| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 000052644 |
| Releasing officer: | 003160 |
| Comments: | W/G:GREEN OTN/126516670 PROP #1147 |
| Birth place: | GA |
| Arresting agency: | WALKIN |
| Arrest number: | 000453793 |
| Arrest date: | Dec 15, 2004 |
| Arrest location: | CCADC |
| Booking date: | Dec 15, 2004 |
| Booking officer: | SELF00 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 1, 2004 |
| Warrant: | 04-W-13039 |
| Type: | FU |
| Section: | 16-9-121 |
| Offense date: | Jun 14, 2004 |
| Description: | FIN IDENTITY FRAUD |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $2,500 |
