| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000033902 |
| Releasing officer: | 096067 |
| Duration of custody: | 2 |
| Comments: | A/THACKER T/ BELL W/G NIGHT SHIFT OTN/104727416 |
| Birth place: | GA |
| Arresting agency: | GA0330400 |
| Arrest number: | 000346920 |
| Arrest date: | Dec 15, 2001 |
| Arrest location: | SMYRNA PD / JAIL |
| Booking date: | Dec 15, 2001 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 15, 2001 |
| Warrant: | 01-W-13489 |
| Type: | MU |
| Section: | 16-10-29 |
| Offense date: | Dec 14, 2001 |
| Description: | FALSE REQ FOR AMBUL |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $300 |