| Date of birth: | 1948 |
| Hair: | Gray |
| Eyes: | Hazel |
| SO#: | 000020675 |
| Releasing officer: | 002654 |
| Duration of custody: | 2 |
| Comments: | W/G:NORAH OTN/117645636 |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | MOLE |
| Body part: | N |
| Type: | 20 |
| Side: | L |
| Description: | TOMMY |
| Body part: | S |
| Arresting agency: | GA0330000 |
| Arrest number: | 000423061 |
| Arrest date: | Feb 11, 2004 |
| Arrest location: | 2904 HICKS RD. MARIETTA |
| Booking date: | Feb 11, 2004 |
| Booking officer: | 000022 |
| Booking location: | Cobb County, GA |
| Warrant date: | Feb 11, 2004 |
| Warrant: | 04-W-1617 |
| Type: | FU |
| Section: | 16-13-30(A) |
| Offense date: | Feb 11, 2004 |
| Description: | PSS/SEL/PUR/MA VGCSA |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $5,000 |
| Warrant date: | Feb 11, 2004 |
| Warrant: | 04-W-1617 |
| Type: | MU |
| Section: | 16-13-30(J) |
| Offense date: | Feb 11, 2004 |
| Description: | MARIJ/POSS/SEL/MANU |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Warrant date: | Feb 11, 2004 |
| Warrant: | 04-W-1617 |
| Type: | FU |
| Section: | 16-13-30(A) |
| Offense date: | Feb 11, 2004 |
| Description: | PSS/SEL/PUR/MA VGCSA |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |