| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 000038855 |
| Releasing officer: | 086004 |
| Duration of custody: | 12 |
| Comments: | OTN/117075571 W/G FLV |
| Birth place: | MS |
| Type: | OT |
| Side: | X |
| Description: | SURGERY SCAR |
| Body part: | M |
| Type: | OT |
| Side: | X |
| Description: | ACCIDENT SCAR |
| Body part: | M |
| Arresting agency: | GA0330000 |
| Arrest number: | 000444466 |
| Arrest date: | Sep 10, 2004 |
| Arrest location: | COURTROOM 3B |
| Booking date: | Sep 10, 2004 |
| Booking officer: | SHR907 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 10, 2004 |
| Warrant: | 03-M-3027 |
| Type: | MI |
| Section: | 42-8-38 |
| Offense date: | Sep 10, 2004 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
