CDR, USACIDC; ATIN: CIOP-Z.A; Fort Belvoir, VA ii066

: •1 -File '. •.
' . .
. • •
•
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. . ".
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..• • • •
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.". .• . :• SECRETIDC1 „. UNCLASSIFIED WHEN SEPERATED:FROM . 0011.131:1*.
UNCLASSIFIED-FOR OFFICIAL USE ONLY
, . .
LAW hi¦IFORCEMEN1
DATE 4 MAR 2005
FROM SAc USAcibc 48TIIMP DET ((DID) (F'W1))
TO UR USACRC FORT BELVOIR VA /ICICR-ZA//
CG USACIDC FORT BELVOIR VA //CIOP-ZAll
CDR USACIDC 3D MP GRP FT GILLEM GA
CDR 11TH MP BN (CID) (FWD)
CDR 48TH MP DET (CM) (FWD)
DET SGT 48TH MP DET (CID) (FWD)
MNF-I, CHIEF OF STAFF, DETAINEE OPS
PROVOST MARSHAL, /ANC-I
SJA,

• , . .
•r ,., •
SUBJECT: Qlp E.Ep RT. INVESTIGATION - 1 ST. SUPPLEMENTAL/SSI
•: ••,.. • . •
, .
0128-04-QD259-80.104-45H.9B,
DRAFTER:
7 C--fi
RELEASER:..
1. DATES/TIMES/LOCATIONS OF OCCURRENCES:
1. (CORRECTED) 3 NOV 2003, cow t, 3 NOV 2903, 0910; CAMP GANCI, COMPOUND 6, BAGHDAD CENTRAL CONFINEMENT FACILITY (BCCF), ABU GHRAIB, IRAQ
2, DATE/DMZ REPORTED: 27 MAY 2004, 1200 •
3. EivEsTigATE0 SA SA • 4 7C1
a, ••-
SA c-4.
4. SUBJECT: • . .
• 1. NONE, ; UNDETERMINED MANNER. OF DEATH (NFI)
5. VICTIM':
ED); CIV; IEtAQI; INTElzmaNT SERIAL NUMBER (ISN) 1 .JAN 1955; BAGHDAD, iz; MALE, WRITE; x4. DATE QF CAPTURE : 25 SEP 2003; UNDETERMINED MANNER OF DEATH (NPI)
IVESUNIMAXYL,
uNcLAsSipiED-EOR oppIcIAL USE ONLY
013,8.52
LAW ENFORCEMENT sENsiTATE
fl 00004
...• . • . . UNCLASSIFIED-FOR OFFICIAL USE ONLY
• . THE INFORMATION IN THIS REPORT IS BASED UPON AN ALLEGATION OR PRELIMINARY INvESTIGATioN-ANDAy CHANGE PRIOR TO THE • COMPLETION OF•THIETNyEsTIGATION .;,. ; •.;:.. ; • .
THIS IS AN "OPERATION IRAQI FREEDOM" INvEsTIGATION.
SuITLEKENTA14 • .• •-• •
....• • • ... . • ••• • • ...; . • • • • .. • 3
. . .
THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED TO REOPEN THIS . INVESTIGATION IN ORDER TO CONDUCT ADDITIONAL INVESTIGATIVE ACTIVITY AND PROVIDE ADDITIONAL DOCUMENTATION OF ACTIVITY ALREADY CONDUCTED :
. .
. . ON 3 MAR. 05, THIS OFFICE RECEWED gs1FORMATION FROM THE OPERATIONS OFFICER, 117 MILITARY POLICE BATTALION (CID) (FWD); • CAMP VICTORY, IZ, REPORTING RECEIPT W. REQUEST FOR CORRECTION (RFC) (0122-05-cipoo1)FRoM UNITED STATES ARMY CRIMINAL . INVESTIGATION COMMAND (USACIDC), WHICH REVEALED THE NECESSITY. FOR ADDITIONAL ADMINISTRATIVE AND INVESTIGATIVE AcTIvITIES: •
INVESTIGATION CONTINUES BY USACIDC.
FINAL REPORT:
ABOUT 1200, 27 MAY 04, THIS INVESTIGATION WAS INITIATED BASED UPON INFORMATION EXTRACTED FROM SSI ONLY 0235-01-c1p259, DETAINEE
ismDMD OF SUSPECTED .CARDIAC ARREST,
ABOUT MO, 4 NOV 03„ THE 10MP BN (CW) REPORTED DETAINEE DIED WHILE IN THE CUSTODY OF U.S. FORCES AT THE BCCF, ABU GHRAIB, 1z. ,
• INVESTIGATION DISCLOSED THAT ON 3 OCT 03, DETAINEE WAS DETAINED WITHIN THE BCCF FOR ALLEGED ATTACKS ON COALITION FORCES. ON 3 NOV 03, WHILE DETAINEE1111111111 WAS BEING ESCORTED FROM CAMP GANCI TO THE AID STATION, BCCF ; DUE TO CHEST PAINS, HE COLLAPSED AND WENT INTO CARDIAC ARREST. DETAINE WAS TREATED WITH CARDIOPULMONARY RESUSTITATION (CPR) AND ADMINISTERED IV FLUIDS WITH 50% DEXTROSE AND 1% LIDOCAINIE: ABOUT 0841,3 NOV 03, 'DETAINEE MaWAS AIR EVACUATED TO THE 2811i CSH, BAGHDAD, IZ, WHERE HE WAS SUBSEQUENTLY PRONOUNCED DECEASED AT 0910, 3 NOV 03. AN AUTOPSY OF DETAINEE WAS NOT CONDUCTED; THEREFORE, THE CAUSE AND MANNER OF DEATH REMAINS
UNCLASSIFIED-FOR OFFICIAL USE ONLY 013853
LAW ENFORCEMENT SENSITIVE
900005
UNCLASSIFIED-FOR OFFICIAL USE ONLY
_ .•
LAW. ENFOR(.;EKENT, sENstrivA: -
7. COMMANDERS ARE REMINDED OF THE PRoyisioNs OF AR 600-8-2 PERTAINING TO SUSPENSION OF FAVORABLE PERSONNEL ACTIONS AND AR 380-67 FOR THE SUSPENSION OF SECURITY CLEARENCES OF PERSONS UNDER INVESTIGATION. ,
8 REPORTS ARE EXEMPT FROM AUTOMATIC TERMINATION: OF. • PROTECTIVE MARKING IN ACCORDANCE WITH CHAPTERS 3; Mt 25,55.
3
UNCLASSIFIED-FOR OFFICIAL USE ONLY 013854
LAW ENFORCEMENT SENSITIVE
019006 . . • •
150.140
)fl-,,Irtrt' .

-LAW ENFORCEMENT SENTITIVE,
• ' • • •• • . .
• •-• • •

• • -"
• • :
22 MILITARY ip.T4Tc*: BATTALION-. •-•
•UNITED .-STATES.- Am44.4 CRIMINAL INVZSTIGAION OommOp...
APO

093412.:'

CIMPL-0p

1$ August 2004

MEMORANDUM FOR SEE DIBTRItUT/ON.
(U) SUBJECT; . CIO REPORT: OF INVESTIGATION - FINAL (C) -
0128.-04-c10259-80194-$B9B

t 13rOATF8M448/L0O4TX0N$ or 000vikNO4s•

3 Nov 03/005 -3 Nov 03/006 . 044-044 coriP000d 6;

84ghdad Central Oonfineiiient (SCMk . ASila Ghraib, IZ.

(U ) DATE/TIME REPORTED: 27 May 04, 1200'- L4-11 4--
701 wv

(u) INVESTIGATED BY

BA-

-YC' : • • , •
-(u) SUBJECT: 1. None; [Undetermined Death]

:(0).AtT (P0qP4a0.) CIV Iraqi;

Internment Serial Number ' Jan $$; Isghdad4r

. M;
white Compound CF, Abu Ghtalb, IZ;
[Undetermined Death]

(Uy INVESTIGATIVE SUMMARy;

ID (-.3)
)
(U) About 1200, 27 May 04 on was initiated
based upon information-SI :Ly (W3-01-
C10259., detainee-. ed ca iac arrest

(0 About 100.0 the 10th

BN , (CID) reported

-

detainee, ile in the ustody of u. .Forces at
the BCCF, Ab aib, IZ.

iqation. disclosed
as detained within e BCCF for alleged attacks on
Coalition Foroe$4. 03, while detainee

. (U) Inv at on 5 Oct 05, d alnee

On 3 was
being escorted from Cam. Ganei to the Aid Station, BCCF,
due to chest peihei he collapsed and went into cardiac

exwest, Detainee

was treated with cardiopulmonary

Dextrose, and 1%. Lidoodiile • p3, detainee

.Q'9.41k3

444 c,..C..lisi ftiii10 (41400 -.$4:04041-1700 IM a.01044;76 elcc.,0,
(,;140 -..
0 LCC"),:' el;'..4.7't0.: , .•• • .--• • '.. - • . 0
.. C.7.?"-7-04egliii....,.-' ,3 8
-" LAWgisTroRcgriprr sENTITivg. :„ , 1- ,-.. - •• .
• ---..."-- — ......-
— ,• • .„ . , . • . • •,'. tIT1.0 la
-

3; A(‘-1 • • • • • .._ .. . . . .., . .
•A-•
•• . ' ' . • . •
• .. 1.44 ENFORCEMENT

•-.i—gg,.ENFORCEMENT'sENsITivEs

.z.• ,
--q:
. -4,q) (0.:.
(.4
•
•
Tpi -aii.: -eliaCUa 0.to the 40 CbE, oaghdad, ,i4, where .

he was subsequently pro ounced deceased at 0910, 3 Nov 03,An autopsy of detainee was not conducted, therefore, the cause and manner of his death remains undetermined.
(u)­
. EXHIBITS/SUBSTANTIATION;

(U) ATTACHED:

6 7c_4 entig:rnvegtigation. Report (AIR) of SA
y?
15 Aug 04, pertaining to initial complain t,

.-fe0e,tgt. Of SIR, receipt of Hospital Report of Death and Death Certificate, Requests for Assistance, Information Reports and medical. coordinations,
(U)
2k. 32e1. MP BN Serious Incident Reeo 3 NOV. 03, pertaining to the death of detaine

(U)
3. I ification Photograph of detaine

• Hospital Report eath pertaining, to detainee
3

(U)
5.

5. Certificate of Death (Overspas) pertaining to
detaineellilt S'Nov03

-#.B

(U)
6. AIR of SA 31 May 04, pertaining to the /0
receipt of detainee 's .detention file.

(U)
7. Dossier of detainee

(U)
8. Detainee. Tracking Form pertaining to detainee
JADOR.

(U). 9. Detention Review Authority - 72 Hours, 4 Oct 03,
pertainiqg to detainee

(U) 10. Notice of Geneva Convention Status and Appellate
Rights, 4 Oct 03, pertaining to detainee 111.11,

(UT Four Sworn Statements with English Translations, 1
Oct 03.

(U) 12. Notes on detainees regarding mortar attacks on
Bandit. Island, 21"tb3'43.

2

'SECRET-- LAW ENFORCEMENT SENSITIVE 013856 4,1 1-903
-4
6`ECRE117"-- LAW ENFORCEMENT. SENSITIVE
031), 25 Sep 04, pertaining to detainee

(U)
14. Evidence/Property Custody Document, 25 Sep 03.

(U)
15: .Coalition Provisional Authority Forces
Apprehension Form, 25 Sep 03, pertaining to detainee

(U). 16. Unknown Memorandum in the Iraqi language without
translation.

# • ' •
(U) 17. In-VtocP$4ihq check $1.1ete. 3 QQ3,. anhot lrlq
medical condition pertainingto detainee

.11*

(U) 18 t AIR SA 15 Jul 04, pertaining to the

.

. 4,;c'41e. • interview of SSG

_ .. .

.

...,,..

(U) 19. statemont of $o portaining to 1
his knowledge of detainee - death,

L..?&(S/

.

6 Aug 04, pertaining to the
:intetvieW of Dr. and attempts to locate detainee

(U) NOT ATTAGDED:

4e)-f b()-if
(U)
None •

(U)
The originals of Exhibits 1, 6 and 1820 are forwarded
with the USACRC copy of thiA report, The originals of
Exhibits 2-3 are retained by the4320th' MP BN. The originals
of Exhibits 4-5 ate retained by the 28th CSH. The originals
of Exhibit 7--ii. and 15-17 are retained by the. BCCF. The
original of Exhibit 12 and 14 is retained by TF 1-37 AR, 1
AD. The original of Exhibit 13 is retained by TNT 13, LAD.

L.

(U)
STATUS: This is a Final (C) report. This
investigation is terminated IAW CIDR 195-1, para 4-17a(6),
the Operations Officer has determined thqfwvt„herance of
the investigation would be of little or no value and leads
remaining to be developed are not significant. Commander's
report of disciplinary action taken is nbt required..

(U)
LEADS. REMAINING: Locate and obtain detaineeilllir
medical records.

013857
3

SECRET-•LAW. ENFORCEMENT SENSITIVE .... .
'-
• ..•
•
•1.-U$A(RO (prig a1)
CDR ; . 3.r MO (;CID) •

Tor lid.115ACITSC, ATTN.: • cIop-COB-co t .6010: 6th St, Ft Belvoir . , • 1-CDR ; 1:3Ccr, Abu. (email)
•• BCCF ; AeMall)
1-PMO, BCCF, Ghraib, '("kinail)
l-PM6,, M.NC-I, camp . Victoty, -Baghdad, IZ (email)
1-1JCG, Detairiee OPS, camp victory,.. IZ (email)

•-
•N
1 11(1919_ .
LAW ENFORCEMENT SENSITIVE .
N: • 0.13358

0128-04-.CID259-80194
AGENT S INVESTIGATION-REPORT-
CID RegulatiOn
PAQE: 1 Of 4 PAPE
DETAILS .'... •
-
Ps,19.01,.?.99 t ..21..ilay,..(:).4,.thia. inyeStigatiPn...WaS .initiated:_ba.S.ed_.UPon. ..,. .._., .
information extracted from SSI ONLY 0235-03-6ID259, detainee died of
: . -• • • suSpedted cardiac arrest
.-qte) lf.,\ b(4)0) -119
•
About 1000i 4 Nov 03,. • the 10TH MP BN (CID) reported detainee__111 died
while.- in custody of U. , S Forces at , the .SOCF,." Abu Ghraib, IZ
--. : . . k ' . . . . ...'...,::::. S . :.. 4.X776:W:::. ' • . • .. . * • • . .
About 1000, 4 Nov 0 3 , SA 411111111111111111111k 12ul MP DET (CID), obtained the
320th MP BN, Baghdad Central Confinement Facility (BCCF) , Abu Ghraib, IZ,
serious incident report ( SIR) and an identification photograph pertaining
to detainee (See STIVOlotOVaP . )
• ' le-6 ,4%•—1• -
About. 1100 ; 4 ..NOV• 03; SA ni .obtaineci the Hospital- Re ort of Death

. . . .. ..,-:.-arici
Certifleate of Death . (QverSeas): pertaining to detainee . from. Mortuary
Affair8; Baghdad International Airport (1.3IAP) , .IZ. (See HOSPital Report. of
Death/Certificate of Death) ,...,
About 1400, 28 May 04, the undersigned dispatched a Request for Assistance
(RFA) to the Walter Reed Branch Office, USACIDG, to locate, identify and
interview Dr (MAJ) 1111111111111.111.1111111.11111111111. Medical CO A, Walter Reed
Army Medical Center (WRAMC) , Washington, DC,( pertaining to his knowledge of
detainee death.'
-
About 1400, 28 May 04, t e undersigned dispatched a RFA to the Carlisle Barracks Resident Agency USACIDC, to locate, identify and interview SSG 0 th MP BN, Ashley ; PA, pertaining to his knowledge of detainee death7".
About 1030,•30 May 04 ; the undersigned dispatched a RFA to the Prisoner
Interrogaticn Team (PIT) , 75 th M DET (CID) , to obtain -a-c4Dpy. of detainee
e. 47 I b(6) --q-fbC)(c)
About 1345 t . 14 Jun 04, the undersigned received formation Report from
the PIT ; pertaining . to the receipt of detainee detainee file and
dossier : SA PIT, provided detainee s. dossier;
Detainee Tracking Form, i MeMotandUrn dated. 4 Oct 03, Detention Review Authority (DRA) -72 Hour . Review, a memorandum dated. 4 Oct 03 ; Notice of
Geneva Convention Status - and Appellate RightS1' four Sworn Statements with English ,Translation, Notes ony:detaineeS regarding mortar attacks. on Bandit Island written by 1LT TF 1-37 AR Assistant S-2; a Sunimary(77
•
Interrogation Report ;.: Evidence/Property Custody
,..ra_p,„„2!_EAaZ41,0LAMIZ90,_EIAM0M‘. REc_17C—,/, DATE
SA. . 15 Aug 04 • • CID FORM 94-E ,e7,. • FOR OFFICIAL USE ONLY EXHIBIT.I
-.
!
1 OCT 95 • litOTECTIW /vIARJUNG FXCLUDED FROKAUTOMATIC TERM114AT1ON (Para 13, Alit 340-16)
6 . (When Data Is Entered) fiT10011
013859
• AGENT'S INVESTIGATION REPORT 017K44-CTD955-80194- .
CID 12edtioi:195-1
PAGE: 2 OF 4 PAGES
DETAILS. ...

Document;a Coalition- Provisional Authority-Forces . Appreher10.p.n. Form,. and a
document written in the Iraqi langUage, (See AIR of SA'

.

pootments)

About: 1349, 28 jun. 04, re-dispatched.

to the Walter Reed':

.....

requesting the interview of Dr

-

.About 1419, 28 Jun 04, redispatched RFA to the Carlisle Barracks

..

_

requesting the interview of S80-411,11K 674-60WiK

About 1637, ttr=4,6 04; the unders igned received an informatjA Report fromthe Carlisle Barracks RA, who reported the interview of '880 vaS.6.7 " scheduled. for 1 Jul
About:,0258, 6 ,Jul 04, the undersigned received an -InforMati.on Report from
the PIT' who reported that only one document, an initial screening record.

the BCCF used at the time of detainee's death was located, There was
no,onepresP.nt at the BCCF, who was stationed at the BCCF at the time of
detainee.death, all personnel had re-deployed to CONUS

s
Coordination was established with SG..

391"

MP BN Aid Station/ BCCF, who provided a
• --OnfifieMent

.

racilitY.00CIN In-Processing sheet noting. detainee.

was inprocessed

-

or 3 Oct 03; was 5'4" taii,• weighed 14$ poUndst .was:in gOo&condition, had
high blood pressure and was taking Tenordin 100mg and Diovan 80mg. SGT

could not locate any documents pext4iningtOdet4in9AIIIIIVs death.&Coordination was established with SPC Clerk, cart BCCF, who related there were no trauma records pertaining to detainee... and that there was not a. CSH deployed to the BCCF. at the •
time of detainee.death. Coordination was established with the

s
civilian P,rOviSi.b.441, Authority, BCCF, Whd reported they had no."7
.'014-0414 to detainee Coordination was established with SSG
MAG Cell Administration, BCCF, who related detainee
was listed in the database as deceased. A review of detainee
detainee file disclosed no medical records pre4entSee Medical Screening
Record)

About 1726, 6 Jul 04, the undersigned .

an information Report from &

LA

the Walter Reed 50; who reported Dr dom.was interviewed, however, --.
could- not recall the treatment of detainee... Dr 40110011.provided a V

,

point of contact to obtain-detainee.

s medical records, which would

.,—._

possibly assist him in recalling the reatment. 'Pr.related he was

171"-,
W-A9F-X*W1WROAQAPAGAMIXEEJA:-.,SIGNA:ILIR
1.

SA ..
15 Aug 04
CID F00154-E .,‘ , i:e 7. FOR OFFICIAL USE ONLY . EXHIBIT

a •. • '.•. • .1 OCT 95 = l PROTECTIVE MARKING IS EXCLUDED FROM • -4‘ ...1-. AUTOMATIC TERMINATION (Para 13, AR 340-16) (When Data Is Entered). !,s, tin in 1-2 -
p
0.13860
.

DOD-015809
• 012844-M25.0-80194 .
IGATION-REPO

RegulatiM 195-1
•
• PAOg_13 OP .4 I fiAGE$.
pgTAll.§ • not to recall the treatment, .4sect. upQn; P4_41,4”. ,casOalty. incident, whichoccurred about the sole period Of detainee s death::
About 0944, 9 Jul 04 ; the undersigned ;'00eilted. an Information Report from
the Walter Reed BO, reporting attempts were being made locate .detainee NNW s medical records - order to interview tir.._ / 7 C.4 4a€'
• :'
• AbO4t loo0; 1.2 4-1.111, 04,-the underbigned submitted a:Restfiiet. for Re6ord$ to the neputy Commandi.n.q , Gehe4ali_Oetainee OperationS Vulti-Nationat Cotps-Iraq; i)eTtain.ing. to- cletal-110 . 1111W . . . •.
M)O.Ut WOi 0 Jul 04..; the under$iqned reoeived intormation ftm tho'offic
(54. the Oeputy COMmanding CeneraL Oetainee pperatiOna,' Multi4ationaI­cotp$;--xt that no furthet tecOrds of'detaine01111111. could be located,
Medical re0Ords Would be retained by the treatment
About 0410, Jul 04, the undersignedreceived •an Information Report ,froq, 01/tho Walter Reed BO, who reported • Or. 1111111111111111 researched' his perSOnal /2 74"? .
•,
database Perta`ining tO• patients he- treated iri Iraq: Dr 11111111111111 relatedb704M1
detaineeINIIMIS Patient number .for the wa$ 12044 iti',b'd44th w4
ro'oiat of cardiac arrept,.detainee 1111141g titft9..t0:81 Wa$ 007 'and his date
of .birth Wa$ Jan 55, Coordination . wa eStehlished:141tji BAMC,, who:was
prOvided detaine011111W patient nuMber to as$ist in the search' fOr his

medical ±:ecorda."

About 1050, 28 Jul 04 4 the undersigned received an InfOrmation Report- from
the Walter Reed . BO, who reported contact was establiShed with Brooks Army
Medical Center; (BAmC) „ Ft Sam Houston, . TX, regarding medical records
pertaining to detainet. BAMC had not been able to locate any records
pertaining. to detainee UM. .
About 2230, 28 Jul- 04,'the undersigned received an InformatiOn. Report from 44(the carlisle Barracks RA, who repotted the interview of ssG4111111as
complete,. SSG...1i'related he did not recall much about any detainee death, as there were a lot of deaths smug.,did not know who escorted 41= detainee UM to the Bccr Aid station or who performed CPR or provided. any 414:'e mediCal aid. to detainee
About 1400, 30 Jul 04, the undersigned recelvee'a Final information, Reportfrom the CarlisleBarracks RA. Pert to the interview of SSG
(See AIR of SA 4. •
•. -Trypg.j_wow.4541,MUN449M10 .1. . • ••:
174-1/P 15 Aug 04
CID. FORM 94-locTo FOR OFFICIAL US ONLY PROTECTIVE MARKING IS EXCLUDED FROM EXHIBIT
AUTOMATIC TERMNATION (Para 13, AR 340-16) (When Data 4 Entered) • ­ a!1f013

•013861

' •
0178-04-019-80194
"
R4;4141100 9-$.1
' • • . .
• . .
. .PAGE 4 OF A PAGES DETAILS - -.. • AbOt.it. 1420i-'2:-At4s, •0. 44.- the uild4rsiegtved:. received-an InfOrmR4011V-SOPO.izt, .tx-'61.
4t,z-
the Walter Reed:00,-14110 reiOrted. they. wO44. re-interviewDr IIIIIIIIV 67C Y7
providing him the Hospital Report 04 Death and 00ath-Certi.fieatCtO'assist in any recollection of treatment.prorided. ' . .. . ... About.. 0501.,'3: Aug 04the, undersigned received an Information report from the Walter Reed 30, who *'-..epotoci:tho.t on 2 Aug- 04, IWO was again contacted in atteiiiptsto looate'detajn4001010.4:mealal records::
N.-4 •rg) ­
0 /

-- -.!,.....„,.:.t... .., .w..,:. -.--.

- - •

this

About 1004. 5 Aug. 04 SA: ' thi office, coordinated with. SFC

.:,,,:...,,,,,.„4...„..._: ..,..... .,,.,:... ... . . ...._ .. • . -

Patient Administration, 31," CSA- Baghdad , Pc.
m947i14a4a44-44i,,.01...xe the PAb Accountability Patient 10,1„-up

:
electronic database alidthahAid.wa$ pertaining. to patient 1204, detainee
No records could be.loCated ­
.-.-

About 0834, 6 AUg 04, the' undersigned received an Informationeport from
the Walter Reed BO, who reported BANC was not able to locate any medical
records pertaining to detainee It was reported that in Nov 03, no

.

medical records were maintained at the . 2th CSH, Baghdad, for deceased on arrival personnel It was advised. that a c k of the local Aid Station, which trOate.d.detaine0 III. • checked for fi on band. Coordination . wa....QPtablisbed.. with the 28th. CSH 44., ion, which • Port14 the BCCF, 11.6f.**P6rted.onlythe ICCF. Xn-processing che seet ann.=
.atin4:detainoeWowa . . h blood pressure and medications was pres
z674"-1;

About 1400, 9 Aug 04, the . undersigned receive, a formatippel.eport from the Walter Reed-Wp pertaining to the interview of Dr and the search for detainee 'S Medical recOrdS. (See AIR of SAVO, /// Last Entry ///
•
•
• 6,
MEID,AoEws9N,AloguNista- GE=N1:11¦413E1.:4IGNAT_W_ — /.. • • re
SA 15 Aug 04
CED FORM 94-E 1 OCT ' FOR OFFICIAL USE ONLY PROTECTIVE MARKING IS EXCLUDEDFROM EXHIBIT ,
• AUTOMATIC TERMINATION (Para 13, AR 340-16) (When Data Is Entered) • .220014 013862

e erred t
moter Sergeant Vampla'Andrews.:-aridteWs centoom
.
013863

Refertect to
U. S MEDICAL COMMAND
FREEDOM. F INFORMATION/

PRIVACY ACT OFFICE
ATTENTION: MCFP
2050 WORTH ROAD, SUITE 13
FORT AM HOUSTON, TEXAS
78234-6013

MR. JOHN. PETERSON
.jov
ete sor @eertam
(210) 221-7826
013864
RC.I NUMBER
DETAILS
, • ,
BASIS FORINVESt1007.10K: 30_ May 04 this office receive d a Reque5t for Assistance
t. 100:0:24-047.094.9:701.R, from 22nd MThry Police (MP) Battalion (p.Nxcio), poghda d
- Airport _pa 4: Iraq 0119Aj00. A requesting copy ot dotgoloe fife of National Detainee Reporting System $)
Abbut '.04ainaC.1 copyof the detainee file and dog* for Detainee
ostler) • • . • „. . ¦ • • • • • • . ,
. . • , • . "•.• „ • .
Staft..4.1, Your. IVA 'nos .t completed ih the attached oticioso.-ros.:- No foithot investigative activity

is *anticipated by this woe..
//./LAST ENTRY///
—
r.:P.E AGE
• PRISONER INTERROGATION TEAM (proprij ,
SA
Baghdad Central ConfinementFacility, Abu Glituyeb 09342 SIGNATURE DATE • • .
• 31 MaV.04
cib. FOR4 94
FOR OFFICIAL US onity, in• Loaz en-cu.-teen/Igor, 5e.44.54-6.vc
013
DOD-015814

it•
Referred: tii•-
Mas er .Sant J:.mIáAr.idxes
.
• an rews centcom.smi mi
8 3-4t/2

oreign an age Photos depiOting Americans Photos depicting foreign nationals Civilian Agency Records
013867'

Referred:tot • .
ill S.-CENT -COMMAND 7115. SOUTH-130UNDARY..BL CCJ6-DM' • • • . 1 CDILL AIR FORCE BASE FLORIDA 33621-5 101 •
Master Sergeant Pamela Andrews andrewsp centcorn.smil.mil
•
-
8t-Y82---: 41/2830
3-7-­
013868

Cllik6uiation- 195-1 .
PAGE 1 PAGES
. ..,..... . . . BASIS FOR INVESTIGATION .AbOt..o9po! 29 Jun (St . :M.10 offI00170.0oNOcl Request Fora.
Assistance (RFA), from the u.g.kroyCnrnitial Investigatio n Command, 22nd roliitoryponotmpLgotto.o A.Ny ropooti.ho this office fully identify: interview 4.P" MO: $4, aet4otiffionqpFT).1; A§hte% F
18700 -460ditid
...,.., . hri knowledge of a detainee death in Frog;::
" •

-• • • •• :
About 1510; 15 Jul04 ; SA ined..a. aworn..statement frof).$$G in *oh he..stated, he -400 . 00. repollectiOh Of the Oath of Mt 0.00410d), National apt0000..I.RegiletratiOn.gyotem Number(..N..DR8) Cor*OUnd seghdad. Central
. .,,
cphfihement.pacili • BOOFLAt*.0..hrolb; 1Z.; . or tho circumstances surroun d death.
eddf`
Further 'ets4t he never escorted or guarded detainees while at EiCCP. (gee sworn 7‘.."/ /. . •eteOrnent of sg• '''''' detiarls).///Last Entry//I
•
..•
•
TYPED AGENT'S' MME AND SEQUENCE NisIBER ORGRWATION
•
627I. d Military Police Detachment (CID)
SIGMA!
DATE bon8rr

15 Jul 04
ID FORM 94 , ;--FOR ofFicliaL USE ONLY
.;;,•
fu!
013869
14Awurotitc4ituisT SENSIfilvt ,
e'tit -10.tic.1048'
tanimilariMt

_DAY-ko-prrobo4----/-1
STATEMENT (COntiriue) -13(1--e-TDOS-9" °lc!c
,f4
AFFIDAVIT
:, • . -
I,. S:rq , HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT •
WHICH BEGINS .ompfxa1; 45-Nc(gmiworiii,pixogr .7. I FULLY UNDERSTAND THE CONTENTS OF TI-IE ENTIRE STATEMENT MADE
BY ME, THE S. -
TATE*NT.LS TRUE, I HAVE INITIALED At4. CORRECTIONS mol-14y4 INITIALED THE cicyn-qmoF EACH FAck•

• CONTAINING THE STATEMENT, I HAVE MADE THIS STATEMENT FREELY wR11014-riiope OF BENEFIT OR 137wARO, WFFHOUT
THREAT OF PUNISHMENT, AND WITHOUT COERDION, UNLAWFUL INFLUENCE, DR . - . " -WENT.

,. ..
106.400 of ataba .14akinq Stafeiaanp
WITNESSES: Subscribe ark4 066 to batota'aia, a p0440bAuthorized by law to
ackainkai; oaths this 04y0: : 04'

at.
•' i'-E. .A Ji
•ORGANIZATION OR ADDRESS: LIMA M?)tig Oath
ISA;r144-6.C14
(Authority To Arttninicte Oath)
INITIALS 11T
OR : 2_ PAGES i iaath •akil Frf!.
LAW ENFORCEMFAI; $latibia404'
g doct. Joto
0 5 0

DOD-015820

't,fP
• ' ROI NUMBER

AGENT'S INVESTIGATION REPORT
0061-04-CID241,
OlPfiegulatiOn 191
•
•
-,•••• • • PAGE 1 OF 3 PAGES . . .
p.g.fAu-g. .

BASIS FOR INVESTIGATION At 14154 2$ Jun 04, this office received a.

A;

22nd --- - •

0:citiot for , m $4..$14 from tt. . 4e--alit

--,5%*0.0, Agent in Charge r lty-

. . . -. . -..._.•-. • • • , . _ .__ • • _ • •

_---. •• -__ • _ _ _•

Police Battalion.(C.IDy';•,•u.s........... APO AN-0%544i -: • -- • :. • -, .
- • -,--:: • % . ....,,.47e

Tt:Wre44.0*,t0t6tAP:#0. fullyj,dantify:and interview Pr. (MkJ)1010V-
A:comp4p t Walter ]i .

teV Reed Army Medical torkt er
01..AAR -6407W44 NW,. WashingtOn; nO 2007i portainiftg*to hi s
icti64.ed. --:.e.: -coq44,4 all care Ari.(.1.ttont he provided to Detainee-
.. _ (Deceased), NatiOnalPeainpoogigtration OS/$tom.
,giAlber..00SIl$11:22t.CallipGanci;Compound 6; Baghdad ceiltrai,: ,
Confinement Facility (BetM Abu Graib, IZ, wh6 died of suspected
.cardiac arrest. .. • . • . •

.i774-4.W.

, :...,..•,, • • • ze6-(0.. ' - • About 2, 28 Jun 04 ; SA: contacted Dr to set up. a appointment. Zor• an interview, t. ;stated he could not recall (4(
. anything-abo0 .De.±45-1*e111111 s care, treatment, apparent injuries, or, a.
. eauSe of death without looking. at the treatment recOrda. Dr• 4111.1.111110

, • ' ' .

• • • .• •
. •• • •,• • • E./I,.
7. many patients that

relotod in tbo,year he was deployed :r4.o. Iraq he 84­
•diad,41.1mopt. 'daily and it bdiftiolat.to rooall. any details
ID .0eAi.40.0.* withO4t _ looking at soTilethihoto:h04 414

rt4illio4 . ., fptbvided2a number to contact the Patierit .67C-Kod .
— ---- ...

AdMiniSttation on. (PAD) in Iraq.

•AGENT'S. COMMENT1 nr stated he would 40 Out_of the

..• .• ••• •. • .
Washington,. DC Metropolitan. area 29 Jun - 2 Jul 04.•: . • . • ‘: _ : '. .

. 04'4.-.(, ... • .- .. . . . .
Around 1000, 29:Junf04 ;. SAIMetontacted the PAD office in Iraq . '.-.
to request a search for the medical file of Detainee IIIIM ..'sA-Iiikr P ''"( •

was informed the medical records that belonged to 20t4 Combat Support
Hospital (CSH) had been forwarded to Fort $afft notst6h, l''.The 28th' •
CSH had been.roplaood-withthe• 81't d$14,

. . . aWP4-.4.

Around 1030, 29 SA• coordinated with MAJ
Patient Administration Systems and Biostatistics
Acti*ifii02IleyRoad, S4=1,..te. 25;.- Fort Sam Houston, TX 78234,

,

,.. ..
•

,. _ .

010 416 medical tpeatmen-E'i.dcordo of betainee, • 6.7 .--3,,,..
-.. MAJ ...stated she would this office on the status .

Pert4inin4 tO„..1.

' 6

of the searcbthe iecotdg, ' . ' o•-•.:(.-.. • • -.. • . . ;-•
iseiRED;4pifs$04:44000p:4014044404 4,13:40.146. "
SA Waiter Reed $0, 3d MI" Group, VSACIPC;
Washington, -PC. 20307-5001,

SIGNAT DATE , EXHIBIT "
6Aug 04
• CID FORM 9 FOR OFFICIAL USE ONLY
1 FES Tr . poon5i
.617Mr---64'-e:EN9S9. ROI NUMBER

AGENT'S, INVESTIGATION! REPORT
0061704-C10241
co Regulation 195-1 - .
•
'PAGE 2' OF 3 PACES
. • -
•

DETAILS • • • •
-
Around, ()Mfr. 30 Jun 04, .SAwas contacted by_ pertaining .:(). .t.173.0-status. of the search the medicaL treatment records of Detainee ',stated the records .....7(:•••-I:..e.;..
not ]700.416
:fto 0 her,
office as soon as: she had .more infOrmation•.
74

