| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000047395 |
| Releasing officer: | 094009 |
| Duration of custody: | 1 |
| Comments: | W/MCD186 G/PALMER OTN/NA |
| Birth place: | GA |
| Type: | 09 |
| Side: | X |
| Description: | ROSE |
| Body part: | B |
| Arresting agency: | GA0330000 |
| Arrest number: | 000264045 |
| Arrest date: | May 21, 1999 |
| Arrest location: | 5902 BROOKSIDE DR. |
| Booking date: | May 21, 1999 |
| Booking officer: | 096005 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |
