This statement by a Sergeant simply states "On June 24, 2004, I identified Capt. [redacted] from a photo-spread provided to me as being the unknown Captain described in my January 20, 2004 statement to CID Agent [redacted]. This is the Captain that I witnessed beating a prisoner inside the Hard Site (Abu Ghraib Prison) in late November 2003. I have nothing further to add to this statement."
SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
PRIVACY ACT STATEMENT
AUTHORITY: Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 ASSN).
PRINCIPAL PURPOSE: To provide commanders and law enforcement officials
with means by which information may be accurately ROUTINE USES; Your •social security number is used as an additional/eternity means of identification to facilitate filiv and retrieval. DISCLOSURE: Disclosure of your social security number is voluntary
1. LOCATION 2 . DATE (YYYYMMD IME 4. FILE NUMBER
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10 EXHIBIT
1
5 OF PERSON MAKING STATEMENT PAGE 1 OF PAGE
ADDITIONAL PAGES MUST CONTAIN THE HEADING 'STATEMENT TAKEN AT DATED
THE 80770M OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER MUST BE BE INDICATED .
DA FORM 2823. DEC 1998 DA FORM 2823. JUL 72, IS OBSOLETE
USAPA V1.00
AG0000691
DOD 000778
STATEMENT OF. AKEN AT kewxr+. 2-064- ip .9. STATEMENT (Continued)
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AFFIDAVIT
HAVE
READ OR HAVE HAD READ TO ME MISSTATEMENT
WHICH BE ON PAGE LILLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE
BY ME. THE STATEMENT IS TRUE. 1 HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGE
CONTAINING THE STATEMENT. I HAVE MADE THIS STA I EMENT FFIFELY to.r11P1(1j11...tOPE OF BENE
• VA Itil , WITH OUT
THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAW 7
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sgnefure of Person Making fitment)
WITNESSES
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sworn to before me, • person authorized by law to administer oaths, the 2L4114 day of
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ORGANIZATION OR ADDRESS
(Typed Name a Person Admrnis
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ORGANIZATION OR ADDRESS
(Authority To Administer ONUS)
INITIALS OF PERSON M TATEMENT PAGE 3, DA FORM 2523, DEC 1998 PAGE PIIIF PIIIIIFO PAGES USAPA V 1.00
AGO 000692
DOD 000779