| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000036855 |
| Releasing officer: | 097030 |
| Comments: | A/T:BLAKENEY W/G:BAXTER OTN/NA |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000449306 |
| Arrest date: | Oct 30, 2004 |
| Arrest location: | SANDY PLAINS / SANDY PLAINS PK |
| Booking date: | Oct 30, 2004 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |