| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 000041935 |
| Releasing officer: | 097030 |
| Duration of custody: | 113 |
| Comments: | WALK-IN W/G: 3418 OTN/84519282 |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | HEART W/ THORNVINE |
| Body part: | S |
| Type: | 09 |
| Side: | R |
| Description: | YELLOW ROSE |
| Body part: | X |
| Arresting agency: | GA0330000 |
| Arrest number: | 000313396 |
| Arrest date: | Jan 3, 2001 |
| Arrest location: | CCADC |
| Booking date: | Jan 3, 2001 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 10, 2000 |
| Warrant: | 00-W-6383 |
| Type: | FI |
| Section: | BND OFF BOND |
| Description: | BONDSMAN OFF BOND |
| Counts: | 01/ |
| Code: | BOB |
| Bond amount: | No bail |
| Warrant: | 00-9-3847-28 |
| Type: | FI |
| Section: | 17-6-12 |
| Description: | FAILURE TO APPEAR |
| Counts: | 02/ |
| Code: | OCGA |
| Bond amount: | No bail |