Interviewee was assigned to be the Officer in Charge of the Magistrate Cell at AG since February 2004. Discussed the processing of documents and files. There is no mention of detainees or interrogations in this statement.
SWORN STATEMENT
For use of this form, see AR 190-45: the proponent agency is ODCSOPS
PRIVACY ACT STATEMENT Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22. 1943
ISSN).
AUTHORITY. PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately Your social security number is used as an additinnalialtemate means of identification
to facilitate filing and retrieval.
ROUTINE USES: DISCLOSURE:
Disclosure of your social security number is voluntary
1. LOCATION 2. DATE TYYYYMM 3. TIME FILE NUMBER
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WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:
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. G STATEMENT
10. EXHIBIT 11 INITIALS OF PESW
PAGE 1 OF PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING 'STATEMENT EN DATED
THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT. AND PAGE NUMBER MUST BE SE INDICATED
DA FORM 2823, JUL 72, IS OBSOLETE usAPA V1.00
DA FORM 2823, DEC 1998
AGO 00 0373
DOD 000461
'0 .3%40E O1
STATEMENT OF TAKEN AT FOS /114 (i44 1.6 DATED
9. STATEMENT /Continued)
. AFFIDAVIT
grk1. •" . HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT wHICHBEG! S ON PAGE 1, AND ENDS ON PAGE 'a . I FULLY 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 RE AR THOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION. UNLAWFUL INFLUENCE. 0 9:Int.'.7.::. l!fr., L;:-::FM ,F:^'' .1:i.6.41..
ure of Person Making Statement)
WITN ES SES: Subscribed and sworn to before me, a person authorized by few to administer oaths. this/0 14) day of .7.00`f
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ORGANIZATION OR ADDRESS Person Administering Oath)
(Typed Name of Person Administersng Oath)
IACYvv7 13 (0
ORGANIZATION OR ADDRESS (Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEMENT PAGE 2 OF PAGES
USAPA VI.00
PAGE 3, DA FORM 2823, DEC 998
AG 0 0 0 0 3 7 4
DOD 000462