| Date of birth: | 1936 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000033504 |
| Releasing officer: | 097030 |
| Duration of custody: | 1 |
| Comments: | OTN/NA W/G SO95025 |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | SCAR ON ELBOW |
| Body part: | A |
| Arresting agency: | GA0330800 |
| Arrest number: | 000313442 |
| Arrest date: | Jan 3, 2001 |
| Arrest location: | 3596 TEN OAKS CT/POWDER SPRNGS |
| Booking date: | Jan 3, 2001 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | 16-11-39 |
| Description: | DISORDERLY CONDUCT |
| Code: | POWD |
| Bond amount: | No bail |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Code: | BFO |
| Bond amount: | No bail |
