| Date of birth: | 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000027187 |
| Releasing officer: | 002345 |
| Duration of custody: | 1 |
| Comments: | A/ K FRANCIS T/DEROSIER W/G T SMITH PROP#2394OTN/108341365 |
| Birth place: | CA |
| Type: | 41 |
| Side: | L |
| Description: | L WRIST |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | NO BELLY BUTTON/ X |
| Body part: | S |
| Type: | OT |
| Side: | L |
| Description: | MISSING TEETH T & BO |
| Body part: | O |
| Arresting agency: | GA0330200 |
| Arrest number: | 000394714 |
| Arrest date: | Apr 28, 2003 |
| Arrest location: | 4975 CANTON RD |
| Booking date: | Apr 28, 2003 |
| Booking location: | Cobb County, GA |
| Warrant: | 594776 |
| Type: | MU |
| Section: | 40-5-121 |
| Offense date: | Apr 28, 2003 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $500 |
| Warrant: | 594777 |
| Type: | MU |
| Section: | 40-8-7 |
| Offense date: | Apr 28, 2003 |
| Description: | IMPROPER EQUIPMENT |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant: | 594778 |
| Type: | MU |
| Section: | 40-8-71 |
| Offense date: | Apr 28, 2003 |
| Description: | LOUD MUFFLER |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant: | 594779 |
| Type: | MU |
| Section: | 40-6-10 |
| Offense date: | Apr 28, 2003 |
| Description: | NO PROOF INSURANCE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $300 |
| Warrant: | 594780 |
| Type: | MU |
| Section: | 40-2-20 |
| Offense date: | Apr 28, 2003 |
| Description: | NO TAG/30 DAYS TAG |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant: | 594781 |
| Type: | MU |
| Section: | 40-2-5 |
| Offense date: | Apr 28, 2003 |
| Description: | USE TAG/MISREP VEH |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant: | 594782 |
| Type: | MU |
| Section: | 40-2-6 |
| Offense date: | Apr 28, 2003 |
| Description: | IMPROPER TAG |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant: | 594783 |
| Type: | MU |
| Section: | 40-2-7 |
| Offense date: | Apr 28, 2003 |
| Description: | REM/FALS/DEFC ID/TAG |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant: | 594784 |
| Type: | MU |
| Section: | 40-2-8 |
| Offense date: | Apr 28, 2003 |
| Description: | NO TAG |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |