| Date of birth: | 1936 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000022228 |
| Releasing officer: | 096027 |
| Duration of custody: | 124 |
| Comments: | A/W.FURMAN T/G. HICKS A/W. FORMAN OTN/NA W/G SO95025 |
| Birth place: | PA |
| Arresting agency: | GA0330300 |
| Arrest number: | 000320982 |
| Arrest date: | Mar 23, 2001 |
| Booking date: | Mar 23, 2001 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Code: | BFO |
| Bond amount: | No bail |
| Type: | NC |
| Section: | OTHER |
| Description: | OTHER CHARGE (TEMP) |
| Code: | OTHE |
| Bond amount: | No bail |
