Taguba Report Annex 19: Statements by Military Personnel Concerning Prisoner Escape from Camp Bucca, Umm Qast, Iraq

Statements by Military Personnel Concerning Prisoner Escape from the Baghdad Correctional Facility, Camp Bucca, Umm Qasr, Iraq on January 26, 2004.

Doc_type: 
Investigative File
Doc_date: 
Tuesday, January 27, 2004
Doc_rel_date: 
Monday, October 18, 2004
Doc_text: 

SWORN STATEMeNT
For use of this form. see AR 190-4S; the proponent egency is OOCSOPS

PRIVACY ACT STATEMENT AUTHORITY: T,tle 10 USC Sec lion 301; Title 5 USC SectIOn 2951; E.O. 9397 deted November 22. 1943 ISS"'} PRINCIPAL PURPOSE: To provide commanders and law enforcement olliclals with means by which information may be IICcuratel~ ROUTINE USES: Your social secullty number is used as an additlonal/allernale means of Idenliitcalion 10 facIlitate :,"nll ~'"d rpl"!'"",

•••••••••••••L __.WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH
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10. EXHIBIT 11. INITIALS OF PE ATEMENT
PAGE 1 O~ _."l. PAGES

ADDITIONAL PAGES MUST CONTA/N THE HEADING 'STATEMENT __ ·TAKEN AT ~",()ATED "_._._
THE BOTTOM OF EA9H ADDfTlONAL PAGE MUST BEAR THE INITiALS OF THE PERSON MAK(NG THE STATEMENT. AND P~Gl NUMBEP MUST BE BE INDICA TED.
OA FORM 2823. JUl 72. IS OBSOLETE ,~"". 'II', :'
DA FORM 2823. DEC 1998
DODDOA-000618
USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED. PlEASE PROCEED TO FINAL PAGE OF THIS FOAM
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5T A TEMENT (Conrmul!dJ
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INITIALS OF PERSON MAKING STATEMENT
2 7
PAGE 'l. OF PAGES
PAGE 2. DA FORM 2823. DEC 7998
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PAGE 3. DA FORM 2823, DEC 7998
DODDOA-000620

SWORN STATEMENT
For use of this form, see AR '90-45; the proponent agency 15 ODCSOPS
PRIVACY ACT STATEMENT AUTHORITY: TIlle 10 USC SectIon 301; T,Ue 5 USC SectIOn 2951; E.O. 9397 dallt.j Novembel ;"2. t941 'SSfo;, PRINCIPAL PURPOSE: To provIde commanders and law enforcement off,c,als with means by whIch ,nfortrallon Olav tie IIC(''''''t'' ROUTINE USES: Your SOCI.I security numbltr " used u an add,t,onal/alte,nate means of Iuenllhcallo" 10 fllclhlale ',Io,,\; ""I !"'''~v..
ADDITIONAL PAGES MUST CONTAIN THE HEADING ·STATEMENT __ TAKEN AT __ DATED
THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON WAKING THE STA TEMENT. AND PAGe NUMBt''' MUST BE BE INDICATED.
DA FORM 2823. DEC 1998 OA FORM 2823. JUl 72. IS OBSOL:'TE
DODDOA-000621

USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED. PlEASE PROCEED TO FINAL PAGE OF THIS FORM
TAKEN AT ...l.;13:.J...:.(.:...,·,_W____ STATEMENT O~

______
STATEMENT (Conttnu~dl
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PERSON MAKING ST A TEMENT

PAGES
PAGE 2. DA FORM 2823, DEC 7998
DODDOA-000622

./
/' "
STATEMENT OF ______________ TAKEN AT ________ OATED _____________
9 STATEMENT (Contrnued)

AFFIDAVIT ~_____. HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT . I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STA~MENTMAC
BY ME THE STATEMENT IS TRUE I HAVE INITIALED AlL CORRECTIONS AND HAVE INITIAlED THE BOTIOM OF EACH PAGE CONTAINING THE STATEtJENT I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD. WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION. UNtAWFUL INFLUENCE. OR UNLAWFUL INDUCEMENT
WITNESSES (Signature of Person Milking Stalemenl) SubsCllbed and swom 10 befOl'e me. I pelion authorized by law" adminisler oath,. Ihis __ day of 11, _____-----------------
ORGANIZATION OR ADiIRESS (SiQI'IIItlll'rt of Person Administflflflfl Oath)
ORGANIZATION OR AobRESS (Authority To Admmister OathS)

INITiAlS OF PERSON MAI(ING STATEMENT
PAGE OF PA(
PAGE 3, DA FORM 2.23. DEC 1998 us
DODDOA-000623

DODDOA-000624

DODDOA-000626

DA FORM 1594, NOV 62 USAPf'C V'l.OO
PREVIOuS EDmON OF TliIS FORM IS OBSOLETE.

liSAPf'C VlOO
DA FORM 1594. NOV 62 PREVIOUS EDITION Of THIS FORM IS OBSOLETE.

DA FORM 1594, NOV 62 PREVIOUS EomON OF TliIS FORM IS OBSOLETE.

DA FORM 1594. NOV 62
PREVIOUS EDITION Of THIS ~OR~ IS OBSOlETE
DODDOA-000630

Doc_nid: 
2516
Doc_type_num: 
66