| Date of birth: | 1958 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000030851 |
| Releasing officer: | 095004 |
| Duration of custody: | 1 |
| Comments: | A/ MEDINA W/G LOPS OTN/108155191 |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | SKULL/ROSE SHOULDER |
| Body part: | B |
| Type: | OT |
| Side: | R |
| Description: | SKULL W/ROSE/FOREARM |
| Body part: | A |
| Type: | 03 |
| Side: | R |
| Description: | EAGLE/BICEPT |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | MUSHROOM/FOREARM |
| Body part: | A |
| Arresting agency: | GA0330600 |
| Arrest number: | 000407285 |
| Arrest date: | Sep 2, 2003 |
| Arrest location: | KENNESAW CITY JAIL |
| Booking date: | Sep 2, 2003 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 2, 2003 |
| Warrant: | 03-W-9397 |
| Type: | MU |
| Section: | 16-5-23.1 |
| Offense date: | Aug 30, 2003 |
| Description: | BATTERY |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $3,500 |
| Warrant date: | Sep 2, 2003 |
| Warrant: | 03-W-9397 |
| Type: | MU |
| Section: | 16-5-70 |
| Offense date: | Aug 30, 2003 |
| Description: | CRUELTY TO CHILDREN |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Warrant date: | Sep 2, 2003 |
| Warrant: | 03-W-9397 |
| Type: | MU |
| Section: | 16-5-23.1 |
| Offense date: | Aug 30, 2003 |
| Description: | BATTERY |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Warrant date: | Sep 2, 2003 |
| Warrant: | 03-W-9400 |
| Type: | MU |
| Section: | 16-5-23 |
| Offense date: | Sep 1, 2003 |
| Description: | SIMPLE BATTERY |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $2,500 |
| Warrant date: | Sep 2, 2003 |
| Warrant: | 03-W-9400 |
| Type: | MU |
| Section: | 16-5-23 |
| Offense date: | Sep 1, 2003 |
| Description: | SIMPLE BATTERY |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
