| Date of birth: | 1957 |
| Hair: | Bald |
| Eyes: | Brown |
| SO#: | 000029881 |
| Releasing officer: | 002654 |
| Comments: | A/T/LEWIS W/G/GOBELY OTN/117621615 |
| Birth place: | PA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000420496 |
| Arrest date: | Jan 17, 2004 |
| Arrest location: | 790 WORLEY RD |
| Booking date: | Jan 17, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 17, 2004 |
| Warrant: | 668401 |
| Type: | MU |
| Section: | 40-6-48 |
| Offense date: | Jan 17, 2004 |
| Description: | IMPROPER LN CHANGE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant date: | Jan 17, 2004 |
| Warrant: | 668402 |
| Type: | MU |
| Section: | 40-6-391 |
| Offense date: | Jan 17, 2004 |
| Description: | DUI ALCOHOL |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $500 |
