| Date of birth: | 1963 |
| Hair: | Black |
| Eyes: | Black |
| SO#: | 000052253 |
| Releasing officer: | 097087 |
| Duration of custody: | 207 |
| Comments: | A/T/GRAY W/G/STOREY OTN/118994116 |
| Birth place: | IL |
| Type: | MU |
| Side: | X |
| Description: | PUPPY FEET |
| Body part: | F |
| Type: | OT |
| Side: | X |
| Description: | INDIAN W/HEAD DRESS |
| Body part: | H |
| Type: | 08 |
| Side: | X |
| Description: | 3-HEARTS/ROSES |
| Body part: | A |
| Type: | OT |
| Side: | X |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000447267 |
| Arrest date: | Oct 9, 2004 |
| Arrest location: | SANDTOWN ROAD |
| Booking date: | Oct 9, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 27, 2004 |
| Warrant: | 96-3256B |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
