| Date of birth: | 1941 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000041166 |
| Releasing officer: | 094018 |
| Duration of custody: | 1 |
| Comments: | A/T: VANHOOZER/ORD G/W:RADER OTN/NA |
| Birth place: | TN |
| Type: | OT |
| Side: | L |
| Description: | JC |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000379344 |
| Arrest date: | Nov 16, 2002 |
| Arrest location: | 46 JONES ST |
| Booking date: | Nov 16, 2002 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Counts: | 01/ |
| Code: | HOLD |
| Bond amount: | No bail |