| Date of birth: | 1954 |
| Hair: | Blond |
| Eyes: | Blue |
| SO#: | 000044551 |
| Releasing officer: | 096067 |
| Duration of custody: | 109 |
| Comments: | A/T:KING G/W M MOSS OTN/125176520 |
| Birth place: | GA |
| Arresting agency: | GA0330300 |
| Arrest number: | 000450553 |
| Arrest date: | Nov 11, 2004 |
| Arrest location: | 1785 COBB PKWY |
| Booking date: | Nov 11, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Nov 16, 2004 |
| Warrant: | 04-2449-42 |
| Type: | FI |
| Section: | 42-8-38 |
| Offense date: | Oct 2, 2004 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Nov 11, 2004 |
| Warrant: | 04-W-12298 |
| Type: | MU |
| Section: | 16-8-14 |
| Offense date: | Nov 11, 2004 |
| Description: | THEFT BY SHOPLIFTING |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Nov 11, 2004 |
| Warrant: | 04-W-12298 |
| Type: | MU |
| Section: | 16-10-24(A) |
| Offense date: | Nov 11, 2004 |
| Description: | OBSTRUCT OF OFFIC M |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Nov 11, 2004 |
| Warrant: | 04-W-12298 |
| Type: | FU |
| Section: | 16-13-30(A) |
| Offense date: | Nov 11, 2004 |
| Description: | PSS/SEL/PUR/MA VGCSA |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | No bail |
| Type: | NC |
| Section: | ERROR |
| Description: | INVALID ENTRY |
| Code: | E |
| Bond amount: | No bail |