| Date of birth: | 1955 |
| Hair: | Blond |
| Eyes: | Blue |
| SO#: | 000027919 |
| Releasing officer: | 097030 |
| Duration of custody: | 216 |
| Comments: | A/T:01076 W/G:HALL OTN/126515395 |
| Birth place: | GA |
| Type: | 40 |
| Side: | L |
| Body part: | L |
| Arresting agency: | GA0330000 |
| Arrest number: | 000455047 |
| Arrest date: | Dec 30, 2004 |
| Arrest location: | 100 CHEROKEE ST |
| Booking date: | Dec 30, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 22, 2004 |
| Warrant: | 04M4872 |
| Type: | MI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
