Article 15 Proceedings re: Soldier Striking a Detainee, Dereliction of Duty and Disrespecting a Superior Officer

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This is an Article 15 proceeding against a Military Police soldier who punched a detainee about his body with his fist after the detainee was already shackled. The soldier also faced charges of dereliction of duty by failing to secure the detainee’s cell door and disrespecting a superior officer during the same incident. The sworn statements contained in the proceeding are consistent in that the detainee was removed from his cell and placed in another cell so his cell could be searched. The MP transferring the detainee failed to lock/secure the new cell door and the detainee attempted to exit the cell. A struggle ensued, and the detainee bit the MP while being shackled. It was then, in reaction to being bitten, that the MP struck the detainee with his fist. It was after that that the MP was disrespectful to his superior officer at the scene. The MP received reduction in rank to Private First Class (E3), and extra duty for forty-five (45) days.

Doc_type: 
UCMJ
Doc_date: 
Monday, April 14, 2003
Doc_rel_date: 
Thursday, June 23, 2005
Doc_text: 

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DOD 13408
Cootinuation Sheet ND. 1 DA Form 207 1NGS mat

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ITEM 1 Cost'd:
Specification 111: In dim you, did, at U.S. Naval Station, Guantanamo B on or
about 10 Apri 2003, behanyonmelfwith &weep* toward
yoursuperior commissioned officer, then known by you to be your conunissioned
officer,. by saying to hien,'Aad what? And what? or wards sodas effbct, in nepotist tohis order to have Siena Block This is in violation of Amide $9, UCMI.

Specification #2: in that pow who law or should ham lama ofyour dodos m U.S.
Naval Stake, Guantanamo Bay, Cubs, on arabout 10 April 2003, were dead in the
per on:mace of those deities in that you seems,* failed to secure a Mahan pall
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m itwas your duty to do. Ms is in violation of Ardde 92. LIMO.
Specification 03: In that you, did, at U.S. Naval Samoa, Gantatusso Bay, Cuba, out orabout 10 AO 2003, unlawfully strikea detainee an Ms body %VI your fill gait thedetainee was shielded. This is in violation of Article 120, UCMI.
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£17 GTMO ARTICLE is !REQUEST FORM
1. I request that a Summarized Mob 15 Convoy Credo Midi 1
Ankle 151 solder.

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2.
Please Wu* all bare to resnlistrawd, counseling statements, hit UP repots, sworn
statements, breattedyzera, urktelysis and chin al malady, and corrective training measures
wan that veletas to the incident incornpletepsekeb will NOT beaccepted.

3.
Arlido 1Ss will be processed within 48 hours upon receipt climates' padot Any delaysVeit be fomented to the POC for the action.

IMPOSING COMMANDER*
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DOD 13411

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DOD 13412

DEPARTMENT OF DEFENSE
JOINT TASK FORCE GTMO
GUANTANAMO BAY, CUBA

APO AE 09360
.T17 GTMO 14 AO 2003SIA
MEMORANDUM FORM(' Miller, Commeador. n? tomo, Guastinamo gay c um
SUBJECT: Dept Review, 'steroid AR 154 investigation
1.
1 have reviewed the Informal AR 154 investigation initialed on 10 Apr112003,10 consider actions taken by monbasof the 13?' up co and find no laid abjection The findhip and reeotionsioldites in suitable mashie:dim for Bost sodas.

2.
The proceedinp comply with all legal ivileivesnoate of AR 154 and ether applicable
guidnmee (e.g., Article 31, UM). No ewers are *mares on the face atlas isvestiptioe

3.
There is sunicicet evidence to support each finding by the•Investigating Officer. Wits=
interviews were conducted which lend credible support 'to cads and may finding.

4.
The recommendations are consistent with She findinp. The lavonigatiog Officers
reeommaidedons piovids suflicientsuggested corrective action.

LTC. ISA Staffiudge Advocate
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EXHIBIT IND;
1.
Preliminary Report of Invastiption Preparod 2 APR03

2.
Diagram of Sierra Block -.Premed

12 APR 03
3.
Diagram of Coll Lock Coo figararion -Prepared by 12APR CO

4.
Sierra Block Log - 10 APR. 03

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Statement ofllallani132" MP CO

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Statement ofinglinalli132" WiP CO

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S1111=104111111111111.132* kaCC1

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,
StatempsoillIMMINIZ," MP CO


00 09 0
DOD 1341
PE&unary Report of fart:Woad=
Brenta Ott Sierra Block of 10 April 2003

• Block Team:
III
Atmam. • 1630:
- — .-. MIIIIIIIrstanallio cell 15. Illeelonged in cell 16.)


lillitheatEdde mon andtlilliholds the keys to the cell padlock.


Neilconceive afoot haviatiocked the cell door.


Nalthardolltcanaletinidvely stele the door was locked.

Emosinarioit ofthe cell and cell door bpyagilneggponwow/ mood the door to be open wild the receiver iseder the laciplasa.Beth been holes were Closed and avowed by D-riess. Videotape taint boatediately *wee evesshows .the same r:oor configiension.
=BLUR
• Block team members rotate to chow.
APP:Iximate ltiala that deb' ,, .
• itsjunusmobsod
food. The detainee refines to
armada the food to sllwrIIIIIIIIIIIIII bun dim and is blight bylliabont contraband in esti 21.
WI seanit.
nee in

* urgace lorzp2iro •ade on detainee e1121 and move bin ft ce11 29.
• lieving leaned thilatell291111plietura to cell 21. eaten req 2121 an in •
1113.1: are inside odl 21. 1111111is standing in the doorway.standing outside bet near duteloor. All the men are looking into the call.
cd113 and pushes into oeU 21.
• 1111111peovents dee door to oeU 21 hone being closed by forcing his ann outsida.
Maws= hie head and torso out of the req and is ranched is the face by'. losing a

• Ms Est push the door open and all bur begin to subdue
00 09 1

DOD 13419

1'
• allaomps 4it igth intollinlann
and does not release mil 1111111:ice
strikes him in the bad with his radio. 17tase blame Maly caul. rhe lacenzilais to me
beak,°,

Others arrive and assist in subdubag and shackling".


hot as the shackling prams is being

eotopleted,111111becomes gam*s
owed
end begin' s yelling "you bit mid Yon Int titer.
strik :Mid is inunedie
Pulled swayed assisted of do block. tely
• arts transported to medical.
Candid=
• Naltberainad

de door to Gdi td saw044 RtheinkThat the door to sell 15 ma =Nomad Tor approximately two hours went inmetieed by


Maasnearly soncossild in looking all Sloan

oll Sierra block tam inentbers.
block testa nnonbets into can 21 Ineenie
the men were alt stood* in or near cell 21 sad their Motion was focused into the celland at the sloth being annincstd.
00092
DOD 13420
00093
DOD 13421
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• ••

00094

DOD 13422

)
a6149-",00
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00095
DOD 13423

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01'11

00096

DOD 13424

hpri l 0 3
1 2 .r5
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DOD 13425

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DOD 13426
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DOD 13427
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DOD 13428
• 4440144firmiti LON ,C:TtelF.I.
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DOD 13429
MOM ETATEIRVIT
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00102
DOD 13430

POMOSF Ma at.I tr. III! sinb ;11.v.-t's ().i
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00103
DOD 13431
SWORN SUMMIT
fM ineN ilk Ism. me AR 1104' At poollA 4•ityia NOON
MACY ACT STAMM $0 ISC Sams X s: TAMIL tines TISIA.0 11107 dINIII••••.• 21. 1110 S R
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DOD 13432
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00105
DOD 13433
SWORN STATEMENT
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MEM 3 4 sw.#••••
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due* aossdiewso Amor amiss* *Ueda i 1111.1111111.110. arm
!Mums,. minset*•• voi, 'Mak t.a¦a4i.. S1141.1~11,CL a oled4 106411400M6WiNjw.iO4. 54.
gsta mama. mew .otab..was waArnue..
err wet sue4asseGr44Theuat5)Tari "ma& /taw .mleavItre ihito•V Piss•Pr ow .4ont 04,414a. 7404.
4,111414.06, II-ID /WO 0400,10•101. 44, mudi efts .110.w .41.6.••11110 ImiTAII1411. IMMO (estop. 10 114$ C444) Oft/al* U.. Ta. 011*Ge. Elorps.u. ITOIND
t.•sGi is for gis
Ardormel 1.64 sum w 4‘141. .eurPai 44" "A lb. "Cuom.0 ticm ..woo
1041: MAWS.' ardrill Efile 11114nos 064 414a 1/140-1 /I° ••••V flat .,2. .122 /Mesa 1140r.t OP
Wµ setra ace 0126. romus.0.0940 ee.".‘01446°06 rine. r• maort . 54.,oy os
ton t/ 4, woo deiNgils• 010° wi Sod cAt q Deroefamfr some 4020•11fe•
11141 mart•die• Itm•••••ter w.. • 001/0
grewslis • 1011111411111111.11 #Z) SAiiimmo" •01'.08 TOP• bir41012C &WIGS me wet rzeleen vs, wow Lampime .y 11111110,1400M111Wwww illeo Pagerer•• Sy
ad.
11. in askare mow
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DA fall =SEC 1M
00106
DOD 13434
TAM AT &Voir D4Wir4 OATES /0 AIM 2.63"5
51.4E401 OF
K
I. STATEMENT
fi of OS."
1/110A1117
. MOW MAO ON MAD sus lout TINS $TA1EMp11 WINDItsilmarrant woo Oise PISA * • ow? wet nue no CONTTNISOF ITS OM STUMM MOE ML Tilt OWEGIIIIT 1 11101 lag 111111KIO AL =MUM VII NM runummsionso OF DOI PALM/MINNS THE CATOPIOt. 171NE MAK Tie STAIUNNT MUT INTIlluT WWI Of WilInt on mai linNMFF Men POOFINFOIL. yousset. ouvia. usbuctorul
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NUNS Of MIN.Ltn
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00107
DOD 13435
r
sitcom STAMM
to+..rani,w sr mime sts maw was 110CW:

MO= OCT outwit aulasin:.Is se M USC boa 301: rift sac hop riss. i a 1397 owl Ilmsolei II 843 SSW
Is ismoss ssraosson Mire Plommom Weak "Mixon brelscltrivassoaass os nosssIs t oresse oftenst 11511.Use me sows.lotO se stOvenetsattout vows it issimil000l ow** bfirg isms'
Foncial.
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.
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iii glob ti:k4 fit crerrninej." 404 z.ca,„,irio.unta. bbcp, tn.)71arcl ght;ga *els Sarni. Block, w‘ have Ong eAds, Uron
OVer.iro.a;0.
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block- use 4viet 11111111111110hr loos tykatain5 c•rowN
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a +6 °1 • • C614 • u.e4 . %LW, Appyny i1/4e.DICE incaiosi itisnrk4
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40.kan.
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IS MIK
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MOUNT ADOMPIAL pasts matawroa nit Maw $M rzmkrIF. &Ire
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nearmawactimmaval alia TSUI TIVISTS4$ Of nt.t inizoinii.malwa ,,,,,..nuegrrnamerAfra
DA TWA 21324 DEC 1111. DA F01111211D. JO1 nds MOM
00108

DOD 13436

Um al 40 Ur MED
at il
STATEMENT NE f/M
S. STATEMENT
ViQ
snIOAYTT
. Mai ON ME I. MO INOSONMNI • NO IMOIENTANDISI COMETS EN ON NM gunman mal PT Mi. THE IMMUNE NUM maw IMMO AU SONNELINAMMO NM NAMED INSIOTEINAII SAOMPAGEINNTNINIS ENE MINOR mum Motu's
SIMONISE EMT VAINMIE MK IMINIT ON MmaikiNneut NMI r
L sawn Ms** TS NE MS :WM NT
MIS IMMO MUNK INLANNVLIWunta. INUMMILINDINEmar
vans= IlAstwry Maw balm ins. /s10 ealsfital by be
shipiar ads..
lbr
onsamianoN on mans
Act-tirl7i,ScLucwvT.
ONSSESEAMOSINEMIMISS' — •
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I
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PAIS .2.0A
00109

DOD 13437

SWORN saloon
ese It as M. no AR 1166: Ihe swam awe ea SOCSOPS
MA CY ACT STA MINT
IAN ID NC know: WI VW ittar• is.

UN tweiNamen tt MO ISM bow*amesarvi see to ripmept slags oda was *etch eireess
Kant* 04464644 'PM SODA 4444,4,4444144.• ON a is 414/44444414411141**/ 4144414 44 111404¦40. to lade*.
all etiegofWow*inv nal two* am*, s wow .
r
fel Jogai
rainnorti • r Vazy-
t.
MINN
•*Mt T0 1401 n4 Wawa; ilaslistal imp sow
jth Apt", if'.3e..1114 "I clw., 714,4-.(A„,k,.u
icip 0P At. rohi ..--40k A seeeda fur or(
u4.44 veAs sue, 844.kr764.' halliCks.I i•itzk AAA tom_

Soraft-4,1
14444 to snot..514.
S %Art r Mot Pv•14 4-0 1404.40/. Vit4.arms.!.tAs44 M.
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black.we414 (1 at(t Clef .1.4
.61,0.ice;/ 44 1 54ts.,
-PIA. "vs .pec Lar; .-/4C k1.44;fed- 1-#4.344 1.44 ‘Ice.

tb.trcip.
44,4 44a, spe4s..41,44 1)4
z* cat #41 gbr ottAA.1
Atc01714410 "fill 4. /Wedt . wAs vesci- "ai

ie. e,.
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-AM 4/4 4
40.04„,„t
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llatf1 Of
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areanw oRACRAIMaam Met &AWNmamas of nullia mom .
MEI N *vomit VA FORM 2123. DEC 1/11.
SA Kell E.0 71.18 IMAM
0 0110
DOD 13438
C •

0?
cswp Pelt,
MIN at OITW
I romps! ftwasero/
AffIDAVIT
—. IIIMI NAVE NAP ItUll II ME AM OHO OWNS OM DM t. MIO MB DO Pan. twaissugo THE camas, ix NM IDIOM WA OT ME. ng swum gun l um OilInt0 all CONIFICIIII Alp NA1E 1M111111 DI NTT* IF IOW MhOrhoiPRIAM IOW WITHOUT MI Of MI MI MOOMAI O: MIMI IOW Of PUIVOINT.
Wig
MUM&
3
SAIMIATRIN ON MUSS
aii•Ne* arms. eritiamtkei
, frowIrIses ifjorsAilmirrIsio
0116A10201011011 AMU 0444 /34 . . (4/06q at—as;Ads..*L osionagard
MON Wan STOIVOSIT 2 m 2— is=
PAN I MANN I HAIM ,a

00111
DOD 13439

SWORN STATELIER
1r gust the IsmfbU I1045.1¦1 •11111001 WU? Man

PWNArt ACI MIM S?
x11111001c1:.No HI USC Sows 301 %%SSC SOWN PNI:1.0.11313 ewe News* a VG Mb
PRIKIPAl NAM".,s p•g* alimes al Ye oftionroot streorivaar mow kr 14,0114111Wer get W ittosiole 41•••160

Mille NUI.Vim IMO IOW, Nate • lett a so allNorragesee nem 4 onsatabo or *album Maga* wool 114041414. 4141,110esi yin not Mseli WNW* apolaw. :DPW .7. 0A71 /Immo ill 13 Mil 409•000 P 736 lirL XV ..4r.. Zgolothr ea.VS .2.4".1 II SIN
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-
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my scr...roctz,,, c. 40,117,0111111111.M. 4.04vis tgastrnti eve,. skswiss-o•udr "A"" s'A-40", 41„,..*_zaroc 4044 a °14 ofiffeS 77Psec4
y ofi, de.920•4 Cage MAI ace ,re dipr - Gte Ankr fr odisour 6,va cps 4097zPieravG Po /ea% rfivirfi-4 .p.as errvidevens-kra2
4'4.414 "agar oreatiiiiiiaarit eV Coerg My Adirc•srez.
mernommliilliffera
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Airs/ 4.04-.4Na vssic-TS 111 dr744,..resr i'adrDerop2.4 en" CavfLS
/9&v.% &lb Satioaree. 7_ & 47 dole Ague.4.• , Far 0,

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Avge.."a AC dr dotal...Z) Adr=7"-.0w.401.4. -4 6- w. 00P,APE-so I az algal A04170 Farr-up-6 Po.Str. lau.41.44.Se•yeror 45410c*-.. '.41$001P41.Aft
"Cratald-a Mir barnsvAdwaT
21/40C.776.0940417,40148* 9.46 /45Y"e4;1061PA iPAO Tie '., ".4.6 eP 000ripti
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Mar MIt bal. Ler • i•-oeir c,084. 4 dove-A-
,4- A
/9041' , YetAbliug02 ClitihiP /4 17A- O. Mai e€41assaw.4,- PAW POPP paZir--.
4.404-.1* Atowei, tArtrze oferupT70.4.
er, e—rt
Otevemor0 POL..% Mor Lo OF1.2' 700-06$.
4•04-'9•4 4 i' ••p a.
7), Irr.ragb *LC •A•42. A*1 ire LOtA.Swot)AWAMPINPs C1*¦17::redElVe"41..rWAS rOPP3°..e/Vealdrei,
10. MST
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RODIVNIAmsossincraar,
mow weismorm
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04110
• •.• OOOOOO •
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OA FORM 2S2S, DEC 11U.
114111111AM301K
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00112
DOD 13440
r.

TAKEO A l MTEO
&TERUO Oi
G. EV ;SALIENT gawasoli
"ROAM
NAK UAS 1111 MOMS MAO TO AU RU 11111111UIT inscs.1.AM Imam Pall .1 kW GoOEUTANO muumuu erne um IMMO MAU law Burrosvg mint. tmat mum au. conscRout Nolan URA= VIE OMER UEN Pui LON1aaIMK IRE OAT esuoymuas out us STATUIVIT MUT WITHOUT WOOF 1111111 OR RE MO. gnaw MEAT OF PIPURPARIP. C01110011.11111AMIL MUM OA WIesua MOI Eilia
Salassels1 sow Is Wise a
MMUS:
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ORS AMU DON o.1 AOOREU
otti 75r4741ZI.
emomaAtoicaf mama . . Roo, it.,#ae.. ow
WITIMSOP POMO MAKING SPATUUNI PAGE Z. w L. Pau PAN; Di MINIM NC IN
00113

DOD 13441

SWORN STATEMENT
Fa mu el this Wm. I44•AR 190-41; IRS 010001+00.•09•00011 0000,8

PRIVACY AZT STATEIRINT
TiN 10 USC Swaim 301: Ws SUN intim 2051:1.0. 0317 dosed NovessSiss 22. 1043 tam.
isullt0STY:.PRINCIPAL PURPOSE: ye piosplis VIMIRUMIkeff sod kirss Inforesossvit offidsis was witionli.by vellidi inlosetssisn mats is* sau ffeisky your osops sossalty ?wrest is .assd as se sddlthariiMialsemsts man 81 iSsatIficalon to logjams, way and ret.jav,
0Outis11 USES;.of y.. acid ssamity 'web* II wialtorl•
012CLotURE:
2. OATS tr/Yraa) I 3. NM 4. PRI NUMBER
1. LOCATION.a
• .Virlr20 &Oaf datteds4M0 Pise.
Wile OrAtol#AZ ..
I. I. NAME.
10. 1111111111. 7iiii
I. OP0AP1120i.TIOSIONAG001130
a rm./ avo e.
I.

. WANT TO MAKI TINE POLLOYANO STATRutply Immo OATH:
I.
ern /0.2e4.0 1 .1" Afs.r0e¦-•••¦/ i 4./PW
474.14'"solee . oi. _tyr•". jaisere .Aeo;vedre e741 144c Pfeil r 0471/41.:M1tel.4e/w00:04 4-141,1.ver Alec,. 611-.•14•7 Alpipyied. /4F7.0-
1•Ar Avloview.'..est--r Lase re- r• /" l1 x /' is.../ p4,4 r 421.1r Ase, r
re-Airwei Ar /, wee,. /4,4 e.F/up..*
by A.'S .1.404,-.r omee¦•• OW 144 't* t$ bee. 44 esr tows •/ires-Vreave "Sr& .'Afir
A 6"oveY "'"Ati ""us'..74'0:1-* Ave/ a., deYete r vg4r 44-01/4.16),e 6.11 Aior
"W 0" S lisfafeWirei.rejteeT4,:raf, adIt OP7rAf.%Pe, r..0/0„,/..e.e/
kik.

moot,' ArZ:erkr ¦./.
414-744.-re.' -t4P AN"'
de4'411111111
10. EXHIBIT. 11. INMALS OP MOWN MAKING STATIMIWIT
PAGE 1 OF.p
4100MONAL mass ?414T comma. TME "moms: .......... 'STA remeir TAKEN AT.DA710

' •.• -
TN. BOTTOM Of MCN ADDITIONAL PAW MUST MAR THE PlInALS Of TAE PEMOli itAktko THE strArt,Amr. 'Am Mat NN MUST Si al PIDICATECI..
. . . . ...
DA FORM 2823, DEC 1998. P0104 2023. JUL 72.1$ OSSOLETE
s.

. .. .11/0.
00114
DOD 13442

TAKEN AT 16 GAM AO.4•3.
SN.TOIENT OF
I. STATEMENT fC•ANAwste
• mINDA.vrt . NAVE MAO ON NAVE MAO MAO TO PM TM STAMM/GT 'MON o.Mls ON MO I. AND INDS ON 441.01./... RAVI. UNDEPSTANO THE CONTENT. OP TM, ENTIRE STATEMENT MADE r ME. Tut STATemENTIE TRUE. I HAVE MilliNAO Au. CDArecnolis AMO HAVE tHresm.ED TME soTTEnd OP EACH FADE

*PITAINelo THE sTATEmore. I NAVE NADI Toes sTATuAstiT PAULY vATNOtrT HOPI CP SWEAT OA REWARD. vamouT 4NEAT OF PUNIIMMENT. AND'vATHavf COPACiew, UNLAWFUL *AP T.
AMS Statomenef
Siabee•lbse owl sweat whales* as. • pawn outh•fia.• by low la
NI155 OA:
attnanZriw.ear.Say *I 44I Aces_
GANIZATiON ON ADDMISS
.1.).•
Z." Alf) C... ro $
tANIEATION ON ADM= C40•A•Ner To A•••••••1•1 04051
STATEANNT
s OF PERSON a•Altli•G
PAGE .1 Ort main
%mot vifa.
OA PORAL 2123. OW tall
00115
DOD 1344
swam STATEMENT
1« ow N as Mk our All 11045: de morn mitt ip AMOK POIVAC r AR STATHAM No 10 USC,Stom 'se IC kiAlea 1:1.0.1310 biollIewswat21. IOC IX
aniNDA$7/:
l• Inure cowmen or he 04terso Wads rile wan trf sineiresme en le agoanovewbbe
pintapol PIIPPOU
sariteeeti woo e voi ssimemasiliu rat ease isuraramea y brow *ism 1s14.0
WPM OM:
Wan VI mg ski ~It rift is islinin
OISCIAAVak Mr su mom
12. Silk Renown si I I ft ow
IOLAnON
41:14. I I rJO4 1-
.iM 1 l
WOW IOW ATOS
1
1114111 %am%
a 07saizamt..
. 'WM io mutt It cowman scatuth, anftwe
,h. lb Avii cts x .....6 1,,,„„,5,1 od,
()reAli. 4.e.
eib" Una, 2 Imisot ew iht.
ewleo " we. ke,
a
delgeut4 out oft ult. ibloce t iits" bassi 0.4
e• 4111 fahm.by 4440.
opielei Omer ilibeL is 1st mt. oh is = dog js is Um.

1.1.4. I law sps.A. 4‘.. IA whet.snot Aar Oft h 16 144.4tt
olts•A ent 44, rami ‘004.4. away".
" %sow* IA. T Seaga 41/4 re 63 4.A& stoma
414. Ids reehie.W. we 4
Sawa AuL Lsr4 dud lEtita 6¦11‘ 1444
1%* 64 111.11111 44114 • ^Ai As. (14 Weever u.oft IAL Mt+ 4 is iwsi 44. hip. ../. is sow. 14.. is 44. loseguitc. '14 dalogiose he 4 Niat k. 44 . asspr4s4 Aar %Ai Wei h do So Sy 'N. tet, 2 , Dam
sarAsegd.
lar, strawi •.44 itill 111. ik. &kw.
°tem !Psi au., rb.k+ am
11111116
44... 3wied 006.&Luta. owl Iftar. 644:1.
low-.11a
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c Ivo..wk. 44.6. 44 MASK et i‘ii. 66X. A eitatto
um. ...14.1 item .t.ii . r
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t+..... ad hub. 0.40k4s1ri.t; pow- u.1.1 4414. 111111111111 1" slit 14414 ,.d 4t°44 "t 4. mtatc.A. elk. /Les
I1. ISTIALS aPIRIOI1NANNIO IfAlEANNT
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mem= ItaatainarlAir neitfaXii 774a4ifig.41, WINO OArE0
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.
OA MINI& JX, MUM
DA PSIM 2S13. SEC 11111
00116
DOD 13444
$1110 'has ti ay pi
TA1111 AT
s 7919 t NT
temoswati
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...: ... IN 199441,91.190141.0fi
SeMialid sulaam him wow asirbsi Woe *Ws* esili. MO /Oil
Gusamt.
MEW IMPCQPawn
itek tt ti4.MX
. .... . . Melimet.TOMIlightPolig..
00117
DOD 13445

SWORN STATEMENT
wpm, is 00C5Csios
For vas of this lens....' AA MAE: ategowarp
PRIVACY ACT STATEMENT This 10 USC Suction 301; Tod. 5 USC Simko 2151: ILO. 13E7 dated Novomoot 22. 1143 tSSNJ.
AUTNORITY: PROMPAL PURPOSE: To reside commandom and tow onfordsmot IOWA( with waste by whidt infornetion tnnv no omp aisiv Yaw said Meitity numbs. is used Man udditiohdfonwnoto moms of idomilastion to Iodinate ow e amp natant
SOMME USES:
0111CtoS1.111E: ' Oisolosunt of Tao amid mown, ~abet is winetlitT.

13. .GATE fYWYMASalis IL TSAI
1. LOCATION 4. PILE NUMIIM
•4 i
CIett p egiii.4 5 oh: R. •-/J03 Oct It.) MI
s T
1111111111.1 111111111.1111
S. Oho ANtEATION OR AOIMESS . WANT TO MAKE THE POILOWINO STATEMENT WRNS OATH:
ill
Lit.• 1 4. g.;,,r¦ ;45, el q.
dv1..g: OM " WI " ta,:414 1 hc.-..10 i 'S "
P lot 1C• Cawme Ove," ho r.110 411- Q 4.1.4,..-44. 104s t23sm.
cos.1).4,- tas.tic. asstl 1.i4.0 } 40 "s " Afoot.- 1.1s,t.s I
Leese WI s or i.vat• CLor. cswi es;fly
.t....),4 41,s' gr .p0.4; . ait utv IIII
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f4.0... Cell eiefir--
y fLifkr?hit f' r . tor.0 4 4e
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Mn 4n 61ci lif righ.,..
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bags kr,440 fiiv
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10. EXHIBIT 11. POTIALSISSION AMINO STATEMENT PAM 1 OP 10,46:
ADDITIONAL PIA OSS MUST CONTAIN TM WADING 'STATEMENT.TAKEN AT.DATED
THE VID7TOM orsAcwADDITIONALWICE MUST SEAR THE IATTIKS f THE 0440N MAXINE 774 STATEMENT. AN0 mai mime MUST NE SE INDICATED.
DA FORM 2323, DEC 13913. DA FOAM 2523, JUL 72.15 OSSOLITE tams •
00118

DOD 13446

J 17 UPS. DAM /0 A2 ps
TAO" AT
SIATSMIDIT OPMI
I. STATEMENT. fCsothomi 'IN
Ns,,,.%,.....
•-fre
• .,
..„
."'
Apromwr HAVE RTAO OR HAVE HAD MAO TOME 'MS $TATIMINTt.
wHictt.-PAM 1. AND INDS on rms.,..4_. I Raw UNDERSTAND cONTINTS OF tut INCIVIG rummer: MADE BY Mt. MILISTATEIMINT et nut. I NAVE PATIMA0 ALt. CORRECTIONS APO SAVE lognmact Ts* ROTTOM OF EACH PAGE CONTAAHMTINS STATEMENT. i HAVE MADE THIS SIATORENT NOW WITHOUT WWI OF UMW CM REMUS). WITHOUT THREAT Of PumkattliT. PAD•vaTwoUT COMMON. WA.PATMA.
SMitAlmt an11 mown II beim me..a pow% aulhowed W few II
wrrN aSan: aarninier Whs, thii.j.t, ow of. *Or 1'
OR GANTLATKAI OR ADDRESS
al Perim AMMAIstering 00 .141
41r. ix,
OR dArssizKilamox ADDRESS fAirthenty Ta Aienviater Clonal
Tio. 4.3 of PUMP. NAMPA BIAIDAINT
PAGE I OP ) MOSS

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00119

DOD 13447

STIODISTAIEUBT
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Mr I 111170M. iNZAISIMMA IPANNICTOUR MEM I alf.71ESTI7DIRIZ al AN VP•m• Nast mum=
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I12I,DEC11111 SA RSV Ni3..111 72.II MAIM
001.20

DOD 13448

UMW •2(ef: M OMB C.
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rm. lis Una=II UM MIR NNW ALL COMIL/10161110tiMETIVA leIfirfailnigil Mra COM1101111111 UnD111111. IIIIMIAII IN • STAIEMINTRULT WIDMITIN“ V NNWOR OTWORVEMIVIVINOT OF NUM% MEM II SIMPOL 011OCIMI
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00121
DOD 13449

SWORN STATEMENT
For an of this look us AR 1104$: Ilri prOPone+1 agency is 00CSOPS

PRIVACY ACT STATIMIERT
TMs. SO USC Isesise 301: Title S USC Victim 3151: CO. 12.2 dated Nev•.41ar al. is*' tssm. PRUICWAL PURPOIN: To pievide genvilanders and lbw snlionnwasst.111sliis wins mons by Initial Intinninelen ensv b. ageugataiv ROUTINE USES: Year seder teculity numb.' Is toad Is aft IdetieniliOurnats Rims I kissi0On55n se tatlitate flag sed s *mewl DISCLOSURE: Diu:Wm SI your soda sacs*, morest 0 voluntary. DATE 3. 7SR
AUTHORITY:
In LOCATION (ma 44 . • 4. TILE MINIUM
I .114.3 " lc 1 194
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•1 .,.e" 444 A.1•AVNG04% AA/ o C Arr's1 , y+44r odies, :44...v
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44% 1.,..k Ak•--GSk, t... .se*A.,.
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.
r ,..41g.a. V. (.....4•
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. 1e4.44 Al piwt .
10. EXHisiT 1 *
NG STATEMENT
PAGE 1 OF 4111.
A0/770/6..1 L MOOS MOM CONTAJP/ TNE WADING "STATIEMO ---. DAM

..
....... ...
" ' •
. rser 1077014 .OF iACA? ADOMONAL.PAGE MYST MAR MI MITISALS OP ME PERSON AWING TM6SrATIWEI/T, .450IdGENumnewsy Mr al osawagtoo..•
..•... . .. •
D A F ORIA • 2823; DEC :1898.Ook FORM 2023. AL 73. is OBSOLETE
00122
DOD 13450
111111
STATEMENT OE 1tio411R.DAT5D AA 04 in
L STATEMENT ftmehmic
air 44.6%. 41,••••
AN'4t roof WOrfavv..r. owl
ime^4.• me "ewe,

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AIOIOAVR

MAV stMO Ow HAVE moo MAO TO Mt 1mei STA•rammT
•mtem imams on imon %. AND OM „
A
UHDEMTMIO THE COMTINTS Or Tiff SPATMISTATOot4T MASE e ma. Tbit•sTATtmorr If Tam I NAVE Au. cONMOTIoNO MID.HAVE NITIALED TMA 11077011 OP SACH PAOEMAIM MO THE STATIMINT. I stMVII MADE Ulf STATIMPIT mauv 4409,1120 111114PIT 011111WARD. WfTHOUT IneAT Of PUNISHMENT. AND vormour cosMoo. imuvagui.
•%
TNESOOS : SMmedbee on• smomfulmkso ma. • Immo NeskNited Sow m admidommtko. Soy of IQ r
II.
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CIANIZA710,1 OR *DORIES
r.

I AiNiZATON On *OM= mer.44 OCrkt.7
SAWN*? re Atimmlium
3 OF PERSON EINO VAT EMeff
•• • . I PAGE i ofrtOeS• ;001rm sou. pee ?.US
u" wear
00123

DOD 13451

SWORN STATEMENT
iv vs II Ws iva. se IR 1034S: No POMO. WM 110t3OPC
MACY ACT STAMM Is (gasoline*); OVA VW lotus ASI: U. SW 4Imu1 Nossubt 043 to pools comodus itelstv vIsetwout elimat o moo to swab Wootootoolo sops* 40tuo4od.
Ploitellt ?Vane RUIN VIM
I No most soopilt Roby th out ot aillitiodlOopotoo mos el ilsoillado le %Mut Mg vie tvolvit
IiisOme II out WM ow* omen is via* 11 MU I I Not a. ow fin&
DISC E.
1. LOCATION
RI el.(11,46%044.carve?.I 1930..
illi I1Al^ i_ iIT NAIALIAMalltili WWW1rWin
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B.

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ie APO .3 .7 WO • kajrar4d1 Ca? a-we"( " 1•C Root° OPT, 1. AsiOrd iostid Ma SCI 40,0.1.Low, Atr a') 'ft Ita d.le Arbi 2.11441•s ae.t 11147 cept C. 1)04,•
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(„,. .#71egt .1644 4.6/ 4,
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loft re„,,7 1 .1 AP 4'4" "4/11.'"ro 73A hiAgi. /Lc kr NAIL up AI•7 IkAtig4 al 1k rALt.
la or Imit*.u.-t I
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fleece an
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101117111411 MIN.IN I 40111711ANWEirl .. WSW.

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nvinnameragrasonitan Ma 'MOT THIMMALI OF Off WINKWW1 7IVITITUNWF. AND matavamanaristot warm
• •¦• • .••A .Me.
DA 1.1.11. auk Jut.mem
00124
DOD 13452
ST4101011 OF Dana C 1 Prtaft? gm 104 Pi 043/
1. STATEMENT Xda*mid
FA, l loos

AVIDAVII
NM Val MI NAVIN'S 1EN11111 Mt TNS VARMINT
1.
WHICIIIIMIM ON t i. ONO IM nit

1 R1MT 11111NRSTANO UNCOMMON OP Menu gunman MAK COMAKIWIli MID IMW IMAM III MTN* Vigil/MO CONIMMIM STUMM 1 IMIEMAKT111
V MI IIIIITAINAINT TXM. 1 NAV MIMS STATEMENT NNW "WI 01T OM N EEIKi1Tw KONG. WNW MAT N iNINDININT. MO MINT COMM MONK MOM on 1RAMWV.I100111111
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NM= FUSON MAKING INATIMINT

00125
DOD 13453

3111111IN 51/11701111 I it we dis lan en al 111041k Ile PlionsoigEner. Swops
PlivACY ACT STAMM/
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00126

DOD 13454

VARMINT Of
I SUMO, Igmage
onlitATIT
mg mato sot MAUD 10 of tioS Wilmot
uNDIRSTANO COMM WOK Mat flattgolt WOO
volOIKCINS ON PM 1. MD WOO DOOM
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St MI ott VAMP,
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00127
DOD 13455
SWORN STATEMENT
Per au of this Won, sae AR 150.44: the Oneebob4 NOW • ODCSOIDS

PSIVACY ACT STATE/AIM
ISSNa.
%Ng 10 USC bask" 301: Iwo S U%C San44 21111;1.0 11317 dated lboyontel n. 1143 AUTNOPOTY: is autwatey
id. PURPOSE: 14 ploY419 commmagis 444 Ira seaviesifoom oRicists 44111 mum by 4,41140 141404466A or,ymel. em rie.,,,.
model smoky wombs: it Wee &S•M 1041eisAdlaltamits yaws 41 lessaNiuniert 1e taelitata iRos one
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iv
01SCIOSUSI: 12. DATE ‘VVY744/4111.12. nal gal 4. FILE b2.44111
1. 1.0CATION
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10. EXHIOtT
PAGE 1 os FAG
TAWS AT ....... DAM

..4o0moma. roan muss Cerruti THE MACMS -Slimmer .
rme, sorrow Of If4fte A0Or7IOrgAt PACS Mat ISAR TME metMLS OP THE miaow wawa niff SUTIRMWT, Ate palm now
.. .
•...•
INVST W 811101CATICL.• • • . ... •
. 72. IS MOWS tom •
-DA FORM 2123. JUL
DA FORM 2823. DEC 1955.
00128
DOD 13456
DATED /0Mat (17

A.PIDAVIT
NAV& MAO OR MAV! SAO MAO TO MS 1M1 STATIMINT
Wt.=.
I. ma 4INGS ON PROIL02,... I NUT UNDSRSTAND TNE CONTIINTS OP TNS.
ST*TiNiNT MARCEY MR.
TME stomata STIR& I NAVE waft= M voiutscnota AND MANI earsaaso stalliCfrium of Eats .Ace CONTAINING Toil STATIPAINT• I NAVE MADE TIM STATIMUCT MIEN WITHOUT HOPI OP SPASM ON IN .
vamour
ilinmAy OF iptioNswAtorr. AND wrrmout UNLAINPUL
iNltwgwli

ITINGSsa:
SNOMINHI end sworn Is WWII MC ¦ Striae 11w111041115 Si Iowa IC asialreer Weak s s JAL. 1611,
.2sea
a C. -
• ei.:aNliATION OR ROOMS
r.trrt et? Pomo w«w1

mon
AT, tAfj_ Djfrtdgdvs
,
.•
RMAAIIZATION OR ACORISi
IA.NRodir eatanNistet Or OW
IA LS OR .EASoN MAILING -••1
sT4TEmeur
....
. pAgg 2 oF p
.. PAGES
o MOON 111.1.. DEC 181
opsv. %tuft '
... . .
001.29

DOD 1345

Doc_nid: 
3588
Doc_type_num: 
734