| Date of birth: | 1961 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000056066 |
| Releasing officer: | 091019 |
| Comments: | A/T BEID W/G S COBMS OTN/ |
| Birth place: | GA |
| Type: | 14 |
| Side: | R |
| Description: | ARTRIAL MARY |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | HEART |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000457510 |
| Arrest date: | Jan 26, 2005 |
| Arrest location: | SR 280 @ E W CONNECTOR |
| Booking date: | Jan 26, 2005 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |
