| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Black |
| SO#: | 000029836 |
| Releasing officer: | 002415 |
| Comments: | A/T LACARUBA OTN/NA W/G SEPULVEDA |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000416722 |
| Arrest date: | Dec 7, 2003 |
| Arrest location: | SR-280 @ CONCORDE |
| Booking date: | Dec 8, 2003 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 7, 2003 |
| Type: | NC |
| Section: | HOLD |
| Offense date: | Dec 7, 2003 |
| Description: | HOLD OTHER AGENCY |
| Counts: | 01/ |
| Code: | HOLD |
| Bond amount: | No bail |