Type of
Incident # Installation Date of Incident Date of Referral Victim
20091476 Fort Bragg 11JUN2009 15JUN2009 Spouse
Victim Victim
Victim Date of Race Marital
Victim FMP Victim SSN Victim Name Birth Victim Sex Ethnicity Status
20 REDACTED REDACTED 01JAN1920 Female Black, Not Not
Hispanic Reported
Abuser
Abuser Date of Abuser Race Branch of
Abuser SSN Abuser Name Birth Abuser Sex Ethnicity Service
REDACTED REDACTED 01JAN1920 Male Black, Not Hispanic Army
Determination Date
(i.e., CRC Date) Determination Type(s) of Abuse Substantiated
14JUL2009 DidNotMeetCriteriaContinue BLANK
SECTION VI - CLOSURE