| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 000042278 |
| Releasing officer: | 003416 |
| Comments: | A/T:GOSS/BLACKMON G/W:RADER PROP # 2500 |
| Birth place: | GA |
| Arresting agency: | GA0330300 |
| Arrest number: | 000583889 |
| Arrest date: | Jun 21, 2008 |
| Arrest location: | 2610 DELK RD |
| Booking date: | Jun 21, 2008 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Code: | BFO |
| Bond amount: | No bail |
| Type: | NC |
| Section: | 40-5-33 |
| Offense date: | Jun 21, 2008 |
| Description: | NOTIFY CHANGE ON DL |
| Code: | MTTA |
| Bond amount: | No bail |
| Type: | NC |
| Section: | 40-6-10 |
| Offense date: | Jun 21, 2008 |
| Description: | NO PROOF INSURANCE |
| Code: | MTTA |
| Bond amount: | No bail |
