| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000016827 |
| Releasing officer: | 002407 |
| Duration of custody: | 4 |
| Comments: | A/T LEWIS W/G MUNOZ PROP 901 |
| Birth place: | GA |
| Type: | OT |
| Side: | X |
| Description: | SURGICAL SCAR |
| Body part: | B |
| Arresting agency: | GA0330200 |
| Arrest number: | 000603893 |
| Arrest date: | Jan 16, 2009 |
| Arrest location: | MANER RD |
| Booking date: | Jan 16, 2009 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 16, 2009 |
| Warrant: | 09-W-601 |
| Type: | FU |
| Section: | 16-9-1 |
| Offense date: | Jan 16, 2009 |
| Description: | FORGERY 1ST |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $2,000 |
| Warrant date: | Jan 16, 2009 |
| Warrant: | 09-W-601 |
| Type: | MU |
| Section: | 16-10-24(A) |
| Offense date: | Jan 16, 2009 |
| Description: | OBSTRUCT OF OFFIC M |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
