| Date of birth: | 1954 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000018190 |
| Releasing officer: | 097030 |
| Duration of custody: | 14 |
| Comments: | G/W:RADER OTN/NA |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | DOG'S HEAD |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | GRIM REAPER |
| Body part: | 4 |
| Type: | OT |
| Side: | R |
| Description: | HARLEY WINGS |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | PANTHER |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | HEAD |
| Body part: | A |
| Type: | 26 |
| Side: | R |
| Description: | SKULL |
| Body part: | S |
| Arresting agency: | GA0330000 |
| Arrest number: | 000383112 |
| Arrest date: | Jan 2, 2003 |
| Arrest location: | CCADC |
| Booking date: | Jan 2, 2003 |
| Booking officer: | SELF00 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 16, 2002 |
| Warrant: | 01-W-6778 |
| Type: | MI |
| Section: | FROM COURT |
| Description: | DOWN FROM COURT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | No bail |
