| Date of birth: | 1955 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000020102 |
| Releasing officer: | 002406 |
| Comments: | A/T J.SHIRER W:G-S.REID |
| Birth place: | AL |
| Type: | OT |
| Side: | X |
| Description: | TIN MAN HAT W//DICE |
| Body part: | B |
| Type: | 03 |
| Side: | X |
| Description: | AMERICAN EAGLE |
| Body part: | A |
| Type: | OT |
| Side: | X |
| Description: | GRIM REAPER |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000417305 |
| Arrest date: | Dec 14, 2003 |
| Arrest location: | 373 WINSTON RD |
| Booking date: | Dec 14, 2003 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 14, 2003 |
| Warrant: | 649225 |
| Type: | MU |
| Section: | 3-17.5-1 |
| Offense date: | Dec 14, 2003 |
| Description: | DISORDERLY CONDUCT |
| Counts: | 01/ |
| Code: | COBB |
| Bond amount: | $100 |