Sworn statement regarding detainee abuse. The interviewee identified an individual in a photo stating he always carried a K-bar knife and stated that "the death of the detainee was from integration from MI. She told me it was listed as a heart attack but she knew th[at it] was something else." The statement also says that MPs had to give detainees women's underwear.
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 accurate4
Your social security number is used ea an additional/alternate means of identification to facilitate filing and reinavai
ROUTINE USES:
DISCLOSURE: Disclosure of your social security number is voluntary.
2. DATE IYYVYMAADDls...13. TIME 4. FILE NUMBER
1. LOCATION
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.RGANIZATION OR ADDRESS
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10. EXHIBIT' 1 i INI OF PERSON MAKING STATEMENT
PAGE 1 OF PAGES
ADDITIONAL PAGES MUST CONTAIN THE HEADING 'STATEMENT TAKEN AT DATED
THE BOTTOM 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 IS OBSOLETE LISAVA V 1.00
AGO 000526
DOD 000614
STATEMENT 0
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NOW
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AFFIDAVIT
HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT
WHICH BEGINS ON PAGE I. AN DS 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 FREEL WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT
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THREAT OF PUNISHMENT, AND WITHOUT COERCION UNLAVVF
(Signature of Person Making Statement
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...— Subscribed and sworn to belore me. a person authorized by law to
WITNESSES
administer oaths, this S day of jt..' 1
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(Signature of Parson AdminisWing Oathl
ORGANIZATION OR ADDRESS
(Typed Name of Person Adminaten ath)
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(Authority To Administer Oaths)
ORGANIZATION OR ADDRESS
INIT RSON MAKING STATEMENT
PAW OF PAGES
USAPA V LOP
PAGE 3, DA FORM 2823, DEC 1998
AGO 000527
DOD 000615