| Date of birth: | 1957 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000027303 |
| Releasing officer: | 097030 |
| Comments: | A/T SELF/WALKIN W/G MOTT OTN/77288956 |
| Birth place: | NY |
| Type: | OT |
| Side: | R |
| Description: | MISSING TOE ON FOOT |
| Body part: | L |
| Type: | 24 |
| Side: | R |
| Description: | CROSS |
| Body part: | H |
| Type: | 01 |
| Side: | R |
| Description: | "121957" |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000269026 |
| Arrest date: | Jul 21, 1999 |
| Arrest location: | CCADC-BOND AREA |
| Booking date: | Jul 21, 1999 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jul 15, 1999 |
| Warrant: | 99-W-7998 |
| Type: | MU |
| Section: | 16-5-60 |
| Offense date: | Jun 29, 1999 |
| Description: | RECKLESS CONDUCT |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |
