| Date of birth: | 1927 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000032669 |
| Releasing officer: | 097030 |
| Comments: | A/T/WALDRON W/G/GOBELY OTN/125178992 |
| Birth place: | IN |
| Arresting agency: | GA0330300 |
| Arrest number: | 000450047 |
| Arrest date: | Nov 5, 2004 |
| Arrest location: | SR 3 N/B @ WHITE WATER |
| Booking date: | Nov 6, 2004 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Code: | BFO |
| Bond amount: | No bail |
| Type: | NC |
| Section: | 40-8-22 |
| Description: | HEADLIGHTS |
| Code: | MTTA |
| Bond amount: | No bail |
| Type: | NC |
| Section: | 40-6-391 |
| Description: | DUI ALCOHOL |
| Code: | MTTA |
| Bond amount: | No bail |