| Date of birth: | 1942 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000011649 |
| Releasing officer: | 097030 |
| Duration of custody: | 21 |
| Comments: | W/G SO00054 PROP 2219 |
| Birth place: | TN |
| Type: | 13 |
| Side: | R |
| Description: | CANCER |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000562030 |
| Arrest date: | Nov 20, 2007 |
| Arrest location: | JACKSON |
| Booking date: | Nov 20, 2007 |
| Booking officer: | 000006 |
| Booking location: | Cobb County, GA |
| Warrant: | 05-9-4856 |
| Type: | MI |
| Section: | FOR COURT |
| Description: | RETURN FOR COURT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | No bail |
| Warrant date: | Nov 20, 2007 |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Counts: | 01/ |
| Code: | HOLD |
| Bond amount: | No bail |