| Date of birth: | 1941 |
| Hair: | Black |
| Eyes: | Blue |
| SO#: | 000025623 |
| Releasing officer: | 097074 |
| Comments: | A-T/DAVIES W/G HITT OTN/81348702 |
| Birth place: | IL |
| Type: | 13 |
| Side: | L |
| Description: | HEART |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000279713 |
| Arrest date: | Dec 2, 1999 |
| Arrest location: | DALLAS HWY @ LOST MTN PARK |
| Booking date: | Dec 2, 1999 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 2, 1999 |
| Warrant: | 976383 |
| Type: | MU |
| Section: | 40-6-40 |
| Offense date: | Dec 2, 1999 |
| Description: | WRONG SIDE OF ROAD |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant date: | Dec 2, 1999 |
| Warrant: | 976384 |
| Type: | MU |
| Section: | 40-6-391 |
| Offense date: | Dec 2, 1999 |
| Description: | DUI ALCOHOL |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $500 |