| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000017305 |
| Releasing officer: | 097016 |
| Comments: | A/T ROUTINE W/G-1953 OTN/76471021 |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | FLAG |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000252760 |
| Arrest date: | Jan 5, 1999 |
| Arrest location: | HWY 92 OLD MTN PK RD |
| Booking date: | Jan 5, 1999 |
| Release date: | 1840 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |
