| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000039421 |
| Releasing officer: | 093029 |
| Duration of custody: | 22 |
| Comments: | A/T BERGMAN W/G T SELVIA OTN/128046925 |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | SHOOTING STAR |
| Body part: | H |
| Type: | 07 |
| Side: | L |
| Description: | MALE FACE |
| Body part: | A |
| Type: | 06 |
| Side: | L |
| Description: | FEMALE (NUDITY) |
| Body part: | A |
| Type: | 06 |
| Side: | L |
| Description: | FEMALE FACE |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000484556 |
| Arrest date: | Oct 26, 2005 |
| Arrest location: | 387 ROSELAND RD |
| Booking date: | Oct 26, 2005 |
| Booking officer: | 002625 |
| Booking location: | Cobb County, GA |
| Warrant date: | Apr 28, 2005 |
| Warrant: | 04M5748 |
| Type: | MI |
| Section: | 17-6-12 |
| Description: | FAILURE TO APPEAR |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Counts: | 01/ |
| Code: | HOLD |
| Bond amount: | No bail |