| Date of birth: | 1948 |
| Hair: | Red |
| Eyes: | Blue |
| SO#: | 000007893 |
| Duration of custody: | 600 |
| Comments: | G/W M MOSS OTN/117950733 |
| Birth place: | GA |
| Side: | L |
| Description: | EAGLE ON FORARM |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000428907 |
| Arrest date: | Apr 8, 2004 |
| Arrest location: | CARROLL COUNTY |
| Booking date: | Apr 8, 2004 |
| Booking officer: | BYE290 |
| Booking location: | Cobb County, GA |
| Warrant date: | May 8, 2001 |
| Warrant: | 00-2686-40 |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |