| Date of birth: | 1955 |
| Hair: | Blond |
| Eyes: | Brown |
| SO#: | 000042501 |
| Releasing officer: | 002654 |
| Comments: | A/T KELLEY OTN/NA W/G VALENTIN |
| Birth place: | SC |
| Type: | 14 |
| Side: | L |
| Description: | THE LETTER M |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000420453 |
| Arrest date: | Jan 17, 2004 |
| Arrest location: | CCADC |
| Booking date: | Jan 17, 2004 |
| Booking officer: | WALKIN |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 13, 2004 |
| Warrant: | 563483-85 |
| Type: | MI |
| Section: | FROM COURT |
| Description: | DOWN FROM COURT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | No bail |
