| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000036571 |
| Releasing officer: | 002701 |
| Comments: | A-COUSINS/T-KEIM |
| Birth place: | GA |
| Type: | 03 |
| Side: | R |
| Description: | EAGