| Date of birth: | 1957 |
| Hair: | Blond |
| Eyes: | Blue |
| SO#: | 000042503 |
| Releasing officer: | 095036 |
| Duration of custody: | 122 |
| Comments: | A/T THERIOT W/G MOTT OTN/117692584 |
| Birth place: | FL |
| Type: | 14 |
| Side: | R |
| Description: | LACY |
| Body part: | A |
| Type: | 14 |
| Side: | R |
| Description: | JIMMY |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000420182 |
| Arrest date: | Jan 15, 2004 |
| Arrest location: | WINDY HILL @ POWERS FERRY RD |
| Booking date: | Jan 15, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 15, 2004 |
| Warrant: | 688695 |
| Type: | MI |
| Section: | 40-5-121 |
| Offense date: | Jan 15, 2004 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Jan 15, 2004 |
| Warrant: | 688696 |
| Type: | MI |
| Section: | 40-2-8 |
| Offense date: | Jan 15, 2004 |
| Description: | NO TAG |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Jan 15, 2004 |
| Warrant: | 688697 |
| Type: | MI |
| Section: | 40-6-10 |
| Offense date: | Jan 15, 2004 |
| Description: | NO PROOF INSURANCE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
