Interrogator's sworn statement that a detainee stated he had been beaten and roughly handled, thrown around by guards.
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SWORN STATEMENT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS LOCATION DATE TIME I FILE NUMBER
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EXHIBIT I STATEMENT
PAGE 1 OF )N, PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING " TAKEN AT _DDATED CONTINUED." 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.
USAPPC V2.00
DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED.
020569
DOD-043634
STATEMENT (Continued)
AFFIDAVIT
l , HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1 AND ENDS ON PAGE. 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 l OF BENEFIT OR REWA D, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION,
ignature of ing Statement)
Subscribed and sworn to before me, at:Ison authorized
40;2 administer oaths, thislday of bEb,
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ORGANIZATION OR ADDRESS
(Typed N arson rimin stering Oath)
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ORGANIZATION OR ADDRESSl (Authority To Administer Oaths)
INITIALS OF PERSON MAKING STATEM
PAGElOFl. PAGES
0ld 5,6 v2
DOD-043635