| Date of birth: | 1959 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 88154 |
| Releasing officer: | 97030 |
| Duration of custody: | 100 |
| Comments: | W/G/STOREY OBTN/108813246 |
| Birth place: | GA |
| Type: | 40 |
| Side: | X |
| Description: | GREEN MOLE |
| Body part: | V |
| Arresting agency: | GA0330000 |
| Arrest number: | 401966 |
| Arrest date: | Jul 10, 2003 |
| Arrest location: | 2054 LENOA AVE |
| Booking date: | Jul 10, 2003 |
| Booking officer: | 99076 |
| Booking location: | Cobb County, GA |
| Warrant date: | Apr 17, 2003 |
| Warrant: | 02-M-4595 |
| Type: | MI |
| Section: | 42-8-38 |
| Offense date: | Apr 17, 2003 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |