| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000025117 |
| Releasing officer: | 077009 |
| Comments: | A:SCOTT/SMITH T:HICKS G/W:RADER OTN/114442226 |
| Birth place: | IL |
| Arresting agency: | GA0330300 |
| Arrest number: | 000379967 |
| Arrest date: | Nov 22, 2002 |
| Arrest location: | S LOOP @ LOWER ROSWELL |
| Booking date: | Nov 22, 2002 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Counts: | 01/ |
| Code: | BFO |
| Bond amount: | No bail |
| Warrant date: | Nov 22, 2002 |
| Warrant: | 412314 |
| Type: | NC |
| Section: | 40-5-121 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/ |
| Code: | MTTA |
| Bond amount: | No bail |
