for official use only department of the … · department of the army united states criminal...

FOR OFFICIAL USE ONLY

DEPARTMENT OF THE ARMY UNITED STATES CRIMINAL INVESTIGATION COMMAND

BALAD BRANCH OFFICE 307 th MILITARY POLICE DET (CID) LSA ANACONDA, IZ APO AE 09391

CLOP-OP (195) 21 July 04

MEMORANDUM FOR SEE DISTRIBUTION

SUBJECT: CID REPORT OF INVESTIGATION - FINAL SUPPLEMENTAL-0014-03-C1D919-63732 - 5H9A

DATES/TIMES/LOCATIONS OF OCCURRENCES:

1.12 JUL 2003/0445 HRS - 12 JUL 2003/0515 HRS; CAMP CROPPER, GRID COORDINATES 38MB 2737 8690, BAGHDAD INTERNATIONAL AIRPORT (BIAP), IRAQI, APO AE 09335

DATE/TIME REPORTED: 06 SEP 2003/0900

INVESTIGATED BY: SA 74%-/,

SUBJECT: 1. NONE; [NATURAL DEATH].

VICTIM: 1. HUSSAIN, MOHAMMED, BASIM; CIV; 01 JAN 77; M; DETAINEE NUMBER 11672; CAPTURE TAG NUMBER, 0365940 (NF1) [NATURAL DEATH]

INVESTIGATIVE SUMMARY:

This investigation was initiated upon notification by THE IOth MP BN (CID). Investigation established Mr. HUSSAIN died while in the custody of US Forces at Camp Cropper, Baghdad International Airport, Baghdad, Iraq. An autopsy revealed MR HUSSAIN's Cause of Death was internal bleeding in the lungs due to Cavitary Pulmonary Tuberculosis. The Manner of Death was deemed to be natural.

Further investigation revealed capture documents pertaining to Mr. HUSSAIN were maintained at the Baghdad Central Confinement Facility (BCCF), Abu Ghraib, Iraq. Included in these records was the medical treatment record documenting the treatment Mr. HUSSAIN received immediately prior to his death. -

STATUTES: NOT APPLICABLE

ADDED ATTACHED:


DOD-DOACID003594 ACLU-RDI 71 p.1


16. Agent's Investigation Report of SA -i 14 Jun 04, detailing the attempt to locate records pertaining to Mr. HUSSAIN.

17. Detainee file pertaining to Mr. HUSSAIN.

ADDED NOT ATTACHED:

None

The original of Exhibit 16 is forwarded with the USACRC copy of this report. The original of Exhibit 17 is maintained in the Magistrate Cell Administration, BCCF, Abu Ghraib, Iraq.

STATUS: This is a Final Supplemental Report.

Report Prepared and Approved By:

/Y

DISTRIBUTION: - DIR, USACRC (original), Fort Belvoir, VA 22060

1 - AFIP, ATTN: OAFME, ROCKVILLE, MD 1 - THRU: CDR, 22nd MP Bn (CID) (FWD) (electronic mail) THRU: CDR, 3rd MP Group (CID) (FWD) TO: CDR, USACIDC, (ATTN: CIOP-CO) 1 - File



DEPARTMENT OF THE ARMY UNITED STATES CRIMINAL INVESTIGATION COMMAND

BALAD BRANCH OFFICE 307 TH MILITARY POLICE DET (CID) LSA ANACONDA, IZ APO AE 09391

CIOP-OP (195) 13 NOV 03

MEMORANDUM FOR SEE DISTRIBUTION

SUBJECT: CID REPORT OF INVESTIGATION - FINAL "C" - 0014-03- CID919-63732 - 5H9A

DATES/TIMES/LOCATIONS OF OCCURRENCES: 1. 12 JUL 2003/0445 HRS - 12 JUL 2003/0515 HRS; CAMP CROPPER, GRID COORDINATES 38MB273778690, BAGHDAD INTERNATIONAL AIRPORT (BIAP), IRAQI, APO AE 09335

DATE/TIME REPORTED: 06 SEP 2003/0900

INVESTIGATED BY: SA /' 12b

SUBJECT: 1. NONE; [NATURAL DEATH].

VICTIM: 1. . BASIM MOHAMMED HUSSAIN; CIV; 01 JAN 77; M; DETAINEE NUMBER, 11672; CAPTURE TAG NUMBER, 0365940 (NFI)[NATURAL DEATH]

INVESTIGATIVE SUMMARY:

This investigation was initiated upon notification by 10 th

MP BN (CID). Investigation established MR HUSSAIN died while in the custody of US Forces at Camp Cropper, Baghdad International Airport, Baghdad, Iraq. An autopsy revealed MR HUSSAIN's cause of Death was mass internal bleeding in the lungs due to Cavitary Pulmonary Tuberculosis. The Manner of death was deemed to be natural.

STATUTES: NOT APPLICABLE

EXHIBITS/SUBSTANTIATION:

ATTACHED:

1. Agent's Investigative Report (AIR) of SA 76,b6•/ 14 JUL 03, detailing the initial notification and initial


DOD-DOACI D003596 ACLU-RDI 71 p.3

CIOP-OP SUBJ: CID REPORT OF INVESTIGATION: 0014-03-CID919-6373215F198

information gathered about the victim, the death scene. And the initial interview of the medical personnel at the scene and the physician's assistant.

2. SwOrn statement of SGT C/A,.. 12 JUL 03, detailing his actions as the first medic on scene.

3. Sworn statement of SGT 2:.-66-4, 12 JUL 03, detailing his actions as the military policeman that noticed the inmate coughing up. blood and alerted for medical attention.

4. Sworn statement of (PA) CPT 196312 JUL 03, detailing his . actions as the first medical officer on scene.

5.Sworn statement of SSG -.Z4 12 JUL 03, detailing his actions as the military police supervisor alerted by SGT 16-6'6 te, to get medical attention.

6. Sworn statement of SPC 16.J0&-Zn , 12 JUL 03, detailing his actions as the military policeman that also alerted SSG le(2,64

7. Memo for Commander 800" MP, Death of a detainee in US custody.

8.Medication administration record.

9.Medical records of the detainee 11672

10.Four photographic images of the death scene.

11.Evidence form DA 4137, 12 JUL 03,

12.Preliminary autopsy report of Mr. HUSSAIN, 12 JUL 2003 by DR.(CAPT, USN) X/6145 . ME number not found, however the autopsy # is 071303.

13.Armed Forces Institute of Pathology evidence form AFIP 1323,12 JUL 03, liver, spleen, kidney and left lung.

14.Certificate of Death for Mr. HUSSAIN by DR.(LTC) 1461 12 JUL 03/1100

NOT ATTACHED:

FOR OFFICIAL USE ONLY - 2 - .


CIOP-OP SUBJ: CID REPORT OF INVESTIGATION: 0014-03-CID9I9-63732/5H98

15.Compact disk consisting of photographic images of patient X-rays submitted as evidence, 12 JUL 03.

The originals of exhibits 1 through 14 were forwarded with the USACRC copy of this report. The originals of exhibit 15 was submitted as evidence and retained in the evidence depository Camp Arif Jan, Kuwait.

STATUS:•This is a final "C" report. This investigation is being terminated in accordance with CID regulation 195-1, paragraph 4-17 a (8)(a), wherein medical authorities determined the death resulted from natural causes and there was no evidence to contradict their finding.

SUMMARY OF REMAINING LEADS: The autopsy report remains outstanding. Upon receipt of the autopsy report a supplemental report will be generated.

Report SlIhmittpri pv- Report Approved

hof"

DISTRIBUTION: 1 - DIR, USACRC (original), Fort Belvoir, VA 22060

1 - AFIP, ATTN: OAFME, ROCKVILLE, MD

1 - THRU: CDR, 10th MP Bn (CID)(FWD) (electronic mail) THRU: CDR, 3rd MP Group (CID)(FWD) TO: CDR, USACIDC, (ATTN: CIOP-CO)

1.- THRU: CDR, 115 th MP BN, BAGHDAD, IRAQ APO AE 09335 TO: CDR, 220th MP BDE, BAGHDAD, IRAQ APO AE 09335

1 - SJA, 220 th MP BDE, ANACONDA, IRAQ APO AE 09335

1 - PMO, l st AR DIV, BAGHDAD, IRAQ APO AE 09335

1 - File

FOR OFFICIAL USE ONLY -3-


AGENT'S INVESTIGATION REPORT ROI NUMBER

0014-03-CID919-63732 CID Regulation 195-1

PAGE 1 OF 2 PAGES

DETAILS Around 1400, 12 JUL 03 SA Z: -/ibl:-/ gas advised by SA le,Db 1 , 307 th Military Police (MP) Detachment (DET) Criminal Investigations Command (CID), Baghdad International Airport (BIAP), APO AE 09335 that a civilian detainee at the 115 th MP BN had died in cistody.

Around 1430 12 JUL 03, SA 7e•-/ 6 / ;901, 307th Military Police (MP) Detachment (DET) Criminal Investigations Command (CID), Baghdad International Airport (BIAP), APO AE 09335 and arrived at CAMP CROPPER, EPW Camp, Baghdad International Airport (BIAP), APO AE 09335. SA 74itvi rived at Camp Cropper and reported in the Headquarters of the 115 th MP BN and was directeAto,the S-1. The.S-1 office advised to talk with the 115 th MP `Battalion (BN), Physician's Assistant (PA) CPT. -1/ , (NFI). SA -74M/ .alked with CPT. -2c,iht4: and advised he needed a statement. The detainee was identified as Basim Mohammed HUSSAIN, DOB 01 AN 77, Capture tag number 0365940, Detainee Number 11672. SA ieparted the 115 th MP BN and picked up

A 161 1)b —/ . •07th MP DET CID, BIAP, APO AE 09335. SA EI-MW Ind SA 14!,96'/ rrived at the 54 th uartermasters Company and observed the deceased detainee. SA ated he did not observe any visible signs f injury and took photographs.

Around 1700 SA 7C/R7-/ A -7C-1 .661 Z.--;07 th Military Police (MP) Detachment (DET) Criminal Investigations Command (CID), Baghdad International Airport (BIAP), APO AE 09335, took sworn statements from the soldiers involved in the incident at the 115 th MP BN, Camp Cropper and obtained a CD-R of the detainees X-rays as evidence. LTC ' (C Vie =.3 'IFI) advised SA 'VA./ 'hat he did not have to advise CID of the death in custody of the detainee as per AR 190. SA Tibb -1 SA 741V -/ t and SA . -/eix j departed Camp Cropper with sworn statements and evidence.

On 13 Jul 03 SA l obi`0000, 307 th Military Police (MP) Detachment (DET) Criminal Investigations Command (CID), Baghdad International Airport (BIAP), APO AE 09335, picked up information and death certificate requested from the 54 th

uartermaster Company. At 1355 SA--XibiR-/ attended a preliminary autopsy conducted by CAPT ii,4,-13N, Regional Armed Forces Medical Examiner, Baghdad Detachment (NFI). Preliminary cause of death was

massive hemoptysis due to cavitary pulmonary tuberculosis and the manner of death was natural. Evidence was taken the autopsy.

UMMARY OF INCIDENT: ording to CPT. IC - ,3 1*.fie '7) was sent to the 581 5t ASMC (NFI) on 11 JUL 03 because he had coughed

od while in the LIMA compound. He returned with a note stating he had pulmonary TB and was started on • ications.

On 12 JULD3 at 0448 HRS, SGT ! -"V —6v — tb—h 443rd MP CO, Camp Cropper, BIAP, Baghdad, Iraqi oticed Mr. HUSSIAN coughing blood and notified the medics. _.

0510 HRS, Medic; SGT 1e- -3 .66 -.3 115 th MP BN, Camp Cropper, BIAP, Baghdad, Iraqi arrived tthe scene and attempted to resuscitate the patient.

and 0515 HRS, 115 th MP BN PA, CPT -740,64.7irrived on the scene and his initial assessment revealed that MR. USSIAN had no pulse, spontaneous respiration, his pupils were fixed, large and dilated. CPT. 74,616 - attempted to

ORGANIZATION 10TH MILITARY POLICE BN (CID) (ABN) 307TH MP DET (CID) (FWD) BIAP, APO AE 09335

I DATE

14 JUL 03 FOR UI- FICIAL USE ONLY

EXHIBIT hz-

CID ppiRM 94 t/pEB 77

DOD-DOACID003599

1

ACLU-RDI 71 p.6

.•.• as., r,- ,..rAirc •U IlADCD

AGENT'S INVESTIGATION REPORT ROI NUMBER

0014-03-CID919-63732 CID Regulation 195-1

PAGE 2 OF 2 PAGES

DETAILS resuscitate and intubate. After several minutes he observed again Mr,HUSSIAN's pupils fixed and dilated, no pulse and no respirations.

At 0524 HRS CPT. "7(41**17 :opped attempting resuscitation. 111111111111111111111111111111111111111110111111111111111111111111111111MLAST ENTRY11111111111111111111111111111111111111111111111111111111111111111111111111111111110011

"RGANIZATION -

OT" MILITARY POLICE BN (CID) (ABN) 307T" MP DET (CID) (FWD) dIAP, APO AE 09335

SIM

L 14 JUL 03 LAO 1-01-Mi J4 ruri OFFICIAL USE ONLY L' 1 FEB 77

TYPE

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

PRIVACY ACT STATEMENT

AUTHORITY: Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSN). PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately

ROUTINE USES: Your social security number is used as an additional/alternate means of identification to facilitate filing and retrieval.

DISCLOSURE: Disclosure of your social security number is voluntary.

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WITNESSES:

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

PRIVACY ACT STATEMENT AUTHORITY: Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSN). PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately



1. LOCATION

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b&-p STATEMENT OF


TAKEN AT /TOO DATED z°° 3o /Q.

hb / WITNESSFS- Subscribed and sworn to before me, a person authorized by law to

administer oaths, this day of n y , .20 s at_

HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT ottsim UN 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 HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFL ■ ecnirc (IR 11N1 awF01. INDUCEMENT.

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AUTHORITY:

PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:


Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SEMI.

IP provide commanders and law enforcement of licials with moans by which inhumation may be accurately identified.

Your social security number is used as as additianallalternate means al identification to lacilitate filing and retrieval.

Disclosure of your social security number is voluntary.

2 ne 7 /

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2. DATE rynymmam 4. FILE NUMBER

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IWITNESSES-.

_ FRGADICZATION OR ADDRESS

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AUTHORITY: Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSW

PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately



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10. EXHIBIT 11. its le,.• ht, 1-MAKING STATEMENT

IP PAGE 1 OF '3" PAGES

1 ADDITIONAL PAGES MUST CONTAIN THE HEADING STATEMEAff

I THE BOTTOM OF EACH ADDITIONAL PAGE MUST BEAR THE INITIALS MUST BE BE INDICATED.

TAKEN AT DATED

OF THE PERSON MAKING THE STATEMENT, AND PAGE NUMBER

••••• DA FORM 2823, DEC 1998

DA FORM 2823, JUL 72, IS OBSOLETE

USAPA V1.00

rok orieic 1 /4.1- e oNLy


STATEMENT OF _ lc, 00-40 .P TAKEN AT •

1 76 v v DATED I .7 ILt / 3

1 19b 4 'WITNESSES: Subscribed and sworn to before me, a person authorized by law to

administer oaths, this )- day of 171 /47 , `?‘

at LILtifi AP CM/ ,1 %.• ciPTAIP

isnonvat." I orsv Lon AIJI.Mtbb (Signature or Person Administering Oathl

golry JP ber(efo) 73,4%; /kV? (Typed Name of Person Administering Oath)

'ORGANIZATION OR ADDRESS (Authority To Administer Oaths)

OF 2-- PAGES 9 • PAGE


le.gw-c° HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT WHICH BEGINS ON PAGE 1, AND ENDS A PAGE 9- . 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 HOPE OF BENEFIT OR REWARD, WITHOUT THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUEN ' ''" • "

6/ kb

if / (Signature of Person Making Statement)

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AFFIDAVIT

INITIALS OF PERSON M,' -"ENT

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0314-o 3 -Cr t) 4/1 Ci 7 CO3-13

PAGE 3, DA FORM 2823, ma: 1998

• be Ogle( AL- U.C.e 0/A-4 USAPA V1.00

1 1'

DOD-DOACI D003608 ACLU-RDI 71 p.15

Li --0 3 -C,1)9/ci - p•J

SWORN STATEMENT For use of this form, see AR 190.45; the proponent agency is ODCSOPS

PRIVACY ACT STATEMENT AUTHORITY: Title 10 USC Section 301; Title 5 USC Section 2951; E.O. 9397 dated November 22, 1943 (SSNJ. PRINCIPAL PURPOSE: To provide commanders and law enforcement officials with means by which information may be accurately ROUTINE USES: Your social security number is used as an additional/alternate means of identification to facilitate filing and retrieval. DISCLOSURE: Disclosure of our social securit number is volunta . 1. LOCA. •N

iiii /_////

2. DATE (YYYYMMDDJ

4.411 /

3. TIM

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4. FILE NUMBER

5. LA!

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- 104

7. GRADE/ TATUS

F 8. ORta/AnnziA&tram vn 1-vvvAct, /II

DL/ Ked" - . I, "la•-(fibb -(0 WANT TO MAKE THE FOLLOWING STATEMENT UNDER OATH:

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16 0, 10. EXHIBIT 11. INITIALS OF PERSC .r, 19b, 3 STATEMENT

0 PAGE 1 OF .--5 PAGES

ADDITIONAL PAGES MUST CONTAIN THE HEADING 'STATEMENT TAKEIZI AT DATED _


2823, DEC 1998

DA FORM 2823, JUL 72, IS OBSOLETE

USAPA v1.00

fOk. t,ffic 1/4i, 0j,q


USE THIS PAGE IF NEEDED. IF THIS PAGE IS NOT NEEDED, PLEASE PROCEED TO FINAL PAGE OF THIS FORM.

STATEMENT OF le /9 - TAKEN AT /e3D.5

DATED ,.(7 437/..-


70,646-4,

INITIALS OF PERSON MAKING STATEMENT 1 Y&

PAGE OF PAGES

021-1-83—ob4le1


OPPI C,iM LAS E 0.41 USAPA V1.00

DOD-DOACID00361 0 ACLU-RDI 71 p.17

INITIALS -OF PERSON MAKING STATEMENT

367 4-kvkit° OF-TC C -ro)

.ORGANIZATION OR ADDRESS

00N-03-

STATEMENT OF ht; TAKEN AT

111,5"

DATED .&2)(93,07/2


WHICH BEGINS ON PAGE 1, AND ENDS OI PAGE .73 I FULLY UNDERSTAND THE CONTENTS OF THE ENTIRE STATEMENT MADE BY ME. THE STATEMENT IS TRUE. I HAVE INITIALED ALL CORRECTIONS AND .

_ A r:E

76-4 'eb"&' AFFIDAVIT

, HAVE READ OR HAVE HAD READ TO ME THIS STATEMENT

CONTAINING THE STATEMENT. I HAVE MADE THIS STATEMENT FREELY WITHO THREAT OF PUNISHMENT, AND WITHOUT COERCION, UNLAWFUL INFLUENCE. OF.—

goignarr or Perym Makin ateirent)

WITNESSES:

Z- be -I Subscribed and sworn to before me, a person authorized by law to

administer oaths, /2- day of *J-ic t--)/ at

ORGANIZATION OR ADDRESS (Signature of Person Administering Oath)

M__ 7e-1 h&--/ ,s/i/ve (Typed Name of Person Aarninisieui

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PAGE 0- OF si PAGES

PAGE OA FORM 2823, DEC 1998

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Page(s)

•

O

Referred to:

U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101

MS. JACQUELINE SCOTT [email protected] (813) 827-5341/2830


Page(s)

Referred to:

U.S. ARMY MEDICAL COMMAND FREEDOM OF INFORMATION/

PRIVACY ACT OFFICE ATTENTION: MCFP 2050 WORTH ROAD, SUITE 13 FORT SAM HOUSTON, TEXAS 78234-6013

MR. JOHN PETERSON [email protected] (210) 221-7826


PHOTOGRAPHIC PACKET

0101-03-CID919-63732

Number Description of Photograph

1. Photograph of scene.



4. Close-up photograph of coughed up blood at scene.


6


000-1 -0 :3• -Ci "i i`i

f:61R. Ot=c, ic/i.6(1._ t,' SE 6.1,1-1"


cb 4-7- 11).‘ 641

(oz Fo, LA s of 1-kf.

DOD-DOACI D00361 6 ACLU-RDI 71 p.23

2L


NAME, GRADE OR TITLE /1//101

bo

PURPOSE OF CHANGE OF CUSTODY

DOCUMENT // NUMBER LOCATION

ENEDENCE/PIRO;1 ,i _,IRTY CUSTODY DOCUNEENT

For use of this form see AR 190-45 and AR 195-5; the proponent agency is US Army Criminal Investigation Command

MPR/CID SEQUENCE NUMBER

0 -0 - Gr.° iq CRD REPORT/CID ROI NUMBER

,(1, -7.3 LOCATION

13T/1P ADDRESS (Include Zip ode)

RECEIVING ACTIVITY

P i Er NAME, GRADE AND TITLE OF PERSON FROM WHOM RECEIVED 0 OWNER

Egi OTHER

LOCATION FROM WHERE OBTAINED „med ic ( 1 rcec.Crds

I I s-÷"rn P lit ) tYi 0 C. fao PP EV f3L.1- 410, /3c,5 kdaci,TvIv

x//0-

CL L dc-A

REASON OBTAINED TIME/DATE OBTAINED

ELA -t_ LA C 74" /70! .&J0—(33

DESCRIPTION OF ARTICLES (Include model, serial number, condition and unusual marks or scratches)

CO , A , pc...c.,4 Ibis K - Rec-ort c,(01.e, ) '5; (ver ,- -, co lov- 1 ille,rw&slores vv‘ c.,- , K is 6.5 1 :

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NO. DATE RELEASED BY RECEIVED BY

(.A7L,L.123

76-11.Ardit.44ti

ITEM

NO. QUANTITY

' ( I f (

SIGNATURE

fr''714

SIGNATURE

1

DA FORM 4137 1 Jul 76

SIGNATURE

NAME, GRADE OR TITLE

SIGNATURE


Replaces DA FORM 4137, 1 Aug 74 and DA FORM 4137-R Privacy Act Statement 26 Sep 75 Which are Obsolete.

SIGNATURE

NAME. GRADE OR TITLE

SIGNATURE


/9-1114. 03 NAME, GRADE OR TITLE

orriCIA- - t,t5 6AD T-1 e,4


Page(s)

Referred to:

U.S. ARMY MEDICAL COMMAND FREEDOM OF INFORMATION/

PRIVACY ACT OFFICE ATTENTION: MCFP 2050 WORTH ROAD, SUITE 13 FORT SAM HOUSTON, TEXAS 78234-6013

MR. JOHN PETERSON [email protected] (210) 221-7826

ACLU-RDI 71 p.26

DATE: 13 JUL 2003

FROM: TO:

SAC, 307th MILITARY POLICE DET DIRECTOR, USACRC, USACIDC, FORT HQS USACIDC //CIOP-ZA// CDR, 10TH MP BN (CID) (ABN) (FWD) CDR,•3D MP GROUP (CID) //OPS// PROVOST MARSHAL //PM//

•

(CID) BELVOIR, VA

//OPS//

SUBJECT: CID REPORT - INITIAL/SSI - 0014-03-CID919-63732- 5H9A

DRAFTER : bo,( RELEASER:

UNCLASSIFIED - FOR OFFICIAL USE ONLY

1. DATES/TIMES/LOCATIONS OF OCCURRENCES: 1. 12 JUL 2003/0445 HRS - 12 JUL 2003/0515 HRS; CAMP CROPPER, GRID COORDINATES MB273778690, BIAP, IRAQI

2. DATE/TIME REPORTED: 12 JUL 2003, 1400

3. INVESTIGATED BY: SA -S/1 4. SUBJECT: 1. NONE; [NATURAL DEATH]

5. VICTIM: 1. BASIM, MOHAMMED HUSSAIN; CIV; 01 JAN 77; MALE; OTHER; DETAINEE NUMBER, 11672; CAPTURE TAG NUMBER 0365940; NFI; [NATURAL DEATH]

6. INVESTIGATIVE SUMMARY: THE INFORMATION IN THIS REPORT IS BASED UPON AN ALLEGATION OR PRELIMINARY INVESTIGATION AND MAY CHANGE PRIOR TO THE COMPLETION OF THE INVESTIGATION.

THIS INVESTIGATION WAS INITIATED BASED ON NOTIFICATION FROM THE 10TH MILITARY POLICE BATTALION THAT A DETAINEE DIED IN US CUSTODY AT CAMP CROPPER, BIAP, BAGHDAD, IRAQI.

PRELIMINARY INVESTIGATION DISCLOSED A CIVILIAN DETAINEE DIED IN US CUSTODY AT CAMP CROPPER, BIAP, BAGHDAD, IRAQ. CPT 1C41.0'1o, PHYSICIANS ASSISTANT ASSIGNED TO THE 115TH MP BN, STATED A MR HUSSAIN APPEARED TO HAVE DIED OF A PULMONARY HEMORRHAGE DUE TO TUBERCULOSIS (TB).

ON 13 JUL 03, DR (CPT) 1t-13 REGIONAL ARMED FORCES MEDICAL EXAMINER, CONDUCTED AN AUTOPSY. THERE WERE NO SIGNS OF TRAUMA OR FOUL PLAY. THE CAUSE WAS DEATH


DETERMINED TO BE MASSIVE INTERNAL BLEEDING IN THE LUNGS, DUE TO CAVITARY PULMONARY TUBERCULOSIS. THE MANNER OF DEATH WAS RULED NATURAL.

INVESTIGATION CONTINUES BY THE 307TH MP DET (CID).

7. COMMANDERS ARE REMINDED OF THE• PROVISIONS OF AR 600-8-2 PERTAINING TO SUSPENSION OF FAVORABLE PERSONNEL ACTIONS AND AR 380-67 FOR THE SUSPENSION OF SECURITY CLEARANCES OF PERSONS UNDER INVESTIGATION.

8. CID REPORTS ARE EXEMPT FROM AUOTMATIC TERMINATION OF PROTECTIVE MARKING IN ACCORDANCE WITH CHAPTER 3, AR 25-55.


0


7. CASE NUMBER (9(.0 sy-03-CID 96-0 —

8. AC CTrVATCT

SA ic,-1 9. TYPE OF ACTION

1. DATE

L. 6 3 3. OFFENSE

2. TIME RECEIVED ZULU

--Dem —7i4—

4. SUBJECT 1.

1

r

CID FORM 66

5. VICTIM 10. REPORTS 1. 463 s qzit):„ /1/10 M +-An A4 e

6. CASE DESCRIPTION

TYPE SUSPENSE

C C 3

2 Alerv,g...

OTHER ACTION 12. CID FUNDS

ACTION MID J COMPL I DATE I AMOUNT

CRIMINAL INFO

EVIDENCE CUST

mmmmmm ■•■ •• ■•• ■•• ...04 ••■••■ •••■••••• ........... •■•■■ •••••■■■•• ...... alms ww•i• mmmmmmmm

t


Control Number 0014-03-C1D919

SUMMARY OF INVESTIGATIVE ACTIVITY

AGENT'S ACTIVITY StIMI► IARY (CII) RepIntion 195-1)

TIME, DATE, AND AGENT

12 JUL 03 1400

-tb

.12 JUL 03 1500 lea tb--/

12 JUL 03 1600 1G1 4t-/

12 JUL 03 1700

7(: -/

13.JUL 03 0900 7C-/ ../241

13 JUL 03 1355 -7e/ la:/

r/gor ,

Sit 7'' 1

AJot>o 1 h6-V

givooz, I t a,

1545.5) 101113 174

CID FORM 28 I OCT 110

Received RFA from CW4 lc-- t2 3 'In briefed that a detainee had died in custody at the Baghdad International Airport (BIAP) Enemy Prisoner of War (EPW) detention facility. That I need to take sworn statements of involved personnel.

Arrived at BIAP EPW facility and coordinated with the S-1 shop and meet with CPT. 7C/1 101)" i°115 1.11 MP BN, PA.

SA .7e-ibi.: -/ind I observed the body of the deceased civilian detainee at the PAX terminal, 54 th Quartermaster Company. I requested all information on the detainee and a death certificate from SSG

SA 7 - bei SA IC - :d I arrive at the BIAP EPW facility and began interviews and sworn statements. (See AIR). 115 th MP BN Commanders LTC 76 dvised he did not have to report the death of civilian detainees referring to AR 190. This was discussed with SA 7' 66 -/ and the LTC 16 to - 3He also advised us to report to him directly before going to members of the battalion.

Picked up information requested from the 54 th Quartermaster Company.

Attended a preliminary autopsy of the detainee. Conducted by I212-1 USN, MD at the 54th Quartermaster Company, BIAP.

SA 1e-tbiy - covered evidence at the autopsy.

13,4/ of ,e(//S sae .4,04. 4.5

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FOR OFFICIAL USE ONLY PAGE

J.11c-c 0)000 3

6b-/


Rwieoect again, ciniTtillinCI ids to be cfrinyct is -61(19_0(5-1-ro. 5e..e example cdn board

tYlcuk c.orre,c4r-cms a- s r-efuesieer

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tka II originals Liou have I n Req) +6 See, ic(6 ,(0)a thixre. L corre. if. nrICULC Obrredions It can 00 40-1T-i"

Bn.

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I <0-c--

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Rap, Kim* *--1 hd

/054 igAnivo3

loo5,13csiov3 'ie-/

1015, 73 Nov .13

pll 3o tvovv_3 `7-/.94- /

AGENT'S ACTIVITY SUMMARY (CID Regulation 195-I)

TIME, DATE, AND AGENT

Control Number 0014-03-CID919

SUMMARY OF INVESTIGATIVE ACTIVITY

CID FORM 28 I OCT 8l1

FOR OFFICIAL USE . NLY PAGE


-G 31 3?.

DEPARTMENT OF THE ARMY 307th MILITARY POLICE DET (CID)(FWD) 10Th MILITARY POLICE BN (CID) (ABN)

BAGHDAD, APO AE 09335

15 JUL 03

MEMORANDUM FOR Special Agent in Charge of the 10 r Military Police Battalion (CID)

SUBJECT: SSI: 0014-03-CID919-63732

1. On 12 JUL 03 this office received a SSI regarding the death in custody of a civilian detainee at Camp Cropper, 115th MP BN, EPW Camp, BIAP, Baghdad, Iraqi. 2. On 13 JUL 03 the detainee was identified, death certificate obtained, preliminary autopsy conducted, sworn statements obtained, and evidence gathered.

3. POC for this RFA is SA 7c -1 bb--1 email us.arrnv.rnil.

-/

Sp.,....

ecial Agent in Charge

Enclosures: 1. CID Form 94 2. CID Form 28 3. Headquarters 709th MP BN

Death of Civilian Detainee Camp Cropper Report

4. Medication Administration Record 5. Chronological Record of Medical Care 6. E-mail, from: 1 LT 7d-- .3 &-b 7. Sworn Statement of le- 3 b6 8. Sworn Statement of 7e7 9. Sworn Statement of

-76 4 M -6 10.Certificate of Death by • . 11. Sworn Statement of 6, 66-6 12.Sworn Statement of ; (Phonetically) 13.Photograph of the scene, taken by Camp Cropper. 14. Photograph of the scene, taken by Camp Cropper.

ctsvz- OrAci tA OA )L-%


//61 - ‘3 73a

15. Photograph of the scene, taken by Camp Cropper. 16.Photograph of the scene, taken by Camp Cropper. 17.Death Certificate by f, _TC, USAF, MD 18. Query 1 19. Record of Identification Processing 20. Preliminary Autopsy Report 21.AFIP FROM 1323

(0e. ofFiciAL 05E, 6/.11..q

J


Page(s)

•

Referred to:

U.S. CENTRAL COMMAND 7115 SOUTH BOUNDARY BLVD ATTN: CCJ6-DM MACDILL AIR FORCE BASE FLORIDA 33621-5101

MS. JACQUELINE SCOTT [email protected] (813) 827-5341/2830 -

ACLU-RDI 71 p.34

10th MP Battalion (CID) Case Finding Statement

Date: OS NoU 03

Inspector: SFC 7(1%0 -) V- 1

Case No. CPC)ILt-03-C-37 L 3 73 2_

CID Det: 307th MP Det (CID) [Anaconda, Iraq]

Fiitdjag•

Thoroughness Timeliness

Timely Reporting

0.4-03-01>I1 9 - 6 ?-132

N./

Documentation Other

Comments:

t/c) Crr) rOgivt LID oay.)c..4.3 -cop 51,e4 Oou C0-5C-P4t.

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442 DAciclAt. USS •


DEPARTMENT OF THE ARMY 22n d Military Police Battalion (CID)

UNITED STATES ARMY CRIMINAL INVESTIGATION COMMAND. CAMP VICTORY, IRAQ, APO AE 09342

REPLY TO ATTENTION OF:

CIMPL-ZA

25 May 04

MEMORANDUM FOR Commander, USACIDC, Atm: CIOP-COP-OP, 6010 6 th St., Fort Belvoir, VA

SUBJECT: Request for Information (RFI 0212-04-CID001)

1. A review of CID Report of Investigation (R01) 0014-03-C1D919-63732 did not reveal significant concerns regarding thoroughness, timeliness or timely reporting. The initial facts pointed directly to the findings of a natural death, and were supported by medical evidence.

2. Even though the Agent's Investigation Report (AIR) was written in an unorthodox manner, the basic facts surrounding the death were conveyed in the report. Medics claimed they exposed photographs of the scene prior to the arrival of agents, however, no effort was made to view or obtain the photographs as evidence. Several individuals were mentioned in the statements taken from witnesses; however, they were not fully identified or interviewed. Lastly, statements should have been obtained from one or two detainees who had contact with the victim prior to his death, and included in the report.

3. The point of contact is the undersigned at, 7e- --0 rmv .mil.

a- 6

, . Criminal Intelligence Coordinator

DOD—DOACID003629 ACLU-RDI 71 p.36

for official use only department of the … · department of the army united states criminal...

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