| Date of birth: | 1938 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000037579 |
| Releasing officer: | 002502 |
| Duration of custody: | 1 |
| Comments: | A/WT.BRYANT T/BR BLOCKER WG:M.PIETRO OTN/126815710 |
| Birth place: | SC |
| Arresting agency: | GA0330200 |
| Arrest number: | 000456239 |
| Arrest date: | Jan 11, 2005 |
| Arrest location: | SCUFFLEGRIT RD @ BRENTWOOD RD |
| Booking date: | Jan 11, 2005 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 11, 2005 |
| Warrant: | 848801 |
| Type: | MU |
| Section: | 40-5-121 |
| Offense date: | Jan 11, 2005 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $500 |