Military Police Report: 02348-2004-MPC-013 (0147-04-CID013-64389)

MILITARY POLICE REPORT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
PRIVACY ACT STATEMENT
AUTHORITY:_Title 10 United States Code Section 301 Title 5 United States Code Section 2951 Executive Order 9397 dated Nov 22, 1943(SSN)
PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately identified.
ROUTINE USES:_Your Social Security Number is used as an additional/alternate means of identification to facilitate filing and retrieval.
DISCLOSURE:_Disclosure of your Social Security Number is voluntary.

MILITARY POLICE REPORT NUMBER DATE( YYYY/MM/DD) ORI NUMBER USACRC CONTROL NUMBER
02348-2004-MPC013-2 2004/07/28 GAUSAO1 DM
THRU: COMMANDER TO: COMMANDER FROM: ATTN: PROVOST MARSHAL BLDG 9050 1ST BN, 15TH IN (MECH) (1/15TH IN) BLDG 215 - ADMIN FORT BENNING, GA US 31905 FORT BENNING,GA US 31905 FORT BENNING, GA US 31905
Section I -Administration
1. REPORT TYPE: 3. EVALUATION: 4c. COMPLAINT RECEIVED 5a. CLEARANCE REASON: 5b. EXCEPTIONAL CLEARANCE
BY: DATE: (YYYY/MM/DD):
_ _
information X A Death of Offender
_____
Traffic Unfounded In person B Prosecution Declined
_ —
X Military Offense 911 C Extradition Declined
— Criminal 4a. COMPLAINT — CB — D VictiM Refused To 7. INVOLVEMENT:
— DATE: — —
Complaint — Telephone E Juvenile, No Custody —
— (YYYY/MM/DD): Mail U Unfounded — Hate — Domestic
2004/04/15 — — Radio Crime Stoppers —eX Apprehension — Death eTrainee — Gang Extremist
2. STATUS: 4b. COMPLAINT Alarm 6a. MP ACTION:e• 6b. DATE
TIME:e(24hr.): Other (Specify):X 1 REFERRED:
— Initial MPI Traffic (YYYY/MM/DD):
X Supplemental 0900 CID Other (Specify)
Cdr's Action eCivil Authorities

Section II - Offense
la. OFFENSE NO. lb. SUBJECT NO. lc. VICTIM NO. ld. NIBRS le.
1f. SAME OFFENSE DATA FOR ALL INVOLVEMENT: INVOLVEMENT: LOCATION CODE: Attempted OFFENSE CODES: 1 1 1 13 X Completed Yesex_No (See 3975-1)
1g. OFFENSE 1h. OFFENSE DESCRIPTION(s): 1i. OFFENSE LOCATION ADDRESS: CODE(s):

RAPE OF A FOREIGN NATIONAL - BY FORCE (ARTICLE #120, 6E1D1 UCMJ) UNKNOWN LOCATIONS . IZ
2a. BEGIN DATE: (YYYY/MM/DD): 3. TYPE OF CRIMINAL ACTIVITY 4. OFFENSE STATUTORY BASIS: 5. OFFENDER USED 2003/03/01 (Check Up To Three): (Check Up To Three) X A UCMJ
_ 2b. BEGIN TIME (24hr.): B Buying/Receiving B Non-Criminal Fatality _ A Alcohol
_ 0001 C Cultivating/Manufacturing/Publishing — C State C Computer Equipment
_
—
D Distributing/Selling D Local D Drugs/Narcotics _ E Exploiting Children — E Foreign X N Not Applicable2c. END DATE: (YYYY/MM/DD): _ 0 Operating/Promoting/Assisting F Federal, Non-UCMJ
2003/07/12
P Possessing/Concealing —
_ T Transporting/Importing2d. END TIME: (24hr.): — U Using/Consuming
0001
NATIONAL INCIDENT BASED REPORTING SYSTEM (NIBRS) LOCATION CODES
01 Air/Bus/Train Terminale10 Field/Woods/Training Areae19 Rental/Storage Facility 02 Bank/Credit Unione 11 Government/Public Buildinge20 Residence/Quarters/Barracks/BEQ/BOQ 03 Bar/Officer/NCO Clube12 Grocery Store/Commissarye21 Restaurant/Dining Facility
04 Church/Synagogue/Templee13 Highway/Road/Alley/Streete22 School/College 05 Commercial Office Buildinge14 Hotel/MoteINAQNEQ/TLQe23 Service/Gas Station A
, e,
06 Construction Sitee 15 Jail/Prison/Corrections Facilitye24 Specialty Store/ConcessionareeU I./ ti 14 td; .; 07 Convenience Store/Shoppettee16 Lake/Waterway/Oceane25 Child Care Facility/Home Day Caree }
,e.
08 Dept/Discount Store/Exchangee17 Liquor/Store/Class VIe26 Recreation Area/Park
09 Drug Stor/Hospital/Clinice18 Motor PooVParking Lot/Garagee27 Training Center/Service Schoole28 On Board Ship `,

DA FORM 3975, JUNE 2001 02348-2004-MPC013-2 DA FORM 3975, MAY 88, IS OBSOLETE Page 1 of 13 Pages '4
6. TYPE OF WEAPON/FORCE. Check up to hree and indicate in the second block next to the item whether: F - Fully Automatic S - Semi-Automatic M - ManualeU - Unknown
11 Firearm(Unk Type) 35 Motor Vehiclee90 Other(Specify)
12 Handgun 50 Poison
13 Rifle 60 Explosivese 99 None
14 Shotgun 65 Fire/Incendiary
7. NUMBER OF PREMISES ENTERED 40 Personal Weapons 70 Narcotics/Drugs
(For Burglary/Housebreaking only) 20 Knife/Cutting Instrument 85 Asphyxiation 30 Blunt Object X 95 Unknown EleForcible EntryeNo Forcible Entry
8. AGGRAVATED ASSAULT/HOMICIDE CIRCUMSTANCES (Check up to two) 9. ADDITIONAL JUSTIFIABLE HOMICIDE CIRCUMSTANCES 1 20 Criminal Killed By Private Citizen A Criminal attacked police officer and that police officer
-
2 Assault on Law Officer 21 Criminal Killed By Law Enforcement killed the criminal
_ 3 Drug Dealing 30 Child Playing With Weapon B Criminal attacked police officer and was killed by
_
_
4 Gangland' 31 Gun Cleaning Accident another police officer
_
5 Juvenile Gang -32 Hunting Accident C Criminal attacked civilian

_
_
6 Domestic Quarrel 33 Other Negligent Wpn Handling D Criminal attempted flight from a crime

7 Mercy Killing -35 Othe _ E Criminal killed in comminsion of a crimeOther Negligent Killings
-
8 Other Felony Involved F Criminal resisted arrest
- _
G Unable to determine
10. BIAS MOTIVATION (As applicable) YeseNoeUnknown
Section III - Subject
la. SUBJECT 1b. NAME Last, First, Middle Name, JR., Sr., Ill): 1c. SSN/FNN/ALIEN REG NO: 1d. PROTECTED IDENTITY: NO: 1 UNKNOWN SOLDIERS, SSN
1 e. CATEGORY: lf. DOB (YYYY/MM/DD): 1g. POB: City, State, Country: 1h. GRADE: li. HOME PHONE: X A Army C Coast Guard
1j. WORK PHONE: 1k. NICKNAMES/ALIAS: 11. CITIZENSHIP:
F Air Force

_ FleUSe CountCountry (Specify): H Public Health
- Resident Alien:e M Marine
_
N Navy lm. COMPONENT ln. DRIVER LICENSE 1o. S LICENSE
_
0 NOAA G Nat'l Guard NO: FR ForeigneState (Specify):
_ __
P Family MemberrvesR RegulareV Rese IT International
_ Q Civil Service
- R Civilian 2a. ORGANIZATION, UIC, STREET 2b. INSTALLATION/CITY: 2d. Zip/APO:
_
S Contractor ADDRESS: FORT BENNING 31905
_
T Other Gov. Empl. 1ST BN, 15TH IN (MECH) (1/15TH
_ 2c. STATE/COUNTRY: 2e. UNIT PHONE:
IN), WAROAA
GA US

U Foreign Nat'l Empl.
BLDG 9055
- V Other Foreign Nat'l
_
W Retired Military 3a. RESIDENCE STREET ADDRESS: 3b. INSTALLATION/CITY: 3d. ZIP/APO:
3c. STATE/COUNTRY:
4a. HAIR COLOR 4b. EYE COLOR 4c. COMPLEXION 4d. AGE 5. JUVENILE 7. RACE
_
Brown Brown Albino Medium RANGE _
_
_
Blond Black Black Medium Brown ( Specify ) R NoYes A Asian/Pac. Islander
_
_
Black Gray eDark Ruddy X -B Black

_ Gray Blue Dark Brown Yellow I American Indian/ ----4e. HEIGHT 6. SEX
_
Red Green Fair Sallow -Alaskan Native
Male -
- White Hazel -Light -Olive -W White
- Female
Other (Specify) -Violet -Light Brown 4f. WEIGHT: --U Unknown
Unknown -
8. ETHNICITY 9. IDENTIFYING MARKS AND LOCATION: 10. HOW DRESSED AT TIME OF INCIDENT (Clothing, Materials, Colors):
-H Hispanic N Not of Hispanic Origine"
11. OFFENDER'S DISPOSITION:
_ U Unknown
12. SECURITY CLEARANCE 13. MARITAL STATUS 14. SUBJECT ARMED WITH ( Check up to 2 and indicate in 2nd box whether
_ None -Annulled F - Fully Automatic, M - Manual, S - Semi-Automatic, U - Unknown ) Confidential Divorced 1 Unarmed 16 Lethal Cutting Instrument Secret Divorce Decree, Not Finalized 11 Firearm (Unk Type) 17 Club/Blackjack/Knuckles Top Secret Legally Separated 12 Handgun 15 Other (Specify)
_
- Other (Specify) Married 13 Riflee '
00 ("4eV ‘.. j 2
t
- Single 14 Shotgune 40.4.
-Widowed

DA FORM 3975, JUN 2001 02348-2004-MPC013-2 DA FORM 3975, MAY 88, IS OBSOLETE Page 2 of 13 Pages
15a SUBJECT INVOLVEMENT 15b APPREHENSION TYPE 15c. APPREHENSION DATE 15d. APPREHENDING PMO (UIC/MPC):
Accessory Military (YYYY/MM/DD):
Conspiracy Surrender 15e DETENTION TYPE 15f. HOW DRESSED AT TIME OF APPREHENSION:
-Principle Civil Authorities -N Non-Uniformed Svc.
-Solicit Other (Specify) -U Uniformed Svc.
15g DISPOSITION OF PERSON UNDER 18 YEARS 15h. FBI FORM 249 SUBMITTED 16a INVOLVEMENT 16b. ALCOHOUDRUG H Handled Internally YeseX_
_ No Alcohol TEST RESULTS: R Referred to Other Authorities (Specify) Drug
- 15i. FBI FORM R-84 SUBMITTED None
YeseXeNo -
16c. ILLNESS/INJURY: 16d. ALCOHOUDRUG INVOLVEMENT REMARKS:
17a CHEMICAL TEST TYPE 17b DRUG TYPE
_ -
Blood Test -A "Crack" Cocaine G Opium M Other Stimulants
-Breathalyzer _ B Cocaine _ -H Other Narcotics -N Barbiturates
-Saliva Test -C Hashish I LSD -0 Other Depressants
-Urine Test D Heroinero _ J PCP -P Other Drugs
_ -Other (Specify) _ E Marijuana _ K Other Hallucinogens -0 Steriods
_
F Morphine L Amphetamines/Methamphetamines -M Unknown Type Drug

17c. DRUG TEST AND MEASUREMENT i.e.: parts per million, cubic centimeters, etc.). 17d. DRUG DETECT ON BY OTHER LAW ENFORCEMENT MEANSeYes x_ No
Section IV -Victim la. VICTIM 1 b. NAME (Last, First, Middle Name, JR., Sr., Ill): lc. SSN/FNN/ALIEN REG NO: ld. PROTECTED IDENTITY:

NO: 1 UNKNOWN IRAQI FEMALE, SSN
le. CATEGORY: lf. DOB (YYYY/MM/DD): 1g. POB: City, State, Country: 1h. GRADE: 11. HOME PHONE: A Army C Coast Guard
1j. WORK PHONE: 1k. NICKNAMES/ALIAS: 11. CITIZENSHIP: F Air Force
-US_x_Country (Specify):
-H Public Health
_ .
''Resident Alien:eIZM Manne
_ N Navy
_ 1m. COMPONENT 1n: DRIVER LICENSE 10. S LICENSE
0 NOAH
_ -G Nat'I Guard NO:
FR Foreignea State (Specify):
P Family Member -R RegulareV Reserves
Re
IT International
-Q Civil Service
-R Civilian
- 2a. ORGANIZATION, UIC, STREET 2b. INSTALLATION/CITY: 2d. Zip/APO:
S Contractor
_ ADDRESS:
T Other Gov. Empl.
_ U Foreign Nat'l Empl. 2c. STATE/COUNTRY: 2e. UNIT PHONE: V Other Foreign Nat'I W Retired Military
3a. RESIDENCE STREET ADDRESS: 3b. INSTALLATION/CITY: 3d. ZIP/APO:
3c. STATE/COUNTRY:
4a. TYPE OF VICTIM: 4b. SEX 4c. AGE 4d. RACE 4e. ETHNICITY
B Business R Religious Org _ Male x Under 24 Hours -A Asian/Pac. Islander -H Hispanic
F Financial G Government -_ S Society/Public 0 Other X FleFemale Unknown 1 - 6 Days Old 7 - 364 Days Old _ _ B Black I American Indian/ N Not of Hispanic Origin U Unknown
X I Individual -U Unknown _ _ Range Years Old (Specify): ,-- Alaskan Native W White

U Unknown
5. BIAS MOTIVATIONeYeseXeNo ( Check Applicable Bias ) AK Anti-Female Homosexual -AU Anti-Protestant
_
-AA Anti-Athiest/Agnostic -AL Anti-Heterosexual AV Anti-White
_ _
AB Anti-Alaskan Native
AM Anti-Hispanic AW Anti-Homosexual Bias
_ _
AC Anti-American Indian AN Anti-Islamic(Moslem) _-AY Anti-Other Religion
AD Anti-Arab AO Anti-Jewish AZ Anti-Other Ethnicity
_
AE Anti-Asian
AQ Anti-Male Homosexual BA Anti-Mental Disability
-
-
AG Anti-Bisexual -AR Anti-Multi-Racial Group BB Anti-Physical Disilii yV,e,e,,
-
eAH Anti-Black AS Anti-Multi-Religious Group BC Sexual HarassmdaN it 1.• L ,d
_ _
eAl Anti-Catholic AT Anti-Pacific-Islander ,AX Unknown Biase •
__ _

DA FORM 3975, JUN 2001 02348-2004 MPC013-2 DA FORM 3975, MAY 88, IS OBSOLETE Page 3 of 13 Pages
6. RELATIONSHIP OF VICTIM TO OFFENDER ( For multiple offender relationships, 7. VICTIM Accessory x Principle
_
enter the subject's number ) INVOLVEMENT Conspiracy Solicit
_
AA Spouse AV Step-Sibling BL Homosexual Relationship 8. INJURY TYPE ( Check up to f ve ) '

—
AB Child AZ Friend BN Extended Family B Broken 0 Major Injury
_ AC Sibling BA Neighbor BY Employee ___ I Possible Intealrn T Tooth Loss
—
BB Co. Law Spouse L Severe Laceration
—

AD Parent rn BZ Employer — U Unconsciousness
—
AE Parent-in-Law BC Acquaintance BX Stranger X M Minor Injury Z None
—
AF Step BD Baby-Sittee(baby) CA Otherwise Known
9a. DD FORM 2701 PROVIDED VICTIM

AG Grandparent BE Boy/Girlfriend CB Relationship Unknown
—
Yes X NoAH Step-Parent BF Child of Boy/Girlfriend VO Offender
_
AK Grandchild BH Former Spouse

9b. IF NOT PROVIDED, WHY NOT? Declined XMNot Required

Section V - Persons Related To Report
_
la. PERSON RELATED TO REPORT NUMBER lb. STATUS Civil Authorities Complaint xMMilitary Police 1 Sponsor Witness
lc. NAME (Last, First, Middle Name, JR., Sr., III): ld. SSN/FNN/Alien Reg No: le. CITIZENSHIP — US EJResident Alien
_
I 101-4---I r 106-1 SSN 11111111111, -1 ob../
Country (Specify):
t,
1 lf. CATEGORY: 1g. DOB (YYYY/MM/DD): lh. POB: City, State, Country: li. GRADE: 1j. HOME PHONE:
A Army —
— 1k. WORK PHONE: 11. NICKNAMES/ALIAS: lm. COMPONENT G Natl Guard
C Coast Guard —
R Regular V Reserves — F Air Force
_ H Public Health ln. DRIVER LICENSE NO: lo. IS LICENSE.
M Marine FR Foreign State (Specify): JOther (Specify):
_
N Navy IT International

_
0 NOAA
— 2a. ORGANIZATION, UIC, STREET ADDRESS: 2b. INSTALLATION/CITY: 2d. ZIP/APO:
P Family Member'
86TH MP DET (CID) AUGMENTATION FORT BENNING 31905
—
0 Civil Service

—
WEOZ99

R Civilian 2c. STATE/COUNTRY: 2e. UNIT PHONE:
— BLDG 108
S Contractor GA US
T Other Gov. Empl.

_ 3a. RESIDENCE STREET ADDRESS: 3b. INSTALLATION/CITY: ' 3d. ZIP/APO:U Foreign Nat'l Empl.
_ V Other Foreign Nat'l
— 3c. STATE/COUNTRY:
W Retired Military
4a. DD FORM 2701 PROVIDED VICTIM/WITNESS: 4b. IF NOT PROVIDED WHY NOT? 5. NUMBER OF VICTIMS ( 0 ) AND WITNESSES ( 0 ) Yes . xMNo Declined xMNot Required NOTIFIED WITH DD FORM 2701
Section VI - Property
la. ITEM NO: lb. CODE: lc. QUANTITY: ld. VALUE: le. DESCRIPTION lf. SERIAL NUMBER:
1g. DATE RECOVERED (YYYY/MM/DD): 11h. DATE RETURNED (YYYY/MM/DD): li. SECURITY 1j. PROPERTY OWNERSHIP.
1k. PROPERTY LOSS TYPE ( Check all that apply ) .
— S
— S Secured A Federal E Foreign Govt.
1 None 5 Recovered — —
— — U Unsecured — B State F Private
2 Burned' 6 Seized — —
— — Z Unknown C City U Unknown
3 Counterfeited/Forged 7 Stolen — — — D County/Borough
4 Damaged/DestroyedNandalized —
PROPERTY DESCRIPTION CODE TABLE
01 Aircraft 12 Farm Equipment 23 Office-Type Equipment 34 Structures-Storage
02 Alcohol 13 Firearms 24 Other Motor Vehicles 35 Structures-Other
03 Automobile 14 Gambling Equipment 25 Purse/Handbag/Wallet 36 Tools/Hand and Power
04 Bicycle 15 Heavy Construction Equip. 26 Radio/TV/VCR 37 Trucks

05 Buses 16 Household Goods 27 AudioNisual Recording 38 Vehicle Parts/Accessories
06 Clothing/Furs 17 Jewelry/Precious Metals 28 Recreational Vehicle 39 Watercraft

07 Computer Hard/Software 18 Livestock 29 Structure-Single Occupancy 40 OTHER (Specify)
08 Consumable Goods 19 Merchandise 30 Structures-Other Dwellings
09 Credit/Debit Cards 20 Money 31 Structures-Commercial/Business
10 Drugs/Narcotics (See below) 21 Negotiable Instruments 32 Structures-Industry/Manufacturing 41 Pending Inventory

11 Drugs/Narcotics Equipment 22 Non-Negotiable Instruments 33 Structures-Public/Community 42 Special Category
DRUG/NARCOTIC MEASURES
GM - Gram KG - Kilogram OZ - Ounce LB - Pound FO - Fluid Ounce GL - Gallon LT - Liter ML - Milliliter DU - Dosage Unit NP - Number of Plants
DA FORM 3975 , JUN 2001 02348-2004-MPC013-2
Section VII - Narrative
CID INITIATED INVESTIGATION SUBSEQUENT REVIEW OF A MAY 2004 PLAYBOY MAGAZINE ARTICLE TITLED "DEATH AND DISHONOR", WHEREIN SOLDIERS ASSIGNED TO THE 3RD INFANTRY BRIGADE, FORT BENNING, GA, ALLEGED SOLDIERS OF THE 1/15TH INFANTRY, COMMITTED NUMEROUS WAR CRIMES AGAINST IRAQI NATIONALS AND SOLDIERS WHILE DEPLOYED IN SUPPORT OF OPERATION ENDURING FREEDOM, IRAQ; AND SUBSEQUENT A REQUEST FOR INVESTIGATION BY COLI11111111111111 COMMANDER, 3RD INFANTRY BRIGADE, FORT BENNING, GA 31905. 10 c- 3 OD G.
SOLDIERS WHO WERE QUOTED IN THE ARTICLE ALLEGED SOLDIERS OF THE 3RD INFANTRY
BRIGADE COMMITTED THE BELOW-CITED CRIMES: (EFFORTS TO AUTHENTICATE THE VALIDITY OF
THE QUOTES IN THE ARTICLE ARE ON-GOING)

RAPED IRAQI FEMALE NATIONALS WHILE ON PATROL AND WHILE GUARDING A MALL IN
BAGHDAD.

SHOT AN UNARMED IRAQI NATIONAL IN THE LEG WHILE HE WAS FLEEING, HOG-TIED HIM
AND THREW HIM INTO A BRADLEY FIGHTING VEHICLE WHERE SEVERAL SOLDIERS PHYSICALLY
ASSAULTED HIM WHILE HOG-TIED.

ASSAULTED SEVERAL EPW'S WHILE IN CUSTODY, AND DUG INSIDE WOUNDS OF EPW'S WHILE
THEY WERE INCAPACITATED.

COMMITTED RULES OF ENGAGEMENT VIOLATIONS, BY INDISCRIMINATELY SHOOTING UNARMED
CIVILIAN VEHICLES WHILE OPERATED AND OCCUPIED BY LOCAL IRAQI CIVILIAN WOMEN AND
CHILDREN. ADDITIONALLY, WOULD "LEVEL EVERYTHING IN A FOUR BLOCK RADIUS"
AFTER OTHER UNITS HAD SAFELY PASSED THROUGH THE AREA.

THE ARTICLE ALSO ALLEGED POSSIBLE GENEVA CONVENTION VIOLATIONS, SPECIFICALLY,
SHOOTING WOUNDED IRAQI SOLDIERS.

LASTLY, THE ARTICLE FURTHER ALLEGED LARCENY VIOLATIONS AND OTHER MISCONDUCT
VIOLATIONS.
INVESTIGATION CONTINUES BY CID.

2ND STATUS:
THIS STATUS REPORT WAS GENERATED TO LIFT THE RESTRICTED DISTRIBUTION OF THIS
INVESTIGATION TO CID CHANNELS ONLY. FURTHER, TO REPORT INVESTIGATIVE FINDINGS.

A THOROUGH INVESTIGATION OF THE BELOW CITED ALLEGATIONS DID NOT DEVELOP SUFFICIENT EVIDENCE TO PROVE OR DISPROVE THE ALLEGATIONS OCCURRED AS WRITTEN IN THE PLAYBOY ARTICLE. AFTER CONDUCTING NUMEROUS INTERVIEWS OF UNIT PERSONNEL ASSIGNED TO B CO 1/15TH IN, FT BENNING, GA, THIS INVESTIGATION COULD NOT DETERMINE THE ALLEGED INCIDENTS ACTUALLY OCCUR OR DID NOT OCCUR. FURTHER COMPLICATING INVESTIGATIVE EFFORTS WAS THE ALLEGED POTENTIAL VICTIMS COULD NOT BE IDENTIFIED, LOCATED OR INTERVIEWED. IN ADDITION, THERE ARE INDICATIONS THE AUTHOR OF THE ARTICLE DID NOT VERIFY OR VALIDATE THE INFORMATION COLLECTED PRIOR TO PUBLISHING THE ARTICLE.
THE INDIVIDUALS QUOTED IN THE ARTICLE WERE INTERVIEWED AND THEY INDICATED THEY
DID NOT MAKE THE STATEMENTS IN THE ARTICLE, OR THEIR STATEMENTS WERE TAKEN OUT OF
CONTEXT AND MISREPRESENTED. FURTHER, OTHER MEMBERS OF B CO 1/15TH IN, WERE
INTERVIEWED AND THEY INDICATED THAT THE ARTICLE WAS GROSSLY UNTRUE.

1. Enclosures: 2. Distribution: 3. Name:
PATROL

4.
Grade: E-

5.
Title Of Reporting Official: MR

6.
Signature:

e ee
DA FORM 3975, JUN 2001 02348-2004-MPC013-2 5 Page 5 of 13
00t4 kr ,..4 5
Section VII - Narrative ( Con't )
THE ARTICLE INDICATED THAT IRAQI WOMEN WERE RAPED BY UNIT MEMBERS. IT WAS
DETERMINED THAT APPROXIMATELY FOUR MEMBERS OF B CO 1/15TH IN, DID HAVE SEX WITH
PROSTITUTES; HOWEVER, NEITHER THEY, NOR ANY OTHER SOLDIERS INTERVIEWED ALLEGED ANY
WOMEN WERE RAPED. TWO OF THE SOLDIERS ADMITTED TO HAVING SEX WITH WOMEN AND PAYING
THEM; HOWEVER, STATED THERE WAS NO FORCE INVOLVED. THIS INFORMATION WAS TURNED OVER
TO THE UNIT FOR FURTHER INVESTIGATION.
IT WAS DETERMINED THAT THE ALLEGATION THAT AN IRAQI PRISONER WAS SHOT IN THE
LEG WHILE TRYING TO FLEE, HOG-TIED AND BEATEN, COULD NOT BE PROVED OR DISPROVED AS
PORTRAYED IN THE ARTICLE. HOWEVER, INTERVIEWS INDICATED THAT THERE WAS A YOUNG IRAQI
WHO WAS TAKEN INTO CUSTODY AFTER HE FLED FROM A DISTURBANCE WITH AN OLDER IRAQI,
FLEXI-CUFFED BEHIND HIS BACK AND TRANSPORTED IN A BRADLEY FIGHTING VEHICLE. NON OF
THE INTERVIEWS REVEALED THAT HE WAS SHOT, HOG-TIED OR BEATEN.
IT WAS FURTHER DETERMINED THAT WOMEN AND CHILDREN WERE SHOT BY UNIT MEMBERS AS
CITED IN THE ARTICLE; HOWEVER, THEY WERE CONSIDERED COMBATANTS. VEHICLES WOULD
PENETRATE A ROAD BLOCK AND THE UNIT WOULD FIRE WARNING SHOTS TO GET THE VEHICLE TO
TURN AROUND. THERE WERE INSTANCES WERE VEHICLES WOULD CONTINUE TOWARD THEIR
POSITIONS, AND THE UNIT WOULD FIRE INTO THE VEHICLE, KILLING THE OCCUPANTS. IT WAS .
LATER DETERMINED THAT SOME OF THE VEHICLES CONTAINED WOMEN AND CHILDREN, WHICH WAS
UNKNOWN AT THE TIME OF THE ENGAGEMENT.
INTERVIEWS DETERMINED THE UNIT DID NOT "LEVEL EVERYTHING IN A FOUR BLOCK RADIUS", AND DID NOT KILL WOUNDED IRAQI SOLDIERS AS CITED IN THE ARTICLE. THE UNIT TOOK SEVERAL EPW'S FROM EACH ENGAGEMENT THEY WERE INVOLVED IN AND WOULD OBTAIN CLEARANCE FORM THE UNIT COMMANDER TO ENGAGE COMBATANTS. UNIT MEMBERS DID STATE THEY WOULD GO HOUSE TO HOUSE AND LOOK FOR ENEMY SOLDIERS, BUT THEY DID NOT KILL INNOCENT CIVILIANS.
INTERVIEWS ALSO DETERMINED THE ONLY LOOTING THAT OCCURRED INVOLVED WATCHES AND CIGARETTES, BUT THAT WAS QUICKLY RESOLVED BY THE UNIT COMMANDER DURING THE WAR. THERE WERE ALLEGATIONS IN THE ARTICLE THAT A UNIT MEMBER HAD A JEWELED BOX THAT WAS STOLEN, BUT THERE WAS NO ONE THAT COULD SUBSTANTIATE THOSE ALLEGATIONS. FURTHER, THE ARTICLE ALLEGED THE SAME UNIT MEMBER HAD AN IRAQI SKULL POSTED ON A STICK OUTSIDE THEIR ENCAMPMENT. IT WAS DETERMINED THE SKULL WAS A PLASTIC MEDICAL SKULL WHICH WAS DECORATED AND POSTED AS A PRANK.
THERE ARE INDICATION THAT THE ALLEGATION OF ABUSE OF AN EPW WHILE IN CUSTODY
1. Enclosures: ( con't )
DA FORM 3975, JUN 2001 02348-2004-MPC013-2 6 Page 6 of 13
Section VII - Narrative ( Con't )
COULD HAVE OCCURRED; HOWEVER, NO DIRECT WITNESSES AND THE SUSPECT IS DECEASED. THERE WAS NO CREDIBLE INFORMATION DEVELOPED SUFFICIENT ENOUGH TO SUBSTANTIATE THE ALLEGATION. INVESTIGATION CONTINUES BY CID.
FINAL STATUS:
THIS IS A FINAL REPORT. THIS INVESTIGATION WAS TERMINATED IN ACCORDANCE WITH CIDR 195-1, CHAPTER 4-17(6) IN THAT THE SPECIAL AGENT IN CHARGE DETERMINED THAT
.
FURTHERANCE OF THIS INVESTIGATION WOULD BE OF LITTLE OR NO VALUE OR LEADS REMAINING TO BE DEVELOPED WERE NOT SIGNIFICANT. INVESTIGATION COMPLETED BY . CID.
1. Enclosures: ( con't )
DA FORM 3975, JUN 2001 02348.2004-MPC013-2 7 Page 7 of 13 01 (4 ir -4
MILITARY POLICE REPORT - ADDITIONAL OFFENSES
For use of this form, see. AR 190-45; the proponent agency is ODCSOPS
This form is a continuation of SECTION II, DA Form 3975. Please attach it to DA Form 3975 when completed.
MILITARY POLICE REPORT NUMBER DATE( YYYY/MM/DD) ORI NUMBER USACRC CONTROL NUMBER
02348-2004-MPC013-2 2004/07/28 GAUSAO1DM
THRU: COMMANDER TO: COMMANDER FROM: BLDG 9050 BLDG 9055 ATTN: PROVOST MARSHAL FORT BENNING, GA US 31905 FORT BENNING,GA US 31905 BLDG 215 - ADMIN
FORT BENNING, GA US 31905
Section II - Offense
1 a. OFFENSE NO. lb. SUBJECT NO. lc. VICTIM NO. ld. NIBRS le. 1f. SAME OFFENSE DATA FOR ALL
2 INVOLVEMENT: 1 INVOLVEMENT: 2-4 LOCATION CODE: 15 — x Attempted Completed OFFENSE CODES: YeseX_No (See 3975-1)
1g. OFFENSE CODE(s): 5C1N lh. OFFENSE DESCRIPTION(s): AGGRAVATED ASSAULT (ARTICLE #128,, UCMJ) 11. OFFENSE LOCATION ADDRESS: UNKNOWN LOCATIONS IZ

2a. BEGIN DATE: (YYYY/MM/DD): 3. TYPE OF CRIMINAL ACTIVITY 4. OFFENSE STATUTORY BASIS: 5. OFFENDER USED
2003/03/01 (Check Up To Three): (Check Up To Three)
X A UCMJ
2b. BEGIN TIME (24hr.): 0001 _ B Buying/Receiving C Cultivating/Manufacturing/Publishing ____ B Non-Criminal Fatality C State • A Alcohol C Computer Equipment
— D Distributing/Selling _ D Local D Drugs/Narcotics
2c. END DATE: (YYYY/MM/DD): _ E Exploiting Children — E Foreign X N Not Applicable
2003/07/12 _ 0 Operating/Promoting/Assisting F Federal, Non-UCMJ
P Possessing/Concealing
_
T Transporting/Importing
2d. END TIME: (24hr.): —
U Using/Consuming
0001ef,

6. TYPE OF WEAPON/FORCE. Check up to hree and indicate in the second block next to the item whether: F - Fully AutomaticeS - Semi-Automatic M - ManualeU - Unknown
.
11 Firearm(Unk Type) 35 Motor VehicleeIeI Ie
90 Other(Specify)
12 Handgun 50 Poison
13 Rifle 60 Explosiveseae99 None
14 Shotgun 65 Fire/Incendiary
7. NUMBER OF PREMISES ENTERED 40 Personal Weapons 70 Narcotics/Drugs (For Burglary/Housebreaking only) 20 Knife/Cutting Instrument 85 Asphyxiation 30 Blunt Object X 95 Unknown Forcible EntryeNo Forcible Entry
8. AGGRAVATED ASSAULT/HOMICIDE CIRCUMSTANCES (Check up to two) 9. ADDITIONAL JUSTIFIABLE HOMICIDE CIRCUMSTANCES
_ 1 Argument 20 Criminal Killed By Private Citizen A Criminal attacked police officer and that police officer
_ 2 Assault on Law Officer 21 Criminal Killed By Law Enforcement killed the criminal
3 Drug Dealing 30 Child Playing With Weapon B Criminal attacked police officer and was killed by
_ _
4 Gangland 31 Gun Cleaning Accident another police officer
_ 5 Juvenile Gang 32 Hunting Accident C Criminal attacked civilian
_
_ 6 Domestic Quarrel 33 Other Negligent Wpn Handling D Criminal attempted flight from a crime
_ 7 Mercy Killing 35 Other Negligent Killings E Criminal killed in comminsion of a crime
_ 8 Other Felony Involved F Criminal resisted arrest —
_
`--G Unable to determine
10. BIAS MOTIVATION (As applicable) YeseNoeUnknown
_
DA FORM 3975-1, JUN 2001_02348-2004-MPC013-2 Page 8 of 13
MILITARY POLICE REPORT - ADDITIONAL OFFENSES
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
This form is a continuation of SECTION II, DA Form 3975.
Please attach it to DA Form 3975 when completed.

MILITARY POLICE REPORT NUMBER DATE( YYYY/MM/DD) ORI NUMBER USACRC CONTROL NUMBER
02348-2004-MPC013-2 2004/07/28 GAUSAO1DM
THRU: COMMANDER TO: COMMANDER FROM: BLDG 9050 BLDG 9055 ATTN: PROVOST MARSHAL FORT BENNING, GA US 31905 FORT BENNING,GA US 31905 BLDG 215 - ADMIN FORT BENNING, GA US 31905
Section II - Offense
la. OFFENSE NO. lb. SUBJECT NO. lc. VICTIM NO. ld. NIBRS 1e. lf. SAME OFFENSE DATA FOR ALL INVOLVEMENT: INVOLVEMENT: LOCATION CODE: — Attempted OFFENSE CODES:
_
3 1 3 Completed 0 YeseXeNo (See 3975-1)
15 X
1g. OFFENSE lh. OFFENSE DESCRIPTION(s): 1i. OFFENSE LOCATION ADDRESS: CODE(s):
FAIL TO OBEY GENERAL ORDER - OTHER (ARTICLE #92,
5Y2B0 UCMJ) UNKNOWN LOCATIONS
IZ

2a. BEGIN DATE: (YYYY/MM/DD): 3. TYPE OF CRIMINAL ACTIVITY 4. OFFENSE STATUTORY BASIS: 5. OFFENDER USED 2003/03/01 (Check Up To Three): (Check Up To Three) X A UCMJ _ B Buying/Receiving B Non-Criminal Fatality A Alcohol
2b. BEGIN TIME (24hr.): C Cultivating/Manufacturing/Publishing — C Stateei C Computer Equipment
0001 _
— D Distributing/Selling D Local D Drugs/Narcotics _ E Exploiting Children E Foreign X N Not Applicable
2c. END DATE: (YYYY/MM/DD): —
_ 0 Operating/Promoting/Assisting F Federal Non-UCMJ
2003/07/12 ,
P Possessing/Concealing
_
T Transporting/Importing2d. END TIME: (24hr.): — U Using/Consuming
0001
6. TYPE OF WEAPON/FORCE. Check up to hree and indicate in the second block next to the item whether:
F - Fully Automatic S - Semi-Automatic eM - ManualeU - Unknown 11 Firearm(Unk Type) 35 Motor Vehiclee90 Other(Specify) 12 Handgun 50 Poison 13 Rifle 60 ExplosiveseX 99 None
. 14 Shotgun 65 Fire/Incendiary
7. NUMBER OF PREMISES ENTERED 40 Personal Weapons 70 Narcotics/Drugs (For Burglary/Housebreaking only) 20 Knife/Cutting Instrument 85 Asphyxiation
Forcible EntryeNo Forcible Entry30 Blunt Object 95 Unknown 0e
8. AGGRAVATED ASSAULT/HOMICIDE CIRCUMSTANCES (Check up to two) 9. ADDITIONAL JUSTIFIABLE HOMICIDE CIRCUMSTANCES
_
_
1 Argument 20 Criminal Killed By Private Citizen A Criminal attacked police officer and that police officer
__
2 Assault on Law Officer 21 Criminal Killed By Law Enforcement killed the criminal
_
3 Drug Dealing 30 Child Playing With Weapon EJ B Criminal attacked police officer and was killed by
__
4 Gangland 31 Gun Cleaning Accident another police officer
_
5 Juvenile Gang ___ ' 32 Hunting Accident C Criminal attacked civilian

__
—
6 Domestic Quarrel 33 Other Negligent Wpn Handling D Criminal attempted flight from a crime
_
7 Mercy Killing 35 Other Negligent Killings E Criminal killed in comminsion of a crime

_ _
_
_
8 Other Felony Involved F Criminal resisted arrest
_ G Unable to determine
_
10. BIAS MOTIVATION (As applicable) EJYeseNo LIUnknown
.e,
U U i4 ve.
DA FORM 3975-1, JUN 2001_02348-2004-MPC013-2_ Page 9 of 13

MILITARY POLICE REPORT - ADDITIONAL VICTIMS
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
This form is a continuation of SECTION IV, DA Form 3975. Please attach it to DA Form 3975 when completed.
MILITARY POLICE REPORT NUMBER DATE( YYYY/MM/DD) ORI NUMBER USACRC CONTROL NUMBER
02348-2004-MPC013-2 2004/07/28 GAUSAO1DM
THRU: COMMANDER. TO: COMMANDER FROM: BLDG 9050 BLDG 9055 ATTN: PROVOST MARSHAL FORT BENNING, GA US 31905 FORT BENNING,GA US 31905 BLDG 215 - ADMINM, FORT BENNING, GA US 31905
SECTION IV - VICTIM
la. VICTIM lb. NAME (Last, First, Middle Name, JR., Sr., III): lc. SSN/FNN/ALIEN REG NO: ld. PROTECTED IDENTITY: NO: 2 UNKNOWN IRAQI MALE, SSN
le. CATEGORY: lf. DOB (YYYY/MM/DD): 1g. POB: City, State, Country: 1h. GRADE: li. HOME PHONE: A Army C Coast Guard
1j. WORK PHONE: 1k. NICKNAMES/ALIAS: 11. CITIZENSHIP: F Air Force
_ USeXeCountry (Specify):H Public Health
— Resident Alien:eIZ M Marine
_
N Navy lm. COMPONENT 1 n. DRIVER LICENSE 10. S LICENSE
_ 0 NOAA G Nat'l Guard NO: FR ForeigneState (Specify):
_ P Family Member _ R RegulareV Reserves IT International
_
— Q Civil Service •
_ R Civilian 2a. ORGANIZATION, UIC, STREET 3b. INSTALLATION/CITY: 3d. Zip/APO:
_ S Contractor ADDRESS:
_
T Other Gov. Empl.
— 2c. STATE/COUNTRY: 2e. UNIT PHONE:
U Foreign Nat'l Empl.
V Other Foreign Nat'l
W Retired Military 3a. RESIDENCE STREET ADDRESS: 3b. INSTALLATION/CITY: ' 3d. ZIP/APO:

3c. STATE/COUNTRY:
4a. TYPE OF VICTIM: 4b. SEX 4c. AGE 4d.. RACE 4e. ETHNICITY
B Business — R Religious Org X Male X Under 24 Hours —eA Asian/Pac. Islander _ H Hispanic
F Financial — S Society/Public Female 1 - 6 Days Old B Black _ N Not of Hispanic Origin
G Government 0 Other _ Unknown — 7 - 364 Days Old m!Aerican Indian/ U Unknown
X I Individual — U Unknown Years Old Alaskan Native _
Range (Specify): W White
U Unknown

