| Date of birth: | 1960 |
| Hair: | Blond |
| Eyes: | Hazel |
| SO#: | 000039724 |
| Releasing officer: | 097040 |
| Duration of custody: | 4 |
| Comments: | A/T DOBBINS OTN/NA W/G VALENTIN |
| Birth place: | NJ |
| Type: | 03 |
| Side: | L |
| Description: | EAGLE |
| Body part: | B |
| Type: | 26 |
| Side: | L |
| Description: | SKULL |
| Body part: | A |
| Type: | 24 |
| Side: | L |
| Description: | CROSS |
| Body part: | A |
| Type: | 26 |
| Side: | L |
| Description: | SKULL/W 2 CROSS AXES |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | CONFEDERATE FLAG |
| Body part: | B |
| Type: | LT |
| Side: | L |
| Description: | NEEDLE |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | SUNCIRCLE |
| Body part: | H |
| Type: | 06 |
| Side: | L |
| Description: | MARIJUANA LEAF |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | SKULL/W TOP HAT |
| Body part: | A |
| Type: | 26 |
| Side: | L |
| Body part: | B |
| Arresting agency: | GA0330000 |
| Arrest number: | 000444337 |
| Arrest date: | Sep 9, 2004 |
| Arrest location: | COURTROOM 4B |
| Booking date: | Sep 9, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 9, 2004 |
| Warrant: | 605170-2 |
| Type: | MI |
| Section: | FROM COURT |
| Description: | DOWN FROM COURT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | No bail |
