DOD 050584-050654 - Human Rights Library

DEPARTMENT OF THE ARMY
I1 MILITAF4Y POLtCE. DETAWWNLT(ClDJ(FWD)
3D MILITARY POLICE GROUP (CID)
UNITED STATES ARMY CRIMINAL INVESTlGATlON COMMAND
CAMP VICTORY, BAGHDAD, IRAQ
APO AE 09342
"
CIRC-ZA-OP
16 Oct 2005
M E M O ~ U FOR
M SEE DISTRIBUTION
SUBJECT: CID REPORT OF INVESTIGATION - FINAL SUPPLEMENTAL - 004604-CID389-80649 - 5R9B
DATES/T&~ESLOCATIO'NSOF OCCURRENCES:
1.5 _APR200410200 - 5 APR 20041102 15; &@)
/,
M0SU-L IRAQ
D A T E I T ~ ~REPORTED:
E
5 APR 2004,1700
INVESTIGATIVE SUMMARY:
"This is
Operation Iraqi Freedom Investigation"
This office was dotified by ~ o r t u a r yAffairs, Mosul, 1riq that the remains of an Iraqi
Hospital (CSH) personnel. .
detainee had been
. .
as detained by
Investigation
was found to be
FOR OFFICIAL USE ONLY-LAW ENFORCEMENT SENSITIVE
. ,
025932
0000k3i
046-04-CID389-80649
orces Institute of
Rockville, MD. Dr.
o n 11 May 04, the Naval Criminal In estigative Service (NCIS),
responsibility for this matter.
h
On 4 Oct 05, this office received the fi a1 autopsy report fiom the Armed
cause of deaih as
of Pathology (AFIP), detailing Mr.
the manner of death as undetermined.
STATUTES: N/A
Added Attached:
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14. Final Autopsy Report, h.IE 04-309,22 Nov 04, pertaining to Mr.
Added Not Attached:
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None.
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The original of Exhibit 14 is maintained in the files of the AFIP, ~obkville,MD 20850.
STATUS: This is.a Final Supplemental Report. Commander's Report of Disciplinary
Action Taken (DA Form 4833) is not required.
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DISTRIBUTION:
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1- DIR, USACRC, 6010,@ street, Fort Belvoir, VA 22060-5506 (original)
1- Commander, HQ USACIDC, ATTN: CIOP-ZA, Ft. B e h i r , VA 22-60-5506 .
1- Commander, 3D MP GRP, 4699 N lStStreet, Forrest Park, GA 30297-$119
1- Director, AFIP, Building 102, 1413 Research Boulevhrd, Rockville, MD 20850
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FOR OFFICIAL USE ONLY-LAW ENFORCEMENT SENSITIVE
2
F)h
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1- ~ & a Criminal
l
Investigative Service Field Ofice Middle East, Bahrain, United Arab
Emirateis
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1- File
DEPARTM~NTOF THE ARMY
7 b WP DmACHMENT (CID)
UNITED STATES ARMY CRIMINAL INVESTlGATlQN COMMAND
-
LSA DIAMONDBACK MOSUL, IRAQ
APO AE 09334-6169
REPLY TO
ATTENTION OF
15 May 2004
MEMoRP;C\~DUMFOR: SEE DISTRIBUTION
SUBJECT: CID REPORT OF INVESTIGATION - FINAL-FSFERRED - 0046-04-CID38980649-5H9B
DATES/TIMES/LOCATIONS 01:OCC-NCES:
1. 5 Apr 200410200 - 5 Apr 2OO4IO215;
-mu],
Iraq
.
DATEITLME REPORTED: 5 Apr 2004,1700
\
-INVESTIGATED BY: S
INVESTIGATIVE SUMMARY:
"This is an Operation Iraqi Freedom ~nvestigation"
This office was notified
6een delivered by 67' C
Investigation disclosed Mr.
subsequently interrogated
sleep and when checked
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FOR O ~ I C I A LUSE O
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CJRC-WBE
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On 11 May 04, the.Naval Criminal Investigative Service (NETS), accepted investigative
.
responsibility for this' matter.
,
STATUTES: NIA
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EXHIBITSISUBSTANTIATION:
eEcontaining k i t rosters, medical information, and statements obtain
was on dekinee wat
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CIRC-WBE
SUBECT CID REPORT OF JNVESTIGATION-FINAL-REFBRRXD - 0046-OCCID389-80649
12. Photographic packet comprised of 11 photographs. (scene)
13. Compact disk, 040046.389, containing originals of Exhibits 3 and 12:
Not Attached: None.
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The originals of Exhibits 1 and 5-1 1 are forwarded with the NCIS copy of this report. 7he
original of Exhibit 2 is retained in the files of the 67IhCSH. The ohghals of Exhibit 4 are
- retained in the files of -oronado,
CA.
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STATUS: This is a Final Referred Report prepared IAW ~
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n195-1,
j Para
~ 4-10&) in that the
A & ~CID does not have th primary investigative responsibility and NCI has accepted referral
,
of this investigation.
9
9-
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RePo; Prepared ~~f
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Report Approved by:
DISTRIBUTION:
1 - Director. USACRC
---1 - NCIS ~;kid Office Middle East, PSC 451, FPO AE 09834-2800 (originals)
1 - THRU: Commander, 2zndMP BN (CID) (FWD), Baghdad, !ri)q ,
THRU: Commander, 3d Mp Group (CID), Ft Gillem, GA
TO: HQUSACIDC, ATIN: CIOP-COP, 6010 61hStreet, F g Belvoir, VA 2
1 - Director, OAFME AFIP, ~ockvillk,MD 20850
1 - Chief of staff, --mail
only, less exhibits)
I- SJA,
-mail only, less exhibits)
1 - PMO,
(e-mail only, less exhibits)
1 File
-
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. CID Regulation 195-1
05 Apr 04, this office was notified by the Mortuary Affairs
SA k
- Mosul, Iraq, of the death of an Iraqi
recommended to LTC
I-.
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. 1 FEB 77
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DOD-050590
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to
3,
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the time period when'hh
her related neither he
e Waiver Certificate
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detainee holding area located ilqth
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SASIGNATURE
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12 May 2004
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. . . . . . . . .
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1 FEB 77
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AGENT'S INVESTIGATION REPORT
CID Regulation 195-1
.
kOI NUMBER
0046-04-CLD389-80649
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PAGE 4 OF 6 PAGES
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appr$&nately eight feet by six feet. To the east of the fne pit was d sheet of plywood where
ad been laying when he went into cardiac arrest. Another sheet of plywood lay at the south wall of the area.
CONDITIONS OF THE
around the vicinity. According t
uilt.
I)
NVRONMENTAL
area was well kept and there was no debris anywhere in or
el, the d e a was a temporary site until a hard structure could be
CO~ITIO&S. The weather was s
q with a temperature of approx&dtely 8O degrees
Scene Documentation: S
I
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1 FEB 77
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DOD-050593
times caused by a blood clot. Accord
uld cause a blood
d then backs up to the heart and
a woman an
bout 2300,lO May 04, SA
1 FEB 77
n the preliminary autopsy results.
Operations Officer
Referred to:
FREEDOM OF INFORMATION/
PRIVACY ACT OFFICE
ATTENTION: MCFP
2050 WORTHROAD, SUITE 13
FORT SAM HOUSTON, TEXAS
78234-6013
,
MR. JOHN PETERSON
[email protected]
(2 10) 22 1-7826
025044
0046-04-CID38B89649
PHOTOGWAPHIC PACKET
t%f~~bk'
DESC~PTIONOF PHOTOGRAPHS
MJMBER
Photograph depicting full view of
1.
2.
,
k
.
Photograph depicting upper body view.
4.
Photograph depicting lower body view.
Photograph depicting feet and anldes.
6.
Photograph depicting calves and feet.
7. -
Photograph depicting left knee.
.
.
Photograph depicting identifying view of ~r-
3.
8.
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-wt..
Photograph depicting close-up o f left knee.
Photograph depicting right knee.
9.
10.
Photograph depicting close-up of right knee.
11.
Photograph depicting l e f t elbow.
12.
Photograph depicting arms and bound hands.
13.
f Photograph depictind &lose-upof bound hands.
-8
15.
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3
Photograph dep' ting leg Gde of forehead.
14.
s
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Photograph de&cting lefk side of forehead with scale.
Photograph depictingnose and eyes wifhscale.
. -
17.
Photograph depicting chin.
18.
Photograph depictirig chin with scale.
19.
Photograph depicting back upper view of body.
USE ONLY
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0046-04-6~-89~~649'
PHOTOGRAPHIC PACKET
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21.
Photograph depicting right elbow.
22.
Photograph depicting right elbow with scale.
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23.
Photograph depicting side view of bound hands.
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English ~rahslation:
Withheld due to:
Foreign Language
depicting Americans
,dPhotos depicting foreign nationals
Civilian Agency Records
AudioNideo depicting foreign
nationals and Americans
Referred to:
DEPARMENT OF THE NAVY
CHIEF OF NAVAL OPERATIONS
2000 NAVY PENTAGON
WASHINGTON, DC 20350-2000
MS. DORIS LAMA
[email protected]
(202) 685-6544/5/6
RIG\JARNING
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PROCEDURENAIVER CER1,ATE
For use of this form. see AR 190-3(1; the p r o p e n t agency is ODCSOPS
DATA REQUIRED BY THE PRIVACY ACT
AUTHORITY:
7
dshe is wrth the Unlted States
//r/YF-/&
47pd
and wanted lo quesllon me about the following offense@)of which I am
me thal Ihave the lollowing righW
during, and after questioning and l o have a lawyer present with me
e Government or a military lawyer detailed for me at no expense 10 me,
or bolh.
-
-
or
(For civilians not subiect lo the UCMJ) Ihave Lhe right lo lalk privately to a lawyer before, durino, and after questioning and to have ajawyer present with me
ring ques!ioning. I understand lhal this lawyer can be one that Iarrange for at my own expense. or if 1 cannot afford a lawyer and want one, a lawyer will be
C
ppointed for me before any questioning begins
-- -- -
---
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.- --
am now willing lo discuss the offense(s) under invesllpation, with Or without a lawyer present, 1have a right ta stop answering questions et any time, or speak
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privately with a lawyer belore answering further. even 11Isign rhe waiver below.
, COMMENTS (Conlrnue on reverse srde)
--
iection 6.
Waiver
understand my rights as stated above I am now wlfing to dtscuss the offense(s)under invesligatlon and make a statement wilhout talktng to a lawyer tirst and
tlthout having a lawyer presenl with me.
.
I da not want tp-give up my nghts:
Iwant a lawyer.
.
SIGNATURE OF Ih'TERVIEWEE
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Ido not want to be question@ or say a&hlng.
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pRIUUPA1PURPOSE:
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INITIALS OF PERSON MAKING STATEMENT:
PAGE
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SWORN STATEMEN
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For use of this formsee AR 190.45; the proponent aqency is DOCSOPS
UTHORITY: '
RINCIPALPURPOSE
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PRIVACY ACT STATEMENT
c
fSUe 10 USC Section 3Dl; fitle 5 USC Section 2951; E.O. 9387 dated November 22 1943 {SSM.
To provide commanders and law enforcement officials with means by which informalion may be accurately identified.
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INITIALS OF PERSON MAKING STATEMENT:
PAGE
2
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9. STATEMENT Continuedl
WHICH BEGINS ON PAGE 1, AND ENDS ON PAGE
Subscribed and sworn to befor9 p,a person a u t h o ~ e dby l a w to
WITNESSES:
.
.
. . .
ORGANIZATION OR ADDRESS
.
:
...
ORGANIZATION OR ADDRESS
INITIALS OF PERSON MAKING STATEMENT
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PAGE
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PAGES
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SVj@@4STATEMENT
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For use of this form,see AR 190-45;the proponent agency is ODCSOPS
PRIYACY ACT STATEMENT.
AUTHORITY:
PRINCIPAL PURPOSE ,
.
ROUTINE USES:
Title 10 USC Section 301;Tie$ USC Section 2951; E.Q. 8397dated Novembw 22,1943 ISSM.
To prouidic~mmanders and law enforcementofficials with mans by which information may be accuratdy identiiied.
Your spcial security numberis used as an sdditionalfaltemskmeans of identificationto faciitata tiling and retrieval.
10. EXHIBIT
GES.
ADDITIONAL PAGES MUSTCONTAIN THEHEHEADING TTAZWGVOF
THE BOTTOM OFEACHADDlTIDNAL PAGE MUST BEAR THEINi?i'AL$ OF THEPERSON MAKING LYE STATEMDM, AND PAGENmBERMUSTBE BE INDICATED.
FOR OFFICIAL USE ONLY
DA FORM 2823, DEC 1998
DA FORM 2823.JUL 72, IS OBSOLETE
INITIALS OF PERSON MAKING STATEMENT:
7
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TAKEN AT UOS*C
{TATEMENTOF
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T E Od?
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!byl
1. STATEMENT
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BY ME. M
E STkTEMENT IS TRUE I HAVE INmALEO ALL
STATEMENT FREELY WITHOUT HOPE OF BENEFKOR REWARD, WITHOUTTHREATOF PUNISHMENT,
ORGANIZATION OR AODRESS
R UNLAWFUL INDUCEMENT.
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SWORN STATEMENT
Fmuse of this form, see AR 19045 the proponent agency is ODCSOPS
PRIVACY ACT STAEMEUT
\UTHORITY.
yRINCIPALPURPOSE:
7
',
Title 10 USC Section 301;Tile 5 USC Section 2951; E.O. 9397 dated November 22,1943 (SSNI.
To provide commandersand law wfmement officials with means by which informationmay be accurately identified.
THEBOlTOMOF EACHADDmONAL PAGEMUSTBEAR TMIhTlALS OF THEPERSONMAKING THESTATEMWCAND PAGE NUMBER MUSTBEBEINDICATED.
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USE THIS PAGE IF NEEDED.
AGE IS NOT NEEDED, PLEASE PROCEED TUhrdAL PAGE OF THIS FORM.
ORRECTlONS AND HAVE INITIALED
IS STATEMENT FREELYWITHOUT HOPE OF BENEFIT OR
D WlTHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUCEMENT.
WITNESSES;
,
OF EACH PAGE CONTAININGM E
,WITHOUT THREAT OF PUNISHMENT,
.
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R I B H T ~ ~ ~ N I PROCEDURWA~VER
NG
CERT:>TE
.,.
For use ol this torm, see AR 190-30. the proponent agency is DDCSOPS
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DATA
REQUIRED BY THE PRIVACY A C T
AUTHORIW: i
~1tl$10, United Stales Code, Section 3012(g)
PRINCIPAL PURPOSE:
To provide commanders and law enforcement officials with means by which rnlorrnal~onmay be accurately identified.
ate Cling and retrieval.
-
PART 1 RtGHTS WAIVEWEION-WAIVER CERTIFICATE
Section A.
Rights
The invesigator whose name appears below told me that he/&
)/U/J/J~
suspecledlacwsed:
is with the Un~tedSlales Army
c P / h / &46
zr/ v z X 7 / 4 4 f l 9 d
and wanted to question me aboul the iollowing oflense(s) of which Iam
h~x422
a lawyer present w~th
for me at no expense to me,
7s>)'h~~ivilians not subject to Ihe UCMJ} I have the rlght to talk privately to a lawyer before, during. and after questioning and lo have a lawyer present wlth me
during questioning Iunderstand that this lawyer can be one that I arrange for at my own expense, or ~f I cannot afford a lawyer and want one, a lawyer will ba
appointed for me before any quesl~oningbegins
111 am now willing l o disc-
the o f l e n s e l under investigation. wrlh or ythoul a l a w s present, Ihave a r1g1lo sfop answering questions a any time, or speak
. privalely with a lawyer before answering further, even IIIsign the waiver below.
I.
COMMENTS (Continue on reverse s~de)
iection B.
P
Waiver
understand my right& slated above. I am now willln~to discuss the otfense(s1under invesllgabon and make a stalernent wlthoul talking to a lawyer tirst and
vithoul having a lawyer present w~thme
-
WITNESSES (If available)
a.
NAME Vype or Print)
I.
ORGANlZATlON OR ADDRESS AND PHONE
a
NAME rype or Prinl)
I.
ORGANKATION OR ADDRESS AND PHONE
s
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6.
ORGANIZATION OF INV~STlGATbR
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i e c t i o b C.
1.
Non-waiver
I do pol want to give up my nghls
Iwant a lawyer.
!.
.+*.
Ido not want lo be qrlestloned or say anylhing.
SIGNATURE OF INIERVIEWEE
D A FORM 3881, NOV 89
ED~ON
OF NOV 84 IS OBSOLETE
,: SA
either of the detainees during
1
rour watch?
,: No.
!: Do you
have any knowledge of anyone abusing the detainees?
L: NO.
!: Did you murder the detainee?
i:
No.
): DO you have anything you would like to add to this statement?
L: NO.///End of statement///
EXHIBIT
INITIALS OF PERSON MAKING STATEMENT
-.-
PAGE
I
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,
,
ADDITIONAL PAGES MUST CONTAIN PHE HEADING "STATEMENT OF -TAKEN AT -DATED CONTINUED." THE BOTTOM OF EACH
ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT AND BE INITIALED AS "PAGE-OF
PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK 06 PAGE 1 WILL BE LINED OUT, AND THE STATEMENT WILL BE
CONCLUDED ON THE REVERSE OF ANOTHER COPY OF THIS FORM.
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STATEMENT OF
STATEMENT (Continued)
. ~. 4 6
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DATED
7 # NUMBER:
? d VCONTINUED:,
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LY WITHOUT HOPE
IITNESSES:
RGANIZATIONOR ADDRESS
ORGANIZATION OR ADDRESS
2
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INITIALS OF PERSON MAKING STATEMENT
(Authority To Administer Oaths)
8
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SWORN STATEMENT
initial equipment problems with the bag-valve-mask (apparatus used to deliver air and oxygen to
the patient) requiring that this equipment plus the defibrillator be obtained from the Aid Station
which resulted in a brief delay in advanced CPR and ACLS treatment.
Treatment team consisting of 18D
an-(b)bMZ
orpsmen involved in initial treatment on scene and continued throughout
67' CSH. ~
r
a pronounced
s dead at 0250.
of causing cardiac arrest.
A: No.
.
Q: Have you had direct knowledge of any detainees being physically abused while in custod~~at
the SOF compound?
A: No.
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,
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INITIAL
a
L,L~li;'&
OFFICIAL USE ONLY
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Page 1 of 2
EXHlBITL
CID389-806
capability
OR HAW HAD READ TO ME THIS STATEMENT W C H BEGINS
I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE
INITIALEDATL CORRECTIONSAND
THE STATEMENT. I HAVE MADE THIS
,WITHOUT .THREAT OF
WI"lXOUT COERCION,UNLAWFUL INFLUENCE,OR UNLAWFUL INDUCEMENT.
'
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aw to administer oaths, this 8&day of April 2004 at
INITIAL
(,S'lpe
L
Page 2 of 2
FOR OFFICIAL USE ONLY
EXHn3ITX.
Interrogation
Room
lage Netting
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PHOTOGRAPPIPTC PACKET-
,
DESCRIPTION OF PHOTOGRAPHS
NUMBER
Photograph depicting fire pit and bench inside detainee facility.
1.
2.
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Photograph depicting fire pit and plywood sheet.
3.
Photograph depicting left side of fire pit.
4.
Photograph depicting right side of detainee cubicles.
Photograph depicting Ieft side of detainee cubicles.
- ..
Photograph depicting entrance to facility.
1
Photograph depicting fire pit and sitting area.
Photograph depicting left side of sitting area.
Photograph depicting left side of interrogation mop.
9.
10.
T'
11.
.
~hoto&a~h
depicting center of interrogation room.
Photograph depicting right side of interrogation room.
FOR OFFICIAL
EXHIBIT 12
~ ~ ~ 0 0 0 5
FOR OF
IAL USE ONLY
FOR OFFICIAL USE ONLY
2
Referred to:
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'U.S. ARMY MEDICAL ,COMMAND
FREEDOM OF INFO~MATIONI'
PRIVACY ACT OFFICE
ATTENTION: MCFP
2050 WORTH ROAD, SUITE
FORT SAM HOUSTON, TEXAS
MR. JOHN PETERSON
.
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DATE:,
FROM:
TO:
UNCLASSIFIED-FOR OFFICIAL USE ONLY ' .
07 APR 04
,
75m MP DET C D (-), MOSUL, IRAQ
DIR, U~ACRC,FORT BELVOIR, VA 22060
CDR, A T W CIOP-ZA, USACIDC, FORT BELVOIR, VA 22060
CDR, 75* h4P DET C D (FWD), BALAD,lRAQ
CDR, 22NDMP BN, (CID)(FWD), BAGHDAD, IRAQ
CDR, 3RDm GRP (cD), 'FORT GILLEM, GA
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P M O , ~
SJA,
CHIEF OF
STAFF^
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AFP, A m . OAFME, R O C K P L E , MD
SAC, NCIs BAHRATN
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SUBJECT: CID REPORT OF INVESTIGATION - INITIALdSSIIJOm - 0046-04-CD38980649-5H9B
DRAFTER:
1. DATES/TIMES/LOCATIONS OF OCCURRENCES:
MX3SIEyIRAQ
2. DATE/TIME REPORTED: 5 APRIL 2004,1700
4. SUBJECT: 1. NONE. W E T E R M I N E D DEATH]
5. w c m : &)1.Ek&&$b;
[UNDETERMINED DEATJXJ
IRAQI; XZ;QWIFI)
SLlMhURY: THE INFORMATION JN THIS REPORT IS BASED
6. WSTIGATWE
UPON AN ALLEGATION OR PRELIMINARY INVESTIGATION AND MAY CHANGE
PRIOR TO THE COMPLETION OF THE INVESTIGATION.
"THIS IS AN OPERATION IRAQI FREEDOM INVESTIGATION"
THIS OFFICE WAS NOTFED BY MORTUARY AFFAIRS, MOSUL, THAT THE
REMAINS OF AN JRAQI DETAINEE HAD BEEN DELIVERED BY 67* COMBAT
SUPPORT HOSPITAL (GH) PERSONNEL.
.
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SUBSEQUENTLY RECEIVED EMERG
'
ABOUT 0250,'5 h~04, MR
IRAQ BY A FORENSIC PATHOLOGIST OF THE OFFICE OF TIIE ARMED FORCES
MEDICAL EXAMINER (OAFME).
THE CTD CASUALTY LIAISON OFFICER (CLO) IS SA
D W T 302-581-3100.
AGENCY.
j
7. CID REPOR& ARE EXEMPT FROM AUTOMATIC T E ~ ~ A T I O
OFN PROTECT^
MARKINGS IN ACCORDANCE WITH CHAPTER 3, AR 25-55.
UNCLASSIFIED-FOR OFFICIAL USE ONLY
2
AGENT ACTIVITY S
--
or official ~ i Only
e
Y
- -. -
--
W
(ClD R E G U T I O N 195-1)
CONT~OL
WBER
0046-04-CID389-8Oa9
d
1
Time, Date and Agent
Summary of Invatigative Activity
Notified by Mortuary Affairs of the death of an
. (See
ml)
'
Examination o f remains and receipt of death certificate. (See AIR)
Interview of S
P-
h
'
Cwrdhafion with L
T JAG. (See AIR)~
Coordination with L
Interview of ~
~
I
o
r
p
s
I&rvi=w ~ ~ ~ l - o ~ s r n a n .
m (See
a Sworn
n
Statement)
(See Sworn Statement)
Jnterview of ~ ~ ~ - 0 r p s r n a n
(See Swom Statement)
1 .
16 1 5,07 Apr 04
Interview of HM2 e
Statement)
-s
I9OO,O7 A r 04
e Waiver Certificate and
Sworn
Coordination with LCD
AW
-s
-t
Interview of GM1
Statement)
2 100,07 Apr 04
Coordination with SA-IS.
(see AIR)
-s
L53(GV\
Interview of LT(
rl
TIME:
,
:
TVL:
s
(5(7Wl
e Sworn statement)
e
I*
:
ADM:
:
For Official Use Only
PAGE:
./
I
-
For dffidal%Jse
AGENT ACTMTY SUMMARY
,-
,
Time, Date and Agent
1
COiWROL NUMBER
* .
~ ~ c u u n IPS-I)
oN
3
0046-04-ClD389-80649
- .
Summary oflnvestigative Activity
Interview of 'G
TS
To SAC. .
---
-d
~ e d i c(See
.
AIR)
B
1. Polish guards in Baghdad for ten days, will
2. Working on Wfi to NCIS.to conduct interviews o
.-4
,
members.
3. Pending
d receipt of report.
I
pe&
A
E x a,
;i<r,
For Official Use Only
c-taicd U kL
CID FORM 28
I OCT 80
2-
For Official Use Only
'.-
AGENT ACTIVITY SUMMARY
((XI
~i~i;r~/-4
/ION 1
COh'TROL NUMBER
5I,
Time, Date and Agent-
0046-04-CID389-80649
I
i%nmar). of )nvestigstive ~ c l i v i t ~
C b M C
. 5+X
i
,
-
r
4
0,z:LfA
C4.
#.
ClD FORM 28-E
TIME:
:
NL:
:
ADM:
:
For Official Use Only
4
PAGE:
I
r
-
For Official Use Only
AGENT ACTIVITY SUMMARY
ICID REGULIIlOh'I 9S-I)
Time, Date and Agent
(
Simmarj. oflnvestigative Activity
Interview of SFT
-CONTROL NUMBER
0046-04-CID389-80649
2
I
62
SFON CT'V
h
TELWONE I
PLACE OF
5
i
ns -
INTERVIW
START
VEHICLE DATA
C O N W C T NUMBER
9
OFFENSE
m WFENSECON
--
72 OFFENSE C30f
71 0%
5
1
-. -
-
~KEFLX
END
PLPCE OF 1hvW.W
END
DISRSITION
-
-.
FINGfSRINT
.-_
L-
,
- - --
COflfWblTION DATA
7E f f i W M ) N MMC
78
I
COW CI'Y
79 CORP ST
--
-
t. I
.
4
25
.-
,
-.-----.-
ADMINfSTRATIYE UATA
END
77 CORP ADORESS
82
'
TIME W E P V
12
-.
65 SmN ZIPCOWAPJ
1
DATE IhTRV
1 75 FEC SEAVImOD 1
74 COUTRnCTOR NUMBER
I
69 UK
1
CTY
2
' 68 WENS CMX
67 UK;
5
64
2
18
66 OFFENSE CODE
k
2
5XN fl
18
2,
@J MQ?
<-:
7
,--;?-;.
:.--
- .: .
.
UNITED STATES ARMY GRlMhAL INVESTICA~~IO~
COMMAND
6bf0 6thSTREET
FORT BELVOIR, VIRGINIA 22660
28 March 2005
?
MEMORANDUM FOR Director, Crime Records Center, Fort Belvoir,
United States Army criminal !tnvestigation
i
>:.? ,
Command, Fort Belvoir, VA 22060
SUBJECT:
Transmittal of Information
-
1. ~ h kattached Final Autopsy Report- and CD .containing Autopsy
PhotograpQs are forwarded for enclosure into case file 0046-04~ 1 ~ 3 8 9 - 8 6 6 4 9 - 5 ~ 9This
~ . was a Final Referred to NCIS who-had
already made arrangements to obtain a copy for their case file.
This is for documentation purposes only.
'
Point of contact this memorandum is SA
2 end
as
CW2, MP
Special Agent
PRINTED ON
@"
RECYCLED PAPER
Referred to:
DEPARMENT OF THE NAVY
CHIEF OF NAVAL OPERATIONS
ROOM DN536
2000 NAVY PENTAGON
WASHINGTON, DC 20350-2000
'
MS. DONS LAMA
CIDOOI CRC(sc)
'
From:
<
046-04-CID389-4.pdf>>
<-
-
itive information. Do
not disseminate, which includes forwarding the .contents of this message,
without the approval of the sender. 1f you are not the intended addressee,
or the person responsible for delivering it'to the intended addressee, you
may not copy or deliver it to anyone else or use it in any unauthorized
manner. To do so is prohibited and may be unlawful. If you receive this
e-mail by mistake, advise the sender immediately by using the reply facility
in your e-mail 'software.
,
+.
Referred to:
DEPARMENT OF THE NAVY
CHIEF OF NAVAL OPERATIONS
ROOM DN536
2000 NAVY PENTAGON
WASHINGTON, DC 20350-2000
MS. DORIS LAMA
[email protected]
(202) 685-65441516
'
Referred to:
U.S. CENTRAL COMMAND
7 115 SOUTH BOUNDARY BLVD
ATTN: CCJ6-DM
MACDILL AIR FORCE BASE
FLORIDA 33621-5101
Master Sergeant Pamela Andrews
Referred to:
1
DEPARMENT OF THE NAVY
CHIEF OF NAVAL OPERATIONS
ROOM DN536
2000 NAVY PENTAGON
WASHINGTON, DC 20350-2000
MS. D,ORISLAMA