| Date of birth: | 1956 |
| Hair: | Blond |
| Eyes: | Green |
| SO#: | 000042021 |
| Releasing officer: | 096067 |
| Duration of custody: | 617 |
| Comments: | A/T:JACKSON W/G:HALL OTN/NA |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | HARLEY DAVIDSON |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000452538 |
| Arrest date: | Dec 2, 2004 |
| Arrest location: | JACKSON/HANCOCK ST PRISON |
| Booking date: | Dec 2, 2004 |
| Booking location: | Cobb County, GA |
| Booking number: | 79369 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |
| Warrant date: | Oct 25, 2004 |
| Warrant: | 04-4393 |
| Type: | FI |
| Section: | FOR COURT |
| Description: | RETURN FOR COURT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | No bail |
