| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000010018 |
| Releasing officer: | 098091 |
| Duration of custody: | 28 |
| Comments: | A/T: BAXTER G/W:RADER OTN/118991272 |
| Birth place: | GA |
| Type: | 13 |
| Side: | L |
| Description: | FLAG |
| Body part: | A |
| Type: | 03 |
| Side: | L |
| Description: | EAGLE |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | DRAGON AND CASTLE |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000446362 |
| Arrest date: | Sep 29, 2004 |
| Arrest location: | 5892 MCCOY ROAD |
| Booking date: | Sep 30, 2004 |
| Booking location: | Cobb County, GA |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |
| Warrant date: | Sep 30, 2004 |
| Warrant: | 04-W-10574 |
| Type: | MU |
| Section: | 16-5-23 |
| Offense date: | Sep 29, 2004 |
| Description: | SIMPLE BATTERY |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $2,500 |
