| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000011781 |
| Releasing officer: | 002654 |
| Duration of custody: | 19 |
| Comments: | A/ABBOTT T/COLLAR W/G/GOBELY OTN/NA |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000425397 |
| Arrest date: | Mar 5, 2004 |
| Arrest location: | VMH / GARNER DR |
| Booking date: | Mar 5, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Mar 5, 2004 |
| Warrant: | 650883 |
| Type: | MU |
| Section: | 40-6-95 |
| Offense date: | Mar 5, 2004 |
| Description: | PED UNDER INFLUENCE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |