| Date of birth: | 1947 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000010199 |
| Releasing officer: | 097087 |
| Comments: | A/T:T.A.BASTIS W/G:STHOMAS OTN/133756280 *PROP #813* |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000516164 |
| Arrest date: | Sep 8, 2006 |
| Arrest location: | 5090 STRATON WAY |
| Booking date: | Sep 8, 2006 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 8, 2006 |
| Warrant: | 06-W-10941 |
| Type: | MU |
| Section: | 16-5-20 |
| Offense date: | Sep 8, 2006 |
| Description: | SIMPLE ASSAULT |
| Counts: | 02/ |
| Code: | OCGA |
| Bond amount: | $1,500 |
