| Date of birth: | 1945 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000004910 |
| Duration of custody: | 19 |
| Comments: | W/G/STOREY OTN/108326201 |
| Birth place: | GA |
| Arresting agency: | GA0330000 |
| Arrest number: | 000407661 |
| Arrest date: | Sep 5, 2003 |
| Arrest location: | AREA 40 |
| Booking date: | Sep 5, 2003 |
| Booking officer: | 090057 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 4, 2003 |
| Warrant: | 03-W-9499 |
| Type: | MU |
| Section: | 16-7-21 |
| Offense date: | Sep 4, 2003 |
| Description: | CRIMINAL TRESPASS |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |