| Date of birth: | 1955 |
| Hair: | White |
| Eyes: | Brown |
| SO#: | 000033875 |
| Releasing officer: | 002654 |
| Comments: | A/SGT LEBUCA T/HURST W/G/STOREY OTN/110262305 |
| Birth place: | WV |
| Arresting agency: | GA0330200 |
| Arrest number: | 000437983 |
| Arrest date: | Jul 9, 2004 |
| Arrest location: | NICKERJACK @ FLOYD ROAD |
| Booking date: | Jul 9, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jul 9, 2004 |
| Warrant: | 04-W-7299 |
| Type: | MU |
| Section: | 16-8-7 |
| Offense date: | Jul 9, 2004 |
| Description: | THEFT RECV STLN PROP |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $2,000 |
| Warrant date: | Jul 9, 2004 |
| Warrant: | 04-W-7299 |
| Type: | MU |
| Section: | 40-2-20 |
| Offense date: | Jul 9, 2004 |
| Description: | NO TAG/30 DAYS TAG |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |