| Date of birth: | 1943 |
| Hair: | Gray |
| Eyes: | Green |
| SO#: | 000008292 |
| Releasing officer: | 086004 |
| Comments: | T/WALK W/G:HALL OTN/116719540 |
| Birth place: | GA |
| Arresting agency: | WALKIN |
| Arrest number: | 000445720 |
| Arrest date: | Sep 23, 2004 |
| Arrest location: | CCADC WALKIN |
| Booking date: | Sep 23, 2004 |
| Booking officer: | SELF00 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 22, 2004 |
| Warrant: | 04-W-10246 |
| Type: | MU |
| Section: | OTHER |
| Offense date: | Jul 17, 2004 |
| Description: | OTHER CHARGE (TEMP) |
| Counts: | 01/ |
| Code: | OTHE |
| Bond amount: | $1,000 |