| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000035391 |
| Releasing officer: | 097030 |
| Duration of custody: | 204 |
| Comments: | A/T ALSTINE,VAN W/G MDAVIS OTN/107818200 |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | TIME MARK(DOT) |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | DOUBLE HEART/ARROW |
| Body part: | B |
| Type: | 12 |
| Side: | L |
| Description: | BUTTERFLY |
| Body part: | T |
| Type: | 09 |
| Side: | L |
| Description: | ORCHID/MUSHROOM |
| Body part: | S |
| Type: | 25 |
| Side: | L |
| Description: | YELLOW LEAP FROG |
| Body part: | V |
| Type: | 19 |
| Side: | L |
| Description: | JOYCE |
| Body part: | L |
| Arresting agency: | GA0330200 |
| Arrest number: | 000405666 |
| Arrest date: | Aug 17, 2003 |
| Arrest location: | WADE GREEN /BUSBEE |
| Booking date: | Aug 17, 2003 |
| Booking location: | Cobb County, GA |
| Warrant date: | Aug 17, 2003 |
| Warrant: | 615553 |
| Type: | MU |
| Section: | 40-8-23D |
| Offense date: | Aug 17, 2003 |
| Description: | TAG LIGHT REQUIRED |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Aug 17, 2003 |
| Warrant: | 615554 |
| Type: | MU |
| Section: | 40-5-121 |
| Offense date: | Aug 17, 2003 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Aug 17, 2003 |
| Warrant: | 615555 |
| Type: | MU |
| Section: | 16-10-25 |
| Offense date: | Aug 17, 2003 |
| Description: | GIVING FALSE NAME |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant: | EF501401 |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |