This Commander's Report is in reference to CID number: 0058-04-CID939-82650. The Corporal who is the subject of the disciplinary action is charged with obstruction of justice; found guilty; and given a written reprimand.
SUSPENSE DATE (YYYYMMDD)
COMMANDER'S REPORT OF DISCIPLINARY OR ADMINISTRATIVE ACTION
For use of this form, see AR 19445; the proponent agency is Office of the Provost Marshal General
PRIVACY ACT STATEMENT
AUTHORITY: Tide 10 USC Section 301; Tide 5 USC Section 2951; En. 9397 dated November 22, 1943 (SSN).
PRINCIPAL
To provide commanders and law enforcement officials with means by which information may be accurately Identified.
itoiinlis USES:
Your social security number IS used as an additional/alternate means of identification to facilitate filing and retrieval.
DISCLOSURE: Disclosure of your social security number Is voluntary.
1.
THRU
2. TO
3.
FROM
Commander Commander
Commander
1/185th Armor BN C CO, 1/185th Armor BN 78th MP Det CID (-)
Camp Scania, APO AE 09331 Camp Cedar II, APO AE 09331 APO AE 09331
4. USACRC CONTROL NUMBER 5. MP REPORT NUMBER 6. SUB•INSTALLATION IDENTIFIER
0058-04-C1D939-82650
The that Lieutenant Colonel in the chain of command is ressonsIble and accountable for osmpleting DA Form 4833 wIth support documentation (coulee of AlltdeiSa.awl-mania:orders, rise ilmtands, clot le all USACIDC investigations. The unit and brigade commander or their equivalent wit also receive a copy of the DA Form 4/733
for all USACIDC investigations
Company troop. and battery level commanders are 1 ORX106113111 and accountable for completing DA Form 4833 With Supporting documentation In all cases investpated by
MR. chntran detectives employed by the Department of the Army, and the D. Accurate and complete DA 4833 disposition reports ere required to meet insulation.
command. HCOA, DOD. and federal Itatutory repommg requrements TM data is used to Identify crime trends. establish commend programs in laen
. enforcement end
other activities. and to ensure that resources ere
made available to swoon commanders who must address issues of soldier and fa may member Indri.Ogn.. In wart-mania Caine, a conviction of an offense al owlat courti martial in the remarks section. -martial may be for a illBerent. or Weal Ind ucted offense. Ust the offense lor which the individual was convicted Bl d. 5. Provost Marshals must enter the Military notice Repon number for en CAM referred la =meanders.
Block B. This block Is abed b enter report number from a civilise law enlacement agency coke woe Deer information on the &Man law enfatemerf agency
(e.g. civilian law enforcement agency add eas) may be entered in the remarks aedlon.
7. NAME Of T Last Firs(, MI) 8, GRADE 9. SSN
10. DATE OF BIRTH (YYVYAfAIDD)
1 LT
"MIMES
MINIM
113. OFFENSE(s) 11b. DATE OF
1c.pION TAKEN
ld. IF NO ACTION TAKEN, EXPLAIN:
p OFFENSE(s)OWYMM90)
Obstruction of Justice
20040701 s Ei No •
YES IIp
•
( b)(710:1 NO
YE III NO 111
.(.&16/C)-Z ...
12. ACTION TAKEN (check all that aablv)
•
Subject was advised that although no action was taken, the report would be retained in Army records and that requests for amendment,
correction. or expungement may be submItled IAW AR 190-45 (MP Reports) or AR 195-2 (CID Reaorib).
a.
NON-ADVERSE PERSONNEL ACTION REFERRAL;
REFERRED TO (Check appropriate blocks)
DATE REFERRED (YYYYMMOD) DATE RESPONDED (YVYYMA(DD)
F = FAMILY ADVOCACY
D .4 DRUG/ALCOHOL ABUSE
S - SPECIAL REFERRAL
E = EQUAL OPPORTUNITY
L = LEGAL OFFICE
M a MENTAL HEALTH
pR e RELIEF AGENCY
CI b. ADVERSE PERSONNEL ACTION:
Erit REPRIMANDpII ORALpF2 WRITTEN
_ FILED: ELOCALLY
OMPF
—
LETTER OF CONCERN/COUNSELING
ADVERSE OER/NCOER COMMENT
_ RELIEF FOR CAUSE OER/NCOER
—
SUSPENDED SECURITY CLEARANCE OR OTHER ADVERSE ACTION REGARDING SECURITY CLEARANCE
— DISCHARGE PURSUANT TO AR 635-200 (ENLISTEDYAR 600-8-24 (OFFICER)
Regulation Chapter Characterization Discharge Data
• c. NONJUDICIAL PUNISHMENT (Article 15,
UCI4J) (ATTACH COPY OF ARTICLE 15
• SUMMARIZED FIELD GRADE
— GCMCA IMPOSED
. COMPANY GRADE
GENERAL OFFICER IMPOSED
d JUDICIAL IfilrbJect was • ' y court-martial attach a copy of the court-martial order giving findings and sentences.)
R
SUMMAR COURT MAR
GENERAL COURT-MARTIAL
SPECIAL COURT-MARTIAL
CIVILIAN OR MAGISTRATE CRIMINAL COURT ne Fr1I7LI Ain,/ If Mt nm. Inti• tAnt• Inn.n
..'...L.....----
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13. JUDICIAL FINDINGS
9
DISMISSED
GUILTY NOT GUILTY OTHER (for example, guilty of a lesser included offense. Explain in Remarks.)
14. RESU CANT SENTENCES. PUNISHMENTS. OR ADMINISTRATIVE ACTION
—
a. REPRIMAND b. ADMONITION (1) ORAL . (2) IN WRITING
......, ...--
— c. DETENTION d. FORFEITURE e. FINED S / MONTHS
rI. REDUCED FROM TO p. EXTRA DUTY FOR DAYS h. RESTRICTED FOR DAYS
i. CORRECTIONAL CUSTODY FOR DAYS J. CONFINED YEARS MONTHS
k. SEPARATION: PUNITIVE DISCHARGE OTHER
Type Chapter. Characterization: Effective Date:
ri I. OTHER (For example, suspension of eying privileges. Explain In Remarks)
15. REMARKS
. *: c
.
(4)2) 7Lc) Z 16a. TYPED NAME AND GRADE OF COMMANDING OFFICER LTC 16b.sl ¦ 1 5c. DATE OF REPORT (YYrarkop) tiers..2.3
16d. AK IL ADDRE e u_s. /4,,,,,i,,,,,,
/Id CA131• WO," lo at *Ana Page 2 of 2 IPD W.000
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