5. BIAS MOTIVATIONeYes XMNo ( Check Applicable Bias )
—
—
AK Anti-Female Homosexual AU Anti-Protestant
_
— _
AA Anti-Athiest/Agnostic AL Anti-Heterosexual AV Anti-White
_
—
AB Anti-Alaskan Native AM Anti-Hispanic AW Anti-Homosexual Bias
_ eAC Anti-American Indian AN Anti-Islamic(Moslem) AY Anti-Other Religion
AD Anti-Arab AO Anti-Jewish AZ Anti-Other Ethnicity
— —
AE Anti-Asian AQ Anti-Male Homosexual BA Anti-Mental Disability
— —
AG Anti-Bisexual AR Anti-Multi-Racial Group BB Anti-Physical Disability
— — —
AH Anti-Black AS Anti-Multi-Religious Group BC Sexual Harassment —
Al Anti-Catholic AT Anti-Pacific-Islander AX Unknown Bias
6. RELATIONSHIP OF VICTIM TO OFFENDER ( For multiple offender relationships, 7. VICTIM Accessory 7-C Principle enter the subject's number ) INVOLVEMENT — Conspiracy — Solicit
AA Spouse _ AV Step-Sibling r----BC Homosexual Relationship 8. INJURY TYPE ( Check up to f ve )
_
_ AB AZ Friend BN Extended Family B Broken Bones 0 Major Injury
_
_
—
—
AC Sibling or BY Employee I Possible Internal T Tooth Loss
BA Neighbor
_
_ AD Parent BB Com. Law Spouse BZ Employer — L Severe Laceration — U Unconsciousness
_
_ AE Parent-in-Law BC Acquaintance BX Stranger X M Minor Injury Z None
_
_
— AF Step Child BD Baby-Sittee(baby) CA Otherwise Known
— — 9a. DD FORM 2701 PROVIDED VICTIM
AG Grandparent BE Boy/Girlfriend i CB Relationship Unknown
— — YeseXeNo
AH Step-Parent BF Child of Boy/Girlfriend VO Offender
_ AK Grandchild BH Former Spouse
9b. IF NOT PROVIDED, WHY NOT? DeclinedeXMNot Required MM
DA FORM 3975-3, JUN 2001 02348-2004-MPC013-2 Page letttl? t
MILITARY POLICE REPORT - ADDITIONAL VICTIMS
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
This form is a continuation of SECTION IV, DA Form 3975.
Please attach it to DA Form 3975 when completed.

MILITARY POLICE REPORT NUMBER DATE( YYYY/MM/DD) ORI NUMBER USACRC CONTROL NUMBER
02348-2004-MPC013-2 2004/07/28 GAUSAOIDM
THRU: COMMANDER TO: COMMANDER FROM: BLDG 9050 BLDG 9055 ATTN: PROVOST MARSHAL FORT BENNING, GA US 31905 FORT BENNING,GA US 31905 BLDG 215 - ADMIN FORT BENNING, GA US 31905
SECTION IV - VICTIM
la. VICTIM lb. NAME (Last, First, Middle Name, JR., Sr., III): lc. SSN/FNN/ALIEN REG NO: ld. PROTECTED IDENTITY: NO: 3e' UNKNOWN IRAQI CITIZENS, SSN
le. CATEGORY: lf. DOB (YYYY/MM/DD): 1g. POB: City, State, Country: lh. GRADE: li. HOME PHONE: A Army C Coast Guard
1j. WORK PHONE: 1k. NICKNAMES/ALIAS: 11. CITIZENSHIP: F Air Force USeXeCountry (Specify): H Public Health
— Resident Alien:eIZ M Marine
_
N Navy lm. COMPONENT ln. DRIVER LICENSE 10. S LICENSE
_
0 NOAA n G Nat'l Guard NO: FR ForeigneState (Specify):
_
_
P Family Member r7 R RegulareV Reserves IT International
_
— Q Civil Service
_
R Civilian 2a. ORGANIZATION, UIC, STREET 3b. INSTALLATION/CITY: 3d. Zip/APO:
S Contractor ADDRESS:
T Other Gov. Empl.

— 2c. STATE/COUNTRY: 2e. UNIT PHONE:
U Foreign Nat'l Empl.
X V Other Foreign Nat'l
W Retired Military 3a. RESIDENCE STREET ADDRESS: 3b. INSTALLATION/CITY: 3d. ZIP/APO:

3c. STATE/COUNTRY:
4a. TYPE OF VICTIM: 4b. SEX 4c. AGE 4d.. RACE • 4e. ETHNICITY
B R Religious Org Male X Under 24 Hours A Asian/Pac. Islander —eH Hispanic F Financial S Society/Public — Female 1 - 6 Days B Blacke. N Not of Hispanic Origin G Government 0 Other x Unknown 7 - 364 Days Old I American Indian/ U Unknown
X I Individual — U Unknown Years Old Alaskan Native
Range (Specify): W White

n _
U Unknown
5. BIAS MOTIVATIONeYes XeNo ( Check Applicable Bias ) —
—
AK Anti-Female Homosexual AU Anti-Protestant
—
—
_ AA Anti-Athiest/Agnostic — AL Anti-Heterosexual AV Anti-White
—
AB Anti-Alaskan Native AM Anti-Hispanic AW Anti-Homosexual Bias
_ —
—
_ AC Anti-American Indian — AN Anti-Islamic(Moslem) AY Anti-Other Religion
—
AD Anti-Arab AO Anti-Jewish AZ Anti-Other Ethnicity
_
——
AE Anti-Asian AQ Anti-Male Homosexual BA Anti-Mental Disability
_
—
AG Anti-Bisexual — AR Anti-Multi-Racial Groupe' BB Anti-Physical Disability —
AH Anti-Black — AS Anti-Multi-Religious Group — BC Sexual Harassment
_
Al Anti-Catholic AT Anti-Pacific-Islander — AX Unknown Bias

_
6. RELATIONSHIP OF VICTIM TO OFFENDEReFor multiple offender relationships, 7. VICTIM Accessory x Principle enter the subject's number ) INVOLVEMENT — Conspiracy — Solicit
AA Spouse AV Step-Sibling BL Homosexual Relationship 8. INJURY TYPE ( Check up to f ve )
___ _ —
AB Child _ AZ Friend BN Extended Family _ B Broken Bones 0 Major Injury
_
AC Sibling BA Neighbor BY Employee I Possible Internal — T Tooth Loss
_
AD Parent BB Corn. Law Spouse BZ Employer L Severe Laceration U Unconsciousness
_
_ —_ _
BX Stranger M Minor Injury x Z None
AE Parent-in-Law BC Acquaintance
_
—
AF Step BD Baby-Sittee(baby) i CA Otherwise Known
— 9a. DD FORM 2701 PROVIDED VICTIM
AG Grandparent BE Boy/Girlfriend CB Relationship Unknown
— — — YesexMNo
AH Step-Parent BF Child of Boy/Girlfriend VO Offender
_ AK Grandchild BH Former Spouse 9b. IF NOT PROVIDED, WHY NOT? DeclinedeXMNot Required
DA FORM 3975-3, JUN 2001 02348.2004-MPC013-2 Page 11 ckiltiMk.o, 6 A
MILITARY POLICE REPORT - ADDITIONAL VICTIMS
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
This form is a continuation of SECTION IV, DA Form 3975.
Please attach it to DA Form 3975 when completed.

MILITARY POLICE REPORT NUMBER
02348-2004-MPC013-2
THRU: COMMANDER BLDG 9050 FORT BENNING, GA US 31905
DATE(YYYY/MM/DD)
2004/07/28
TO: COMMANDER BLDG 9055 '
FORT BENNING,GA US 31905
SECTION IV - VICTIM
ORI NUMBER USACRC CONTROL NUMBER
GAUSAO1DM
FROM: ATTN: PROVOST MARSHAL BLDG 215 - ADMIN FORT BENNING, GA US 31905
1a. VICTIM lb. NAME (Last, First, Middle Name, JR., Sr., Ill): 1c. SSN/FNN/ALIEN REG NO: 1d. PROTECTED IDENTITY: NO: 4 UNKNOWN IRAQI SOLDIERS, SSN
le. CATEGORY: A Army C Coast Guard F Air Force
_
H Public Health
_
M Marine
-N Navy 0 NOAA
_
P Family Member Q Civil Service
-R Civilian S Contractor T Other Gov. Empl. U Foreign Nat'l Empl. V Other Foreign Nat'I W Retired Military
4a. TYPE OF VICTIM:
X B Business F G Government I Individual -_ R Religious Org S Society/Public 0 Other U Unknown -_ X Male Female Unknown X -Range Under 24 Hours 1 - 6 Days Old 7 - 364 Days Old Years Old (Specify): --Fi
5. BIAS MOTIVATIONeYes x_No ( Check Applicable Bias )

_
AA Anti-Athiest/Agnostic AB Anti-Alaskan Native AC Anti-American Indian
-
AD Anti-Arab
-
AE Anti-Asian
-
AG Anti-Bisexual
-
AH Anti-Black
-
Al Anti-Catholic
6. RELATIONSHIP OF VICTIM enter the subject's number )
AA Spouse _
AB Child _
AC Sibling _
AD Parent AE Parent-in-Law AF Step Child
-
AG Grandparent
-
AH Step-Parent
-
AK Grandchild
_ _ _
-
-
-
lf. DOB (YYYY/MM/DD): 1g. POB: City, State, Country: 1h. GRADE: 11. HOME PHONE: 1j. WORK PHONE: 1k. NICKNAMES/ALIAS: 11. CITIZENSHIP:
1m. COMPONENT G Nat'I Guard
_
R RegulareV Reserves
_
2a. ORGANIZATION, UIC, STREET ADDRESS:
3a. RESIDENCE STREET ADDRESS:
4b. SEX 4c. AGE
AK Anti-Female Homosexual
_-
AL Anti-Heterosexual
-
AM Anti-Hispanic
-
AN Anti-Islamic(Moslem)
-
AO Anti-Jewish
-Aale Homosexual
AQ Anti -M
_
AR Anti-Multi-Racial Group
_
AS Anti-Multi-Religious Group
_
AT Anti-Pacific-Islander TO OFFENDER ( For multiple offender relationships,e'
AV Step-Sibling AZ Friend BA Neighbor BB Corn. Law Spouse BC Acquaintance BD Baby-Sittee(baby) BE Boy/Girlfriend BF Child of Boy/Girlfriend BH Former Spouse
_
DA FORM 3975-3, JUN 2001 02348-2004-MPC013-2
_
USeX_Country (Specify):
-Resident Alien:eIZ
in. DRIVER LICENSE 10. S LICENSE NO: FR ForeigneState (Specify): IT International
3b. INSTALLATION/CITY: 3d. Zip/APO:
2c. STATE/COUNTRY: 2e. UNIT PHONE:
3b. INSTALLATION/CITY: 3d. ZIP/APO:
,
3c. STATE/COUNTRY:
4d..
_ _
BL Homosexual Relationship _
BN Extended Family BY Employee
_
BZ Employer
_
BX Stranger
_
CA Otherwise Known 1 CB Relationship Unknown VO Offender
_
_
RACE 4e. ETHNICITY
A Asian/Pac. Islander -H Hispanic
B Black N Not of Hispanic Origin
I American Indian/ U Unknown

Alaskan Native W White U Unknown
AU Anti-Protestant
-
AV Anti-White AW Anti-Homosexual Bias
_
AY Anti-Other Religion
_
AZ Anti-Other Ethnicity
_
BA Anti-Mental Disability
_
BB Anti-Physical Disability
-
BC Sexual Harassment
-AX Unknown Bias
7.
VICTIM Accessory INVOLVEMENT Conspiracy

8.
INJURY TYPE ( Check up to f ve )

x Principle Solicit
B Broken Bones 0 Major Injury
_
I Possible Internal -T Tooth Loss
_
L Severe Laceration U Unconsciousness
X M Minor Injury Z None

9a. DD FORM 2701 PROVIDED VICTIM Yesex_No
9b. IF NOT PROVIDED, WHY NOT? DeclinedeX_Not Required
Page 12 oiUlJ i,l v i 2
MILITARY POLICE REPORT - ADDITIONAL PERSONS RELATED TO REPORT
For use of this form, see AR 190-45; the proponent agency is ODCSOPS
This form is a continuation of SECTION V, DA Form 3975. Please attach it to DA Form 3975 when completed. PRIVACY ACT STATEMENT AUTHORITY:MTitle 10 United States Code Section 301 Title 5 United States Code Section 2951 Executive Order 9397 dated Nov 22, 1943(SSN) PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately identified. ROUTINE USES:MYour Social Security Number is used as an additional/alternate means of identification to facilitate filing and retrieval. DISCLOSURE:MDisclosure of your Social Security Number is voluntary.
MILITARY POLICE REPORT NUMBER DATE( YYYY/MM/DD) ORI NUMBER USACRC CONTROL NUMBER
02348-2004-MPC013-2 2004/07/28 GAUSAO1 DM
THRU: COMMANDER TO: COMMANDER FROM: BLDG 9050 BLDG 9055 ATTN: PROVOST MARSHAL FORT BENNING, GA US 31905 FORT BENNING,GA US 31905 BLDG 215 - ADMIN FORT BENNING, GA US 31905
SECTION V - PERSONS RELATED TO REPORT
la. PERSON RELATED TO REPORT NUMBER lb. STATUS — Civil Authorities Complaint'eXMMilitary Police
2 1c. NAME Last, First MiddlAmed, JR., Sr., III): Sponsor Witness ld. SSN/FNN/Alien Reg Nq: le. CITIZENSePi _ USe Resident Alien
I-1, 00(67.-t SSN IIIIIIIIIIIIIhk,,,e-C,.-q t Ob... _ Country (Specify):

lf. CATEGORY: 1g. DOB (YYYY/MM/DD : lh. POB: City, State, Country: li. GRADE: 1j. HOME PHONE:
A Army —
— 1k. WORK PHONE: 11. NICKNAMES/ALIAS: lm. COMPONENT G Nat'l Guard
C Coast Guard —
R Regular V Reserves — F Air Force
H Public Health ln. DRIVER LICENSE NO: 1o. S LICENSE
M Marine FR Foreignef. State (Specify): EleOther (Specify):

—
N Navy IT International
—
O NOAA
— 2a. ORGANIZATION, UIC, And STREET ADDRESS: 2b. NSTALLATION/CITY: 2d. ZIP/APO:
P Family Member
86TH MP DET (CID) AUGMENTATION FORT BENNING 31905
— Q Civil Service
— WEOZ99
R Civilian 2c. STATE/COUNTRY: , 2e. UNIT PHONE:
BLDG 108
S Contractore' GA US T Other Gov. Empl.
3a. RESIDENCE STREET ADDRESS: 3b. INSTALLATION/CITY: 3d. ZIP/APO: U Foreign Nat'l Empl.
V Other Foreign Nat'l 3c. STATE/COUNTRY:
_— W Retired Military
4a. DD FORM 2701 PROVIDED VICTIM/WITNESS: 4b. IF NOT PROVIDED, WHY NOT? 5. NUMBER OF VICTIMS ( 0 ) AND WITNESSES ( 0 ) Yese xMNo DeclinedeXMNot Required NOTIFIED WITH DD FORM 2701
DA FORM 3975-4, JUN 2001 02348-2004-MPC013-2 Page 13 of 13 U t4
DODDOACID 009323