•located,- had one last otort . and would contact this
Around 1100 e 6 Jul 04 k SA was contacted by -MAO-Q
inform• that the reCord for D:pt•411111111111 had not fo.und. and she
would continue to search for . :•

6,1.• f•-•
.. •. •.
cj(p ..1428, 9 Jul 04, 8A./10/10Called MAJ offiCe to check
on status: of search for Detainee s medi0a treatment record
MAJI. s secretaty, stated MAO: -MOO was in a , ,-

.•teleconference and would relay the Message : ••About ten minutes later, -
contacted this offilt0.";and stated MAJ had not found the 676-
ecoid and would continue the search:

. .
k . ' AGENT' S. COMMENT: MAJ ad mentioned in a previous *conversation 4,7C;(40 with SA that some • *f .' medical recordS• that belonged to 28 th CSII , • may still be in the PAD office iri Ira •• • •

- • 2‘4,
•0•Y-C) f.
At 1618; 19 Jul 04, MAJ 111111110 notified. this office the• treatmept,,,e4l• ikecords for Detainee NM were not located: MAJ-Wfat stated -she P.' \
ke) coordinated with the PAD office in Iraq and Fort Bragg, .NC, and came 03 up with, negative. results. MAJ related it was possible no 6? ( / . . treatment record was made for Detainee
. *--/f4C44 •
About 1500; 20 Jul 04, SA coordinated with Dr. pertaining to any information he may have on treatment records *f6 Detainee am. Dr limmum stated he kept records in -a database on • -his computer of all the patients he saw while in Iraq Dr
• . ' .
. 011111111 A -
,patients in his database, just
assigned patient numbers. ,- *

related he did not have names of •
.. ,
. .
• At 1010, .22 Jul 04 ; SA alla received e-mail, from Dr 4
4itl"Pinformation he obtained from his database and patient
1204...

(
TYPED'A'SE NAIVI404010*BN-WM
SA Walter Reed BO, 3d MP Group, USACIDC;
VOshin tOrf;PC 20307-5001

SI G NATUR DATE • EXHIBIT
p Aug 04
Az) .
.. . . -. 013873
. • CID FORM 94 FOR OFFICIAL USE ONLV.•
• I FEB77 000052
ekatetj &4L-5g; e* "
•
. . • .
Orgg=esrp--a--6c5t67

.
ROI NUMBER . .
•AGENT'S. INVESMATION. REPORT , 0061-04-CID241"
• CID Regulafion 195-1 •.
PAGE 3 OF 3.-''i=?AoEssr-

DETAILS •
About 1000, 30.. ilul-04,„thiS ¦=)f40e. obtained 'copy of DA Form 3894,
1,iospltal,. Report of Death Peath. CeT.tificate'vSMeAd photo -(ve'ry. poor
quality) of Detainee via e-Mai'.''

.

..

. i, .: . . .._. , '....!,' '4,-,.*?.-..'::•:
Around 1730w 2:Aug 04, $.A. 006rdinateci-with MAJ

•,_,, .. -.•.••,.,; • • -• • • .•

Chief of Data Management Branch,: PasBA-i,..F0it Sara. .

: Houston, TX 782$4, pertaining to locating Detainee eallif $ medical
'records under patient numbering, MAO" iffispwould contact this 4-7474e06".;
office with information on the $earc14. f0'4Ithel medical .iecord,

.

. ' :'

. . . . r.'6,.0...,./t.-. 'I. .

•' •

• 1.?..7.:: •

,..SA
no medical treatment record was. made for Detainee du to the. A7c...
fact that he was dead on arrival‘4, W.. -:related the Battalion Aicr
station'at AbU. Gh aib e would probably have iiitcat. reàordj on Detainee 64'5

At 12.46, 6 Aug 04 -ooOrdinated_With.MA '.'14110. stated ' •

l‘b
t.

67C-3tee
_

Around 1300, 6 Aug 04, SA coordinated with SPC

- • .
(141), at the Battalion Aid Station:0_ who 4747. J:t50647t4tliol-record file number 813d. ,.--stated. the dv. i4.7 only item in was the in-process ng sheet which indicated the patient had high blood pressure and wa.S t kin mediations, Which were listed. bLc2)
AGENi"'SCOMMENTV -SA011110...$ •unable to obtain any further information

due to bad phone conneCtiOn.

-

0754, 8 Aug 04, this office was aotified; via email, by SA _

":'
to terminate the request for assistance. ///LAT ENTRY/// • ,

A •
0 m=g- •)a..Ard 4
, - 4.YRED:AGENTAMEANDir.01.4,01aguKatk-,-,.,,,„.,..: ,c_..,..71ZA....10 $,N • Waiter Reed 130, 3d MP Group, usAciDt;"
Washingtoh, DC 20307-5001 . '•
SIGNATURE DATE ' : EXHIBIT .4 ,..
, . .
.6 Aug 04 • ' "I
013874
...I ' .
FOR OFFICIAL USE ONLY • . , . - 0 0 0.0 53 .
• . 1 FEB. 77
. 1...0..,,s I .14-rtst Cerl eLy4
ROI NUMBER
• , .
AGENT'S INVESTIGATION REPORT
: 0128-04-CID259-80194 CID Regulation 195-1 -
• •.
PAGE 1 OF 1 PAGES
DETAILS
ASIS FOR INVESTIGATION: On 3 Mar 05, this office received information from the Operations Officer,
11 th Military Police Battalion (OD) (FWD), Camp Victory, Iraq (IZ), reporting receipt of Request for _
orrection (RFC) (0122-05-C11)00i) from.,United States Army Criminal Investigation Command (USACIDC),
hich revealed the necessity for additional administrative and investigative activities.

bout 0900, 15 Apr 05, the undersiglid'revieWed RFC 0122-05-CID001 received from HQ, USACIDC• dicating the administrative deficiencieknoted during the review of this investigation. Upon review of the.ease
-•.: .
on.werercorripleted and cloaumentedin a Supplemental Finaland Final Report, the folloWiiig colefr .ehon.
=..-i. • . .. • '
eport: . . • -
, s ,".,-
. IN-.
-. • .
Finding #2: Exhibit 2 wasImptoperly marked as For 'official Use Only and should have been marked
`Secreti/X1". Supplemental Final reflets correct marking for,this exhibit . .

• •
• . Finding #3: Exhibit 11 inclndedlOur Arabic Statements with English Translations and Were not •
eparated into individual exhibits. • It was theSe statements were received as a single packet of • • •
orrriation and were not statements obtained by a USACIDC Special Agent The four statements and their. '.

anslations were therefore listed as a signal exhibit.. . • . . . • • • •
. • .
Finding #4: Exhibit 16 was`list41 as an "Unknown Memorandum in the Iraqi language without anslation". A translation was obtained and will be added as an additional exhibit to the Final Supplemental. . • • Finding #5: Eichibit 4 listed tiii0Of death as 0910/3 Nov 03; however, the Final kePortlist the incident as 0823-090.0/3 Nov 05. Final SuPPleinental reflects accurate time of death. : • .- •
. •
; .
Findirig #7: . Basis For Investigation does not accurately reflect how incident was reported to ' •
SACIDC. Final Supplemental Correctbd to reflect 10 th Military Police battalion (CID) was notified by : •

• ..
l•..
own individiinls at the Abu Ghraib,PrisOn. . • • •. • • • 7
-
. .
bout 1000, 15 Apr 05, the undersigned -obtained the English Translation of Exhibit 16 from Mi.
•
Titan Linguist, zur Military Police Detachment(CD), camp victoisr, CO
:
• _
-.
1
TIREDAGENTS,NAME.AND.SEQUENOR.NUMBER. eh_ OpGANIZATION ., .

48-thICCPDetaaateit(F ) ('Cibr:77
:SA Ba dad ir• APO AE 09342 _, •

SIGNATURE DATE EXHIBIT •
. 15 Apr 2605 .,

FORM 94 FOR OFFICIAL USEONLY..• .. •
FE671. • • 00:0115
.. • .
For , . JC y -
A note for appealing by the obligaftoii of e articre 78 of eneVa Convention
_
Name of the detainee serial number
•

I have read and understood the accompanied note which concerns my situation towards
the Geneva Convention and the rights of appeal.. •
have abandoned my right to appeal that concerns my detention order and lake this decision by my own choice and freely no promise, thread or compulsion was given to me in order to give up my rights •
• I appeal my detention decision. and I take this decision by my own choice and
with out any obligations , and for the purpose of using this right, I would like to
introduce this written report below to be taken with consideration and regard to

' the article 78 of Geneva convention , The Appealing And Reviewing Council.
The charge aOinst me is not friendly but a cunning laxiwirt
*"g that I have been in the jail in
Iran for 14 years and I raise a big family of 13 member and no one else to help but me ,
knowing that I have told the coalition army about the existence of a big amounts of -
( not a clear righting) in Algamama aria, and I agree with the coalition army
'about it is presence in Iraq And I don't have benefit in being hostile with the coalition
army, and they did search my house and they did find nothing , please release me from
the charges against me, knowing that we have an advice from the heads of the -tribes by
the necessity of cooperation with the coalition army and I do follow this direction, and I

. • . _ . , was harmed by the previouS regime for being in the jail for 14 years in Iran, with my . thanks andaPpreciation . . • •
•
• t‘'f4
Li6
IntrodUcedrt 10/06/2003 -
":: •'
Translated b•":.:
Translator cat II • _
Titan Corporation
•Assigned to;
48 police detachment (M1) DET) (CID (FWD)
ctan'irv—tm CrAM93424-

01376-
.E .r4135r
111.T.
FOR OFFICIAL USE ONLY
Law Enforcement Sensitive •
DOD-015825
¦
Mad quarter: .
The seventh SharedInterrelated Working Ihut • Baghdad, Traci .". 09.30.
.
The legal Consultant audiority
Name of the detainee: -
Serial number."'" b7
Detention location Abu ghraib
' ¦•••¦••k- .
•

Subject: -a notice of Geneva Convention and appealing rights
1. Geneva Convention article: we draw your attention by this text to your situation and the reasons of your detention in this time you are arrested for a security reason by the obligation of the Geneva Convention agreement the paragraph concerns the protection of the civilians during war time, back dated on august 12/1949 the general reason. for your arrest is
Engaging in or suspicion against the coalition army and /or attack on the coalition army • There for your detention considered important for an insisting reasons concerning the security of the coalition army
2. Appeal rights: '
You have the right to appeal by the obligation of article 78 of Geneva convention and if you decided to appeal you have to introduce a written request for appeal to the detention compound officer witch you are detained in through 10 days and after that the reviewing and appealing council will take a look at your request according to
article 78 of Geneva convention witch is .printed here under
Based on article 78 of Geneva convention agreement which refers to the protection ofthe civilians , and if the occupying forces found that it is so necessary and it is for argent security reasons by the purpose of taking the security procedures which concern protected persons , they have to submit to a compulsory residence or
detention. The decisions of the detention or a compulsory residence will be taken by the obligation of a rolling procedure through which the occupying forces advices, by the regulations of the current agreement , and this procedure includes the right to • . request the appeal to the authority, and the appeal will be decided as soon as
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013877 •
• (•00056
FOR OFFICIAL, USE ONLY
Law. Enforcement Serlitive. • • EXHIBIT
'
reviewing, means bill bereviewe _ every six mon _ ,_. i 1s.p9 11 lc -44.. • by 4:
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qualige4 atithority'asigned by an order from above authority The protected personnel who are submitted to a compulsoiy residence and it a need
_ .
of le4vingtheir homes, _will enjoy all the distinctiOns of the article 39Ofthe cu p .ent ,
. -,..._
-agreement . . „
Detention reviewing authority
Prove ;of the service
Date of the se cc-10/04/2003
Served by /translation. 6 7

_ -
raris ator cat II
Corporation

Assigned to; •
48th police detachment (MP DET) (CID (FWD)
Camp victory, Baghdad, Iraq APO AE 09342

0 PST!" FOR OFFICIAL USE ONLY EXHIBIT' .
• 1;,aw Enforcement Sensitive
0090571