| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 27644 |
| Classification: | F1BCD |
| Badge: | 170 |
| Arresting agency: | DAWSON COUNTY SHERIFF'S OFFICE |
| Arrest number: | 2004001280 |
| Arrest date: | Oct 12, 2004 |
| Arrest officer: | E. JOHNSON |
| Booking location: | Dawson County, GA |
| Description: | NO SEAT BELT |
| Control number: | 117987774 |
| Arrest code: | 40-8-76.1 |
| Description: | POSSESSION OF MARIJUANA LESS THAN 1 OZ |
| Control number: | 117987774 |
| Arrest code: | 16-13-30 |
| Description: | POSS DRUG RELATED OBJECT FOR USE |
| Control number: | 117987774 |
| Arrest code: | 16-13-32.2 |
| Description: | NO PROOF OF INSURANCE |
| Control number: | 117987774 |
| Arrest code: | 40-6-10 |
| Description: | NOTICE OF CHANGE OF ADDRESS OR NAME |
| Control number: | 117987774 |
| Arrest code: | 40-5-33 |