| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000043616 |
| Releasing officer: | 002556 |
| Duration of custody: | 816 |
| Comments: | W/SAPP G/MOSS OTN/116713004 |
| Birth place: | GA |
| Arresting agency: | GA0330000 |
| Arrest number: | 000444236 |
| Arrest date: | Sep 8, 2004 |
| Arrest location: | AUSTELL PD |
| Booking date: | Sep 8, 2004 |
| Booking officer: | 090047 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 27, 2004 |
| Warrant: | 01-9-1256-34 |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Sep 8, 2004 |
| Warrant: | 04-W-9670 |
| Type: | FU |
| Section: | 16-13-30(A) |
| Offense date: | Sep 8, 2004 |
| Description: | PSS/SEL/PUR/MA VGCSA |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |