| Date of birth: | 1953 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000013123 |
| Releasing officer: | 002550 |
| Duration of custody: | 1 |
| Comments: | A/T CRISWELL G/W M MOSS OTN/112386190 |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000434422 |
| Arrest date: | Jun 3, 2004 |
| Arrest location: | POWDER SPRINGS @ BARRETT PKWY |
| Booking date: | Jun 3, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 3, 2004 |
| Warrant: | 04-W-5915 |
| Type: | MU |
| Section: | 40-6-391 |
| Offense date: | Jun 3, 2004 |
| Description: | DUI ALCOHOL |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $2,000 |
| Warrant date: | Jun 3, 2004 |
| Warrant: | 04-W-5915 |
| Type: | MU |
| Section: | 40-5-29A |
| Offense date: | Jun 3, 2004 |
| Description: | NO DR. LIC. ON PERSN |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Warrant date: | Jun 3, 2004 |
| Warrant: | 04-W-5915 |
| Type: | MU |
| Section: | 40-2-6 |
| Offense date: | Jun 3, 2004 |
| Description: | IMPROPER TAG |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Warrant date: | Jun 3, 2004 |
| Warrant: | 04-W-5915 |
| Type: | MU |
| Section: | 40-2-8 |
| Offense date: | Jun 3, 2004 |
| Description: | NO TAG |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
