| Date of birth: | 1950 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000056892 |
| Releasing officer: | 002654 |
| Duration of custody: | 4 |
| Comments: | A/T FREELAND G/W M MOSS OTN/117950372 |
| Birth place: | OH |
| Arresting agency: | GA0330800 |
| Arrest number: | 000429135 |
| Arrest date: | Apr 10, 2004 |
| Arrest location: | SR 6 @ BROWNSVILLE RD |
| Booking date: | Apr 11, 2004 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Code: | BFO |
| Bond amount: | No bail |
| Type: | MU |
| Section: | 40-8-31 |
| Description: | FAIL DIM HEADLIGHTS |
| Counts: | 01/ |
| Code: | POWD |
| Bond amount: | No bail |
| Type: | MU |
| Section: | 40-6-10 |
| Description: | NO PROOF INSURANCE |
| Counts: | 01/ |
| Code: | POWD |
| Bond amount: | No bail |
| Type: | MU |
| Section: | 40-5-121 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/ |
| Code: | POWD |
| Bond amount: | No bail |
