Interviewee (title and length of assignment unknown). Interviewee reviewed several photographs of the alleged detainee abuse; identified several individuals.
SWORN STATEMENT For use of this form sae AR 19045: Ow proponent agency is ODCSOPS {DATE101111.11 TIMI3 E,111 I FILE NUMBER LOCATION 12 June 004
Building B30, Camp Victory, In
GRADE/STATUSSOCIAL SECURITY NUMBER
LAST NAM FIRST NAME, MIDDLE NAME SPC/USA
ORGANIZATION OR ADDRESS 372nd Military Police, Camp Victory, lraq
• WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
reviewed several photographs of the alleged detainee abuse at Baghdad Central Corrections Facility, Iraq and was able to
ifv the following individuals assigned to the 372nd Military Police: Photograph labe
idetuthe left. I do not recall his last name. The individual on
de icts a Titan linguist whose first name I is 1111111111111111111Wan gthe right is Photograph labeled
cU
on the left of the photograph Photograph labeled 1 dmg to thelriline dog
.jpg depicts
Photograph labeled 1111.0111.11111.1111.111111 . to the right 041111111.Mni The
l ft of the detainee ,
its standing unknown to me. Q.
handler in a tan cap. side of the photograph is an Iraqi ohceinan, who name is
individual standing behind the bars on the left CNA) e S Tore C r
have anything to add to this statement. A:
Uo you
MOW
V
INITIALS OF PERSON MAKING. STATEMENT
PAGE 1 OF 11111PAGES
DATED CONTINUED.'
TAKEN AT
ADDITIONAL PAGES MUST CONTAIN THE HEADING 'STATEMENT OF 1. THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT AND BE INITIALED AS 'PAGE OF PAGES. • WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK OF PAGE 1 WILL BE LINED OUT, AND THE
STATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS FORM.
VIAPPC VI 10
SUPERSEDES DA FORM 2823, 1 JAN 60, WHICH WILL BE USED.
DA FORM 2823. JUL 72
AG0000662
DOD 000749
STATEMENT (Continued!
AFFID;,VIT
, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT ID ENDS ON PAGE 21111010ULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE
HI H BEGINS ON PAGE 1 BY ME THE STATEMENT IS TRUE I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE HOUT
CONTAINING THE STATEMENT I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REW ' • ' '
AND WITHOUT COERCION UNLAWFUL INDAJENCE, OR I'^:THREAT OF PUNISHMEN -
(Signature of Person Making Statement)
Subscribed and sworn to before me, a person authorized by law to WI 1 NeSSES
June , 19 04
administer oaths, this 12th day of at Buildinc B30, Cam Victory, Iraq . .
---.../
ip— (Signature of Perso dminisrering Oath)
ORGANIZATION OR ADDRESS
I---
grill (Type eme of Person Administering Oath)
UCMJ, Article 136
(Authority To Administer Oaths)
ORGANIZATION OR ADDRESS
INITIALS OF PERSON MAKING STATEMENT
PA*111111121111 OF 11-"TIGISP
USA PIC V I. 10
AG0000663
DOD 000750