| Date of birth: | 1957 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000022044 |
| Releasing officer: | 001746 |
| Duration of custody: | 201 |
| Comments: | OTN/117623656 W/G AF |
| Birth place: | RI |
| Type: | 08 |
| Side: | X |
| Description: | 2 WOMEN FIGUERS/ |
| Body part: | B |
| Type: | 08 |
| Side: | X |
| Description: | FM WRIST TO UPPER AM |
| Body part: | A |
| Type: | OT |
| Side: | X |
| Description: | SCENE(LEFT SIDE) |
| Body part: | O |
| Type: | 26 |
| Side: | X |
| Description: | SHOULDER |
| Body part: | S |
| Type: | 26 |
| Side: | X |
| Description: | FROM WRIST TO ELBOW |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000422796 |
| Arrest date: | Feb 9, 2004 |
| Arrest location: | CCADC |
| Booking date: | Feb 9, 2004 |
| Booking officer: | WALKIN |
| Booking location: | Cobb County, GA |
| Warrant date: | Nov 4, 2003 |
| Warrant: | 03T20031 |
| Type: | MI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
