| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 000037105 |
| Releasing officer: | 096067 |
| Duration of custody: | 128 |
| Comments: | OTN/112390526 W/G FLV |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | TRIBIAL/HORSE HEAD |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000439335 |
| Arrest date: | Jul 22, 2004 |
| Arrest location: | GORDON CO JAIL |
| Booking date: | Jul 22, 2004 |
| Booking officer: | ROB142 |
| Booking location: | Cobb County, GA |
| Warrant date: | Feb 23, 2004 |
| Warrant: | 97-4029, 97-4444 |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
