| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000018139 |
| Releasing officer: | 002455 |
| Duration of custody: | 1 |
| Comments: | A/T: T.J. SMITH W/G: THURMAN OTN: 131838545 |
| Birth place: | GA |
| Type: | OT |
| Side: | X |
| Description: | REBEL FLAG / CYCLE |
| Body part: | B |
| Type: | 14 |
| Side: | X |
| Description: | "KIM" |
| Body part: | A |
| Type: | 09 |
| Side: | X |
| Description: | ROSE |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000490156 |
| Arrest date: | Dec 24, 2005 |
| Arrest location: | HWY 41 & GA 3RD ARMY RD |
| Booking date: | Dec 24, 2005 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 24, 2005 |
| Warrant: | 1008016 |
| Type: | MU |
| Section: | 40-5-121 |
| Offense date: | Dec 24, 2005 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |
| Warrant date: | Dec 24, 2005 |
| Warrant: | 1008017 |
| Type: | MU |
| Section: | 40-8-23D |
| Offense date: | Dec 24, 2005 |
| Description: | TAG LIGHT REQUIRED |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $300 |
| Warrant date: | Dec 24, 2005 |
| Warrant: | 1008018 |
| Type: | MU |
| Section: | 40-8-23A |
| Offense date: | Dec 24, 2005 |
| Description: | TAIL LIGHT REQUIRED |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $300 |