| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000010267 |
| Releasing officer: | 098022 |
| Duration of custody: | 5 |
| Comments: | OTN/81368921 W/G FLV |
| Birth place: | GA |
| Type: | 14 |
| Side: | R |
| Description: | HARLEY DAVIDISON |
| Body part: | A |
| Type: | 26 |
| Side: | R |
| Description: | SKULL |
| Body part: | A |
| Type: | 24 |
| Side: | R |
| Description: | SKULL UPPER ARM |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000278731 |
| Arrest date: | Nov 18, 1999 |
| Arrest location: | 2300 BURNT WOOD DR |
| Booking date: | Nov 18, 1999 |
| Booking officer: | CLE446 |
| Booking location: | Cobb County, GA |
| Warrant date: | Nov 9, 1999 |
| Warrant: | 99M2930 |
| Type: | MI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |