| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000045047 |
| Releasing officer: | 097087 |
| Comments: | A/T HEWLETT OTN/139937350 W/GCCI...GOSS |
| Birth place: | FL |
| Type: | OT |
| Side: | L |
| Description: | LARGE VEINS |
| Body part: | F |
| Arresting agency: | SELF |
| Arrest number: | 000548813 |
| Arrest date: | Jul 25, 2007 |
| Arrest location: | CCADC |
| Booking date: | Jul 25, 2007 |
| Booking officer: | WALKIN |
| Booking location: | Cobb County, GA |
| Warrant date: | Jul 17, 2007 |
| Warrant: | 07-W-8337 |
| Type: | MU |
| Section: | 16-5-20 |
| Offense date: | Jun 30, 2007 |
| Description: | SIMPLE ASSAULT |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |
