| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000008768 |
| Releasing officer: | 002654 |
| Duration of custody: | 5 |
| Comments: | A:KELM T:PALMIOTTA W/G:JACKSONBRADLEY OTN:117676075 |
| Birth place: | GA |
| Arresting agency: | GA0330300 |
| Arrest number: | 000418838 |
| Arrest date: | Jan 2, 2004 |
| Arrest location: | COBB PKWY @ FIELD PKWY |
| Booking date: | Jan 2, 2004 |
| Booking location: | Cobb County, GA |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |
| Warrant: | 434382 |
| Type: | MU |
| Section: | 40-6-391 |
| Description: | DUI ALCOHOL |
| Code: | MTTA |
| Bond amount: | No bail |
| Warrant: | 434381 |
| Type: | MU |
| Section: | 40-6-40 |
| Description: | WRONG SIDE OF ROAD |
| Code: | MTTA |
| Bond amount: | No bail |