jeclo£ pre · da form 2823, jul 72 supersedes da form 2823, 1 jan 68, which will be used. usappc...

13
FILE NUMBER GRADE/STATUS .,E'- WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH: £ /!J!6HiOFYI}/V 2"'11-/1 OF dOOG)1 Sfc-, AN() PFC LtJsrcE.- Fd!2c£ D T;) .A-t\J, r I<j}~ 1.- 01 V LJA I\J K (CLf) For<.- .It /tNtJ 7; /V) £ R-OnD Hts $G I TH ~ ·T!2.A/fLSL/f/ {)~To NHTlc:>/VA-L /JEClo£ I Pre S IH~ vf-H/C-~f~ 1VI£r;;/r P/fo /'J& g ()R- II-dE', f'~c wfJs 1(\1 JHS GUtJN{rG_s Po.S]-) EXHIBIT G INITIALS OF P G STATEMENT Lt' -- PAGE 1 OF PAGES ADDITIONAL PAGES MUST CONTAIN THE HEADING "STA TEMEN AKEN A T __ DA TED __ CONTINUED." THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STA TEMENT AND BE INITIALED AS "PAGE __ OF __ PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK OF PAGE 1 WILL BE LINED OUT, AND THE STA TEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS FORM. DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 (b)(3)(b)(6) (b)(3)(b)(6) (b)(3)(b)(6) (b)(3)(b)(6) (b)(3)(b)(6) (b)(3)(b)(6) (b)(2)High (b)(3)(b)(6) (b)(3)(b)(6) (b)(3)(b)(6) (b)(6) (b)(2)High

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Page 1: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

FILE NUMBER

GRADE/STATUS

.,E'-

WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:

£ /!J!6HiOFYI}/V 2"'11-/1 OF dOOG)1 Sfc-,

AN() PFC LtJsrcE.- Fd!2c£ D T;)

C/lJGIt-6t .A-t\J, rI<j}~ 1.- 01V fL LJA I\J 0£ K (CLf) For<.-

.It

/tNtJ7;/V) £R-OnD

Hts $G I

TH ~ ·T!2.A/fLSL/f/{)~To

NHTlc:>/VA-L /JEClo£I

Pre S

IH~ vf-H/C-~f~

1VI£r;;/r P/fo /'J&

g ()R- II-dE', f'~c wfJs 1(\1 JHS

GUtJN{rG_s Po.S]-) JO/'J AI

EXHIBIT G INITIALS OF P G STATEMENT Lt'-- PAGE 1 OF PAGES

ADDITIONAL PAGES MUST CONTAIN THE HEADING "STA TEMEN AKEN A T __ DA TED __ CONTINUED."THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STA TEMENT AND BE INITIALED

AS "PAGE __ OF__ PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK OF PAGE 1 WILL BE LINED OUT, AND THESTA TEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS FORM.

DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00CENTCOM 004906

(b)(3)(b)(6) (b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)(b)(3)(b)(6)

(b)(3)(b)(6)(b)(2)High

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(6)

(b)(2)High

Page 2: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

USAPPC V2.00

PAGE 2 OF 4 PAGES

lJ£H/CL£ K£- I

fTfsouT h£-,0LA-;.JC~{j Ov0Q TD

TH£'wITS

ION OR ADDRESS

S OF PERSON MAKING STATEMENT

WITNESSES:

ORGANIZATION OR ADDRESS

STATEMENT (Continued) YUL 4TS",OP) TH£ U£rIICL£

/+T "1H IS :TJ.M £- ~J Ht;J r~Ei WHA-T vJA-S -HA-P~JJ"ltJG FF-(J/~ ./Yly 6()/'J1V~t25

,e'- V O;v ft-~db WHICH WPr-SPOINJ£CJ ~T

A (tN0L-L FR-tJrl1 ft~Jf), ItF1?l2_ \/£/!2JSni- kJltf?AJw

"'HfviH -Ob£t-SS;/J0JPFL

etJi/JTW ItT TH£ i/f/H/u~ /t/'JO

Y&/-LPf) '-/JVt;FU~ (lfj~I+NJN6 HA-LT of- STOflN itf/tf3JL,

/Hi- U{;H/C~Z- S'T/L-L- C/frVJ<& TOu)Jf(2£J5 HIS I l.:r GLA-NGL-£() Y&j A-6/f-/N IIJI-{V.J H£ FI/?CO IT bJl+&JJ,

'gHOT IN r/Z-;?f\/i 6F Tff£ lJ£-H GI20UN4.TH/tl o/Dvr WOre ~ ~O PFG-- S;'i7t1Zl~~ £ TlI2~C',":r; IH&/l/ IUfCN£D WiTH YUUb .5 'T'Of ) fo llvg(J /)1} Y w&lfPo./IJ

AFFIDAVIT

. HAVE READ OR HAVE HAD READ TO ME THIS STATEMEN ~BEGI ON PAGE 1 AND ENDS ON PAGE_. I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STAT NTBY ME THE STA ENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS AND HAVE INITIALED THE BOTTOM OF H PAGECONTAINING THE STA NT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR ARD, WITHOUTTHREAT OF PUNISHMENT, A ITHOUT COERCION, UNLAWFUL INFLUENCE, OR UNLAWFUL INDUC NT.

CENTCOM 004907

(b)(2)High

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

Page 3: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

LO~ION

jOI?:, (}j'J }()/LJ J:IC"

FILE NUMBER

GRADE/ST ATUS

£-1.."

,WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:

(AJ/\IT1NU~D Ff<of'r) PG, bl ~ ffNV Pf}-{)5f4) roR- It- SZCLoIJO

WfT~ /7LL Hf'rPPf~JI/\J6 1>1y -r c, SSG '

w,Pr$ 1)DwI'J TH£ ~'~'S£I In-LI<JNC:. (;J),H

5D 5Hoi A-TTH£, L~P:-T p::'Lt?;J'; T7tCg~.

I $Ho-r r:..Oo/'JD.s. THA-r &U~ WUL /}-/A'?C;{]t \;J rll L 'i.

u 1Trl jY)JI ~. ffC-

SHOi HIs 1COUAJD5 AAJo STOPp£D lA.JHUJmE..

V£-H ICu.- C/1-Ih£ TI);r HI'rLT; ALL OF TH£.­

eOVf'Jf)~ 'THA-T IA.J££.£ FJ~J) fA.J£re£ /J-T rtf-€­

~A-fr)£, 'Jl/V UJPrS;JT 5U~S f?VJ L d3£L1w:Ht F J £-t~jJ . :C fC./V 0i/J W' W fJ2-t-- IAi ITEXHIBIT.-- INITIALS OF P STATEMENT 3 I J. PAGE~OF ~ PAGES

ADDITIONAL PAGES MUST CONTAIN THE HEADING "STA TEME EN A T_ DA TED_ CONTINUED. "THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STA TEMENT AND BE INITIALEDAS "PAGE _ OF_ PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK OF PAGE 1 WILL BE LINED OUT, AND THESTATEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COPY OF THIS FORM.

DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823. 1 JAN 68. WHICH WILL BE USED. USAPPC V2,OOCENTCOM 004908

(b)(3)(b)(6) (b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(2)High, (b)(3)(b)(6)

(b)(2)High

(b)(2)High

(b)(3)(b)(6)

(b)(2)High

Page 4: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

STATEMENT (Continued)

lt0 iTH

JV Dbf~(!fJ£N-rJ

us 1;00

oue

e[.LJ~\JW To F(2DT[.G(4':

C-(CW.s, A;

~',

-r/.lt

4> ~

f0 :

~~

Ii:

Q;

.C!: ~V~ -moue It rJJ~ VC;:i{/ c...t.£ V..()5 JVo '/ '</~r'J~D IOiY7£crL.y /.J r LI'C->U/ IOr'O yoU &~

L-It?' AK.-O 17J? Lt\.N.'5 ,,(lVJ,LJU,lVO'--/c>v wG:,.,'/ /l/oJ K><Jwc.r::-/??

/4: L/"'s r OlD, r {/l7fiO ~Lf 1()/S,..{JCUJ/uC: SI<ID"'" ~c.AI./S,t:- I r0'L:r OU//L 6uc<.:s tAJ</Uf! M./ Q.,()ifV(£Y1_ FJ1r;V'/ AI l/tS) ED,

AFFIDAVIT

I, '/r & ,HAVE READ OR HAVE HAD READ TO ME THIS STATEMENTWHICH BEGINS ON PAGE 1 AND ENDS ON PAGE __ . I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADEBY ME. THE STATEMENT is TRUE. I HAVE iNITIALED All CORRECTIONS AND HAVE INITIALED THE BOTTOM OF EACH PAGECONTAINING THE STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHOUT HOPE OF BENEFIT OR REWARD, WITHOUT

THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL iNF

WITNESSES:

ORGANIZATION OR ADDRESS

ORGANIZATION OR ADDRESS

Subscribed and sworn to before me, a person authorized by law to

administer oaths, this '3011-1 day of ~-t.-U .•<VL'1 , ~kbat

PAGE 4 OF L/ PAGES

USAPPC V2.00

CENTCOM 004909

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(2)High

(b)(2)High

(b)(2)High, (b)(3)(b)(6)

(b)(2)High

Page 5: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

, WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:

I,

SWORN STATEMENTFor use of this form, see AR 190-45; the proponent agency is ODCSOPS

DATE ., ( TIME:: - 'N ) 1'=t-3'')SOCIAL SE URITY NUMBER

NJA

FILE NUMBER

GRADE/STATUS

\~ TC(>r12e~---e

Q: WtYv4 -r /Q1iC) v/oU SA'-1 CJvU IZI/? L-DUO $p~fikEa~ 1:; ?;i_Iv}

At/!.,/o t1/j47<-~ ill? OIC/i/C:f"L· p;:-' 77vcC LAf1- Src:JyO J\

A \ " < ;1 II Vi " ) -roP - Tt..J/(~- BE h,) \€L~ 17·\ C[ S-,-f'\ k'/"' S' r-rooT7 N~) .

HE (AN '5 ,-,i-.P!~~ISfrJ(.", TCI US prZo.ft..-'\ -11-/E (2< G,.,tlT of {Heed ~ D jvJ\ Yr;E, k1J0 AY

/

N .)-;+( (~ ~h~U.'\I " ., "'::::.~ Ck_LU<...A_,) ->

/.--/

,--,'tuLL-OG~~

EXHIBIT i, PAGE 1 OF ~ PAGES

ADDITIONAL PAGES MUST CONTAIN THE HEADING "S A T __ DA TED __ CONTINUED,"THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS OF THE PERSON MAKING THE STATEMENT AND BE INITIALEDAS "PAGE __ OF __ PAGES." WHEN ADDITIONAL PAGES ARE UTILIZED, THE BACK OF PAGE 1 WILL BE LINED OUT, AND THESTA TEMENT WILL BE CONCLUDED ON THE REVERSE SIDE OF ANOTHER COpy OF THIS FORM

DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED, USAPPC V2.00CENTCOM 004910

(b)(6)

(b)(6)

(b)(2)High

(b)(6)

(b)(6)

(b)(6)

(b)(6)

(b)(6)(b)(3)(b)(6)

Page 6: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

STATEMENT (Continued)•......

f'~ ~::-,--}-I ( ~ ~

AFFIDAVIT

I, , HAVE READ OR HAVE HAD READ TO ME THIS STATEMENTWHICH BEGINS ON PAGE 1 AND ENDS 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 FREELY WITHOUT OUT

THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE, OR (

WITNESSES:

ORGANIZATION OR ADDRESS

ORGANIZATION OR ADDRESS

Subscribed and sworn to before me, a person authorized by law to

administer oaths, this ~ day of !~ A-g)60at

ring Oath)

(Typed Name of Person Administering Oath)

Fxc:.(.- on uC () FF( ( FI?(Authority To Administer Oaths)

INITIALS OF PERSON MAKING STATEMENT

I PAGE 2. OF -L PAGES

USAPPC V200

CENTCOM 004911

(b)(6)

(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

Page 7: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

Cordon of PVBIED Area,approx. 291700JAN06

Exhi

bit G

(Sto

rybo

ard

Pres

enta

tion)

(b)(2)High

(b)(2)High

Page 8: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

Exhibit G (Storyboard Presentation)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(2)High, (b)(3)(b)(6)

(b)(2)High

(b)(2)High

Page 9: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

291700-291830JAN06

Exhibit G (Storyboard Presentation)

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

Page 10: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

1. At approximately 291835JAN06, a civilian vehicle approached the southern co the car approached the road junction ju , AW8 started to use warning warn the vehicle and prevent it from traveling any further west.

2. As the vehicle reached the road junction and headlights and spotlight and their interpreter began to yell over the loud speaker system, “STOP” and“TURN AROUND” in Arabic. The ve

Exhibit G (Storyboard Presentation)

CENTCOM 004915

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

Page 11: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

3. The car swerved around the northern side of the makeshift obstacle and continued to travel west.AW8 furiously flashed their headlights and began waving their portabl gunner on AW8, and the interpreter were both yelling “STOP” in Arabic but the vehicle still moved westtoward their position.

4. The car ran over the traffic cone barrier, headed straight for AW8s position. of the approaching vehicle.The round sparked when it hit the road and ricocheted away from straight for AW8.

Exhibit G (Storyboard Presentation)

(b)(3)(b)(6)

(b)(2)High

(b)(3)(b)(6)(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High (b)(2)H

igh

Page 12: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

5. According to more than one sworn statement, after the car broke through the traffic cone barrier and speed up. With the AW8 driver still flashing the headlights and theinterpreter yelling for the ve to the right fronttire and engine compartment. At front tire

Exhibit G (Storyboard Presentation)

CENTCOM 004917

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

Page 13: JEClo£ Pre · DA FORM 2823, JUL 72 SUPERSEDES DA FORM 2823, 1 JAN 68, WHICH WILL BE USED. USAPPC V2.00 CENTCOM 004906 ... (CW.s, A; ~',-r/.lt ... IPs were notified to transport

medic forward to assist the occupant in the front passenger seat. The medic assessed the occupant andpronounced him dead on the scene. The body was removed from the vehicle, placed in a body bag, and IPs were notified to transport the body away from the scene. Both soldiers that fired at the civilian car felt that their lives and the lives of the soldiers and people around t

re directed at the engine compartment, but thecivilian vehicle was moving too f windshield. The carswerved to the right and came to a stop AW8s position. The driver excitedthe car and was told to put his hands up. The driver had received a grazing head wound and was treated on sight by an A/8-10 CAV medic. Upon hearing weapons cordon point to assess the e vehicle and called the

Exhibit G (Storyboard Presentation)

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(2)High

(b)(3)(b)(6)

(b)(3)(b)(6)

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High

(b)(2)High(b)(2)H

igh

(b)(2)High