| Date of birth: | 1948 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000017132 |
| Releasing officer: | 002345 |
| Comments: | A/T BRUBAKER W/G M. DAVIS OTN/108347831 |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000385531 |
| Arrest date: | Jan 18, 2003 |
| Arrest location: | 3465 CLUBSIDE LANE |
| Booking date: | Jan 28, 2003 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 27, 2003 |
| Warrant: | 03-W-953 |
| Type: | MU |
| Section: | 40-5-121 |
| Offense date: | Jan 27, 2003 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $2,500 |
| Warrant date: | Jan 27, 2003 |
| Warrant: | 03-W-953 |
| Type: | MU |
| Section: | 40-6-48 |
| Offense date: | Jan 27, 2003 |
| Description: | IMPROPER LN CHANGE |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Warrant date: | Jan 27, 2003 |
| Warrant: | 03-W-953 |
| Type: | MU |
| Section: | 40-6-10 |
| Offense date: | Jan 27, 2003 |
| Description: | NO PROOF INSURANCE |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
