| Date of birth: | 1959 |
| Hair: | Blond |
| Eyes: | Blue |
| SO#: | 000033741 |
| Releasing officer: | 097074 |
| Duration of custody: | 126 |
| Comments: | A/POWELL T/HICKS G/W NEWBOLD OTN- |
| Birth place: | AL |
| Type: | 09 |
| Side: | R |
| Description: | BLUE ROSE |
| Body part: | A |
| Type: | 03 |
| Side: | R |
| Description: | EAGLE |
| Body part: | A |
| Type: | 13 |
| Side: | R |
| Description: | MAN IN MOON |
| Body part: | S |
| Type: | 09 |
| Side: | R |
| Description: | ROSE |
| Body part: | A |
| Type: | 26 |
| Side: | R |
| Description: | SKULL |
| Body part: | A |
| Arresting agency: | GA0330300 |
| Arrest number: | 000275761 |
| Arrest date: | Oct 13, 1999 |
| Arrest location: | MARIETTA CITY COURT |
| Booking date: | Oct 13, 1999 |
| Booking location: | Cobb County, GA |
| Warrant date: | Oct 13, 1999 |
| Type: | NC |
| Section: | BOARD OTHER |
| Offense date: | Oct 13, 1999 |
| Description: | BOARD FOR OTH AGENCY |
| Counts: | 01/ |
| Code: | BFO |
| Bond amount: | No bail |
