| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000024753 |
| Releasing officer: | 002605 |
| Duration of custody: | 129 |
| Comments: | W/G:KMOSS OTN/117645791 |
| Birth place: | FL |
| Type: | 09 |
| Side: | L |
| Description: | ROSE-BACK OF SHOULDE |
| Body part: | S |
| Arresting agency: | GA0330000 |
| Arrest number: | 000423156 |
| Arrest date: | Feb 12, 2004 |
| Arrest location: | 1910 SOUTH COBB DR APT#18A |
| Booking date: | Feb 12, 2004 |
| Booking officer: | 093040 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 2, 2004 |
| Warrant: | 04-W-73 |
| Type: | FU |
| Section: | 16-13-30(B) |
| Offense date: | Dec 17, 2003 |
| Description: | SCHED I&II DRUGS |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $10,000 |
