| Date of birth: | 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000032089 |
| Releasing officer: | 002654 |
| Comments: | W/G SO00054 OTN/117620860 ***PROP 1941 *** |
| Birth place: | SC |
| Arresting agency: | GA0330000 |
| Arrest number: | 000420338 |
| Arrest date: | Jan 16, 2004 |
| Arrest location: | COBB CO SO |
| Booking date: | Jan 16, 2004 |
| Booking officer: | SELF00 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 15, 2004 |
| Warrant: | 04-W-563 |
| Type: | MU |
| Section: | 40-6-270 |
| Offense date: | Jan 13, 2004 |
| Description: | FAIL STP ACC W DTH/I |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $5,000 |
| Warrant date: | Jan 15, 2004 |
| Warrant: | 04-W-563 |
| Type: | MU |
| Section: | 40-6-390 |
| Offense date: | Jan 13, 2004 |
| Description: | RECKLESS DRIVING |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Warrant date: | Jan 15, 2004 |
| Warrant: | 04-W-563 |
| Type: | MU |
| Section: | 16-10-26 |
| Offense date: | Jan 13, 2004 |
| Description: | FALSE REPORT CRIME |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Warrant date: | Jan 15, 2004 |
| Warrant: | 04-W-563 |
| Type: | MU |
| Section: | 40-6-48 |
| Offense date: | Jan 13, 2004 |
| Description: | IMPROPER LN CHANGE |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |