| Date of birth: | 1957 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000032068 |
| Releasing officer: | 003753 |
| Comments: | A/T: BERZLER G/W:RADER PROP #560 |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | DRAGON |
| Body part: | C |
| Type: | 14 |
| Side: | R |
| Description: | U S NAVY VIETNAM1973 |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | HEART |
| Body part: | C |
| Arresting agency: | GA0330000 |
| Arrest number: | 000628593 |
| Arrest date: | Sep 22, 2009 |
| Arrest location: | CCADC WALKIN |
| Booking date: | Sep 22, 2009 |
| Booking officer: | SELF00 |
| Release date: | 1846 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 11, 2009 |
| Warrant: | 09-K-1846 |
| Type: | MI |
| Section: | 17-6-12 |
| Description: | FAILURE TO APPEAR |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $500 |
| Warrant date: | Jun 11, 2009 |
| Warrant: | 09-K-1847 |
| Type: | MI |
| Section: | 17-6-12 |
| Description: | FAILURE TO APPEAR |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant date: | Jun 11, 2009 |
| Warrant: | 09-K-1848 |
| Type: | MI |
| Section: | 17-6-12 |
| Description: | FAILURE TO APPEAR |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $200 |
