Sworn statement, possibly by a medical officer, that discusses medical screening of detainees. Contents are heavily redacted.
SWORN STATEMENT
Locaton: &Wax/ Zc 61454/04/).1-,e4o
Dam V Jur* 2004 Time: ISS ° Name (Last, First,lVilalliallpillib
Social Security Nuni .
Ofillnizsti011 or Address: ostoi
4.•
I 111111.11111111111111, went to make the following SWAM under oath:
MY glaM. 141.1¦1110a I got hate in Argil. I see the detainee as soon as we get them and I do a 11.11 I've dons roughly ten detainees' screenings.When we that go an eget, Lithe detainee bas en, serious life threatening iojuries we'lltreat them debt there and take them straight to the hospital. We haven't had any lath=
lifh threatening injuries yet. Sot we wash the
into:Inter• If they weretoads fix qrstoey Praent
Einem" and this is subjective. Y
MN% the
We ask them 're 11
There is a end a placecatkins I do fathom sae recorded. for 111501000. 111 W
would be =carded on the form. If I giveanisthaarl.11.1101.1.1.0M0 .1 1111111111101.1.end any (Aber IR pm at the than as well.
the medical screening my role with detainees is that I'll
If the The detainees are all
pretty malnatnished when they get here, never worse.
detainees an given food, If they're I have not known of. I
have the result of
Pogo of Initials of person making ststement
• 41icRirinieFoRim,
Fanlike Report -Anomie
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• ...........4411INIAJad, •••
DOD JUNE 3039
DOD056855
Statement of 11111111111111111Ktinued
END OF STATEMENT
1,3 HAVE READ OR HAVE HAD REAP TO ME
4. . I
BEGINS ON PAGE I AND ENDS ON PAGE
TH
FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE
BY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORR.ECTIONS
AND HAVE INITIALED TIM BOTTOM OF EACH PAGE CONTAINING THIS
STATEMENT. I HAVE MADE THIS. STATEMENT FREELY WITHOUT HOPE OF
BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT
COERCION, UNLAWFUL INFLUENCE. OR UNLAWFUL INDUCEMENT.
gdature of
Subscribed and wont to before se, a person
authorised by law to atiminisalr oaths, this
2004,
day of tit
at , Zees ,46.,r; 4. •
Gia
Cift
Oath
T .
Y.,
W.Cur.tvp r)r-r.rtro
-y
Authority of Person to Administer Oath
Organization or Address
Initials of person making statement
Page 7 of 7
Formica Report - Annex 90
DOD JUNE 3040
DOD056856