| Date of birth: | 1943 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000009861 |
| Releasing officer: | 003463 |
| Comments: | A/T WAGNER W/G...VGOSS |
| Birth place: | GA |
| Type: | MU |
| Side: | X |
| Description: | TWO MARKS |
| Body part: | F |
| Type: | OT |
| Side: | X |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000631060 |
| Arrest date: | Oct 18, 2009 |
| Arrest location: | 2584 AUSTELL RD |
| Booking date: | Oct 18, 2009 |
| Booking location: | Cobb County, GA |
| Warrant date: | Oct 18, 2009 |
| Warrant: | 09-W-11572 |
| Type: | MU |
| Section: | 16-5-23(A)2 |
| Offense date: | Oct 18, 2009 |
| Description: | SIM BATT - PHY HARM |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |
