JTF/JDOG - · o acknowledgement of receipt of (umpan and elections (2" rnd i caq 1300 2/ at ehr3o4 o date memo= m served punishment: .7/ nee ple o transfer punishment(s) onto mth

C . RECORD OF PROCEEDINOB WIDER ARTICLE IL, U-IYMJ

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DT

dated 7 Quid.

DOD 13360 ACLU-RDI 1298 p.1

Cestiattatiou Skeet No. 1 DA Form 2627 RECORD OF PROCEEDINGS UNDER ARTICLE 15, UCMJ, 2" JDOG MP Co., USA, Mr-GT1040

rim tis Continued:

Charier Article 12S, Assanit Consanunated By Battery, UCMJ.

Specification: in that you, did, it U.S. Naval S • n ciusns am Guantanamo Bay, Cuba, on or about 7 October 2004, ustlawfidly strike the mouth with your fist.

If you aware to proceed trader Article 15 and pa an fogad Oily of the spedficatIon, tire insaisnaun punisitiasot I may impose ander Article IS proceedinp is:

Reduction to B-4, Forfeiture of SS month's pay for two months, Extra Duty for 4S days, snd Restriction for 45 days.

Pap 1 of I

00033


REQUEST FOR SOLDIER MOVE WITS-LN JTF/JDOG

Date of Request AC Oa 0 4

S Name

Rank: IN

Old Usk: 21102 AR

Old Use Number If oar ITFOTMODOG441)

New Urdu Itilb 'DOG MP CO

New Line amber If Any: ITF01140D0040

Reason Fir Move: For ecenosand and eiantol the pining ontanizstion will be responalle for all administrative mica% to include, but not limited to housing, ounsponstion. drab:issuing leaveopess, lolling:al support Ind the administration of

Justice and/or NJP

at, OCA 04 Date

0 0 0 3 4


SM ARTICLE 15 PROCESSING SHEET - ARMY

RauWNaae IMWStetion: I s14 TD06 Co.

D2

DATE COMPLETED

O PUP REQUEST RECEIVED: /3 Od

• REQUEST A SUPPORTING DOCUMENTATIONCOMPLETZ: "lord of O CHARGES DRAFTED A APPROVED: ad' O NJP LOG ENTRY/ARTICLE IS LOC/BOARD: Oft o THREE COPIES OF PACKET COMPLETE (ORIGINAL TO

UNIT, I- COPY TO SOLDIER, COPY. 70 SJA): /9 ad av a ARTICLE IS PACKET DELIVERED TO UNIT: 1f at oar O ARTICLE IS READING SCHEDULED WITH JA: ad Off O DATE AND TIME OFFERED (1" if Oci ma if( o ACKNOWLEDGEMENT OF RECEIPT OF (umPan

AND ELECTIONS (2" Rnd I CaQ 1300 2/ at ehr3o4 O DATE MEMO= M SERVED PUNISHMENT: .7/ nee Ple O TRANSFER PUNISHMENT(S) ONTO MTh (104 DJ/

o PUNISHMENT IMPOSED: 2( 0, PV

•2 O LEGAL REVIEW; , ad ef O UPDATE RR LOG/ARTICLE IS LOGMOARD: 07/ PV

O APPEAL?

O FORWARDED 7'0 APPELLATE AUTROIWIT:

O APPELLATE AITTRIORIT, ACTION:

O SOLDIER SIGNED ACTION IN ME APPEAL:

o ARTICLE IS CLOSED: 0?.? ap4a9

o COPIES: ORIGINAL TO UNIT uysomutay su (out OR SI oynxiviCE (IN A' a? Avii

0 0 0 3 5


C

* JOINT CIETCTIONTaliTOPUION0 GRCUP GUANTANAMO MY, CUM

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"Honor Bound to Defend Freedom*

00036


Article 15

Supporting Documentation

•

00037


IR 07 October 2004-M01

I . Caossorf.2

2. TM allude= *Ey of a Doane

3. Datarrisaa of lad4o10 1110010ROCID4

4. Lo adaw DOA= *VW► amp DAL OMO Clea

5. OW lamina= (a) Racial (WM: N (b) WINS boolumaat(Y/t) N

6. Parmand knobs*

A. Subject 00 (b) r4 (a) IMP (le Lox Cifikiliarfr •

)

(s) PodlisasCCO 00 Samity Minim bud ' (I) Mit aid Swim of Aasipmsot Is MOO IIT CO, ONO. Cabe W Day Sum Oa Day

• Oa) Par

B. Subigot • 00

(0) (d) (I1) SAasz:a *

(A " ":t (a) PosbiewebeiiiiailleilibillaY3 (b) Swig Closama Siiiii(i (i) Usk sodliarime at Awl:pm= 2" JDOO 1411 CO. OI140. Cuba 0) Dais Row OaDoty

C. Salajact (a) 14+*(14 Ps, (a) SIM (d bac Cimeidas • (4) Sou (0 Ale (s) PasiolitelcOoad (b) 'Saaseity Clamotec Soma (i) Us* aad Swim of Auusanseat e MOO MP CO. 01140. Cuba (i) Duty Dabs Oa Doty

D. Subjact: Na

(b) (a)

00038


I I . Point of Contact =IN, 11306174TMO, DSN 660-3757;

U. Devragagiag logroctoes: N/A

00039


J1F-GTMO-1000-I01

DEPARTMENT OF DEFENSE Itmumumnans. Jour tux Ponca SUANWINANO

(LI. NO/ALI/1AM ettarrANAMD MY. CINA APO At MR

7 October 2004

MEMORANDUM: Military Police investigation: 0029.04-01140

SUBJECT: Article 92 UCMI. Violation ofC.amp Delta SOP and Article 121 Assault of a Detainee

I) Background: On 7 October 2004 contacted the undasiped reference to IR 07 October 2004-M01: Wary to a detainee.

2) Invenigetion: SEE INVESTIGATION REPORT 0029.04-01140

3) Summary: Investigation revealed while • to pin control of the detainees bead anti stop him from repeatedly spitting the detainee was struck la the mouth catning him to bleed Sum a cat on his serine was bested for the injury and received no witches as a result ofbis injury itiRaisted a 2 inch cut to the back of his right hod just above the sent to Kittery JAZ and received no stitches as a result dills injury. NODI NCOIC photographed both the detainee and injuries. Sworn sonanente were obtained for all participants. Chain of Command was notified as to the finding Mated to this investigation.

4) Recommendstion: to be honest, sincere, and remorseful while being interviewed. I recommend that sent to combat stress for counseling and remedial training on MP restraints.

MAI, OD moo CAMP v oic

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ACLU-RDI 1298 p.11

STATIMEUr tCentioutiO

AFFIDAVIT

1. . HAVE BEAD OR HAVE NAB DIAD TO ,m TWO STAMEN? WHICH I FULLY UNOINITAND THE CONTENTS OP TIO FAIRE STAMM MAGE BY BM mg summer Is TailL 1 WAVE INITIALED ALL CONNIECTIONE AND HAVE INITEALIED THE BOTTOM Cy 20414 cAQF COPITAININD MIS STATEMENT. I HAVE MADE THIS suntan mew WITHOUT NC Of SWIM 00 *WARD. WITHOUT THREAT OF rumpeArrr. AND WITHOUT COVICION. IMAMS CO WRIL INOLICIMINT. •

lESsioNve Of Poem Mk* Summai)

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ART 136 (b)(4) . • Moilmoiry To Miskoloor Oolhd. .

I PACE 2 Or 2 mis — —awe um

WITHWEBES:

0110ANIZATION OR AOC I$

ONOHNIZATION OR *DORM

INITIALS OP MOM HAKIM BTATOMPIT

00043

DOD 13371 ACLU-RDI 1298 p.12

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11C1.1 1. sin. NAVE HEAD on HAVE MAO MAO TO AO Tin STATEMENT

• PAGEM-7,--11LLY UNDERSTAND THE CONTENTS OF THE ENTINE STATEMENT NAM TNE• THE STATEMENT TS Mt I HAVE INITIALED ALL ODRUCTIONE NC NAYS INITIALED THE IMOTTOM OP SACKPAGE

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0 0 04 7

DOD 13375 ACLU-RDI 1298 p.16

SabsINHO and mom 1 below /tr. a woo buthontNI

ININANAH NON. the. at d Oe.Tire mat .Zaid-at Camp Deka. GNOMON) Dar. Cuba 1W360

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4 111111111111111

. AFFloaArr . POW IMO OR MVO MD MAO 70 MI T$$ et moan

MC" lifat4 ON MARIE 7. FMB MO OM MOLL.... MIXT UNWOUND 7161 COMMOMS OF THE INTINI ITATIMINT MAOI

I NIL Ni frAumply a MO. 1111161 :118171ALIO ALL coanacTiore AMD NMII-11111V.LIO 711I BOTTOM OF IACONO' 7N70411061 STAISEEHT. HOW WOE 'THIS STATEININT MON WITHOUT MOPE OF NOWT OR NEWAHO WITHOUT 'MAT OP PUNNAINNIET. MID WITNOUT COERCE)* LOGAWFUL INFLUINCI. OA UNLAWFUL INOUIZAWIT.

"Fill Mr MAIN, Saatimcsal

*.TNESSES:

:F *II LIONESS

.o• • v. •11C):. •••■•■■•••■

• = Fzlit : 'madly:x-7 . . • • • • •

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00048

DOD 13376 ACLU-RDI 1298 p.17

APPSIMITT

AININIMININL . NAVE MAO OR NAVE HAD MAO TO ME THIS STATIMINT WHICH MUM ON PAM I AHO SIIIMI ON PAGE ...1... I MY 1/NOIRSTAND THE COMM!, OP THE *Mk WATS/EDIT MAGE ST ME. THII STATIMINT IS TINJE. I HAVE INITIALED ALL CTIMICTKINS AND HAVE IMAM THE ISITTOM Of EACH PAM CONTAIMMO TM STAT IT. I HAVE MAOI TIM STATEMENT MILT WITHOUT HOPS OP IMINEPIT ON MIAMI WITHOUT THIMAT OF ►UNISIMIINT, AND WITHOUT COMM. UNLAWFUL i ON .

Iiyn

WITNIUMS: and

owainlow Subswiled to IsIon ort. a moon

ol Plow MO* San: to

SWF Of ....20afiL. OTMO.APO AS ORM

ORGANIZATION OR AMISS AalmiaiseNav

ORCIANSATION OA MOMS **

INITIALS Of PERSON MAMA STATIOSSIT

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lAultedir To Adminklit.0a010

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00049

DOD 13377 ACLU-RDI 1298 p.18

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511fORN STATEMENT For use of this Iona me AR 1110-015: t be proponent pew is OOCSOPS

yopiAcY ACT grigOAD4T AUTHORITY: Tide 10 USC Section 301:71dif USC Section 21111; E.O. 13%7 eared Novonybor22. 1143 Mixt PRINCIPAL PURPOSE: To provide eohoronders end taw oefOrtieseed Olkiele re1h mein by Mich irdoonetion miry bo egouraii v ROUTINE USES: Your model weft usather Is used as an OddlIkindisitentas mem of id.ntlbasion to faclitose nee sad DISCLOSURE Dieolosure ef veer eselel eeserIty nervererie voivimy.

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MAKING STATEMENT PACS i OF 2 PAC

ADDITIONAL PAGES MUST CONTAIN WE HEADING isrArrawirr TAKENAT DATED

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DOD 13378 ACLU-RDI 1298 p.19

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DOD 13379 ACLU-RDI 1298 p.20

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DOD 13380 ACLU-RDI 1298 p.21

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1101 PAIS I. MD DOI OW PAGt_2,, I NUN 110111STAND TNT CONTENTS OF MIME STATTIANT MADE I. • . HAVE MAO OR HAVE MB NW TO MI TOM STATEMENT

M. Ibil *Tamen S MM. I KM NITIALID ALL CONITCOONS AND WM INOTALID IMOOTTOM OF SAM PAO, INTAINMO INT STAIESIONT. 1 WAVE 111A01 11111 STATIMPlf FOOLTITMCUT NOM OP NNW tin 1111"111a• "Mel°

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00053

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DOD 13381 ACLU-RDI 1298 p.22

I VA CLINIC et webrat AL 144AN.1140114 him? AO OVI

PATIENT ID # DATE OF OCCURENCE

PLACE OF OCCURENCE: mum own CELL BLOCK CLINIC TYPE OF ERROR: scruicKALL NAT Amvn

eni UP: lily

iobitY DATE OF REPORT 1106te

AMBULANCE

TRANSCRIPTION ERROR MEDICATION ERROR: 03ROOr BLOOD, BODY FLUID EXPOSURE WRONG PATIENT NEEDL•STICIC• NJURY WRONG DRUG PATIENT INJURY WRONG DOSE . STAFF INJURY WRONG TIME PROCEEDURE ERROR. WRONG ROUTE DIAGNOSMC TEST ERROR MISSED DOSE

• RADIOLOGY ' ALLERGIC REACTION: go WHAT?) I LAB COMMUNICATION ERROR.'

x OTHER WHAT HAPPISNED? (vnta TM CIOCOMair LUMP VP TO THIS 1611114

CAP 110 iN04•401.4. ,...r %L a. 4 ‘1•4-.■ 4- A4"14 *AL 11410.404. X/401 014•••••• Afifteato 4 tiamoishje belivaws••0 woo .404 44,14 0,64

HOW WAS IT DISCOVERED? j‘4146

Abeve..

WHEN WAS IT DISCOVERED? (Arra SWAMI MAR /4IRO Tine ON i0h4A, * os ir

WHO WAS INVLOVED? awl. 411 the epos PATOM ntothRAI TICK ark amok MM; M.• IOC. MP. amp.)

ea4147-rit' OMIA4 . AAA /ti WHAT DO YOU THINE WAS THE REASON FOR ERROR? CONTRIBUTING FACTORS? (MAIM TRANSCRIITSON RUM MatO1CA1TON AOMORSTIAID LATLIOL DOCTOR OMR VOUTION •ICORNICTLY. ►ATIO1r1 COMMON OR

"gla4 09:140,4.‘a

ANY ADVERSE EFFECTS OR ADDITIONAL MEDICAL TESTING/TREATMENTS DUE TO THE E

(Demobs in boil) Adf4.,

RECOMMENDATIONS TO PREVENT SIMILAR OCCURANCES IN THE FUTURE?

Li 4&r•4 .0140 4 hi/

NAME OF PERSON PREPARINO REPORT :

00054

DOD 13382 ACLU-RDI 1298 p.23

Soft

••■•■•••

rt IUvJ4W

1. REVIEW OF EVENTS AND PcATINANT FACTS: (occurrent screen. Mg&al record, tem, ambulant ren sheet)

2. FINDINGS:

3. RECOMMENDATIONS

IMMEDIATE ACTIONS INDICATED:

5. REFERRAL FOR FURTHER INVESTIGATION: maw resp NO YES

" 6. FOLLOW-Up

NAME/SIGNATURE _ DATE

00055

DOD 13383 ACLU-RDI 1298 p.24

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* 0

ACLU-RDI 1298 p.25

stream

rtAg 411P0 USA Comaimmoif

(Field Grady Art IS •B MAJ or above)

JOINT TASK FORCE GUANTANAMO ARTICLE IS REQUEST FORM

I. Date of request /.2 cod 0 8/

2. I request a: 0 Sammarked / 0 Company Grade / Field Grade Ankle IS.

I NNE.. 044101•1 . • : ISI , V IN • pi i4 I AtirPO44:( an- vius•f l ob. ltrz . . .

40.061,07fireAmi Smits: PLEASE Ng& REQUIRED INFORMATION.

3. Summarke Mircondact Supported by Attach. rluEvideseet Alt #- 4-ters# eintootiow$S1 4fr a. Afri ,

&Amin?

*Please include all hats to reenlistment, counseling statemmts, fill MP repeat, swan statements, breathalyzers, urinalysis with chain of custody. and corrective taking measures taken that relates to the incident

ACISON: tflit

'Wale •

4. MAXIMUM PUNISHMENT AUTHOR/ZED: (fiMed out by SU)

&NINNY CiRADE Egingligit TO E- REDUCTION TO E- ii

YS PAY FORFEMIRB OF IS MONTHS S AN Fe PAY FOR TWO MOMS $ _/- MANE - % nawah's pey -sips OAS AN Ell

;Z S REEICOA RKT41 S 4 \ YS

pis OAS AN E- S $ wy.4 AS AN E-404 S iril AS AN E-Atv

45 DAYS UTRA DUTY 45 DAYS RESTRICTION

5. PUNISHMENT IMPOSED: (filled an by imposing commander)

REDUCTION TO THE GRADE OF E- 4/ (SUS FOR /60 DAYS)

EXTRA DUTY FOR DAYS (SU DAYS) RESTRICTION .,,_DAYS (SUSPENDED DAYS)

FORFEITURE OF S JO FORa DA (SUSPENDED FONDAYS) • ro_ is.

•..44

:1' :4 111%74 — 1/

S .

.. . SMPS1410 S alAT NOT EXCEED 0 DAYS. . . RA)

0 0 0 57

DOD 13385 ACLU-RDI 1298 p.26

Documents

JTF/JDOG - · o acknowledgement of receipt of (umpan and elections (2" rnd i caq 1300 2/ at ehr3o4 o date memo= m served punishment: .7/ nee ple o transfer punishment(s) onto mth