| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000021921 |
| Releasing officer: | 096067 |
| Duration of custody: | 13 |
| Comments: | A/T GOOCH W/G (SO96032) OTN/87239283 |
| Birth place: | GA |
| Type: | 02 |
| Side: | X |
| Description: | ANIMAL/DOG LIKE |
| Body part: | C |
| Type: | OT |
| Side: | X |
| Description: | BROKEN HEART |
| Body part: | A |
| Type: | 14 |
| Side: | X |
| Description: | LOVE |
| Body part: | R |
| Type: | 19 |
| Side: | X |
| Description: | DIANE |
| Body part: | A |
| Type: | 26 |
| Side: | X |
| Description: | SKULL AND CROSS BONE |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000309471 |
| Arrest date: | Nov 15, 2000 |
| Arrest location: | 569 ETOWAH DRIVE |
| Booking date: | Nov 15, 2000 |
| Booking officer: | 097076 |
| Booking location: | Cobb County, GA |
| Warrant date: | Oct 24, 2000 |
| Warrant: | 98-9-1056/1057-33 |
| Type: | FI |
| Section: | 42-8-38 |
| Offense date: | Oct 24, 2000 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |