| Date of birth: | 1960 |
| Hair: | Red |
| Eyes: | Green |
| SO#: | 000054379 |
| Releasing officer: | 090032 |
| Duration of custody: | 9 |
| Comments: | A/LT.POULK T/HORTON W/G:NORAH OTN/128962212 |
| Birth place: | KY |
| Type: | OT |
| Side: | L |
| Description: | ON FOREARM |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | UPPER THIGH |
| Body part: | L |
| Type: | OT |
| Side: | L |
| Description: | ABOVE KNEE |
| Body part: | L |
| Type: | OT |
| Side: | L |
| Description: | SCAR |
| Body part: | B |
| Arresting agency: | GA0330100 |
| Arrest number: | 000481295 |
| Arrest date: | Sep 22, 2005 |
| Arrest location: | 2765 MOSELY ST BANK OF AMERICA |
| Booking date: | Sep 22, 2005 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 22, 2005 |
| Warrant: | 05-W-10754 |
| Type: | FU |
| Section: | 16-9-1 |
| Offense date: | Sep 22, 2005 |
| Description: | FORGERY 1ST |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $3,000 |
| Warrant date: | Sep 22, 2005 |
| Warrant: | 05-W-10754 |
| Type: | FU |
| Section: | 16-9-2 |
| Offense date: | Sep 22, 2005 |
| Description: | FORGERY 2ND |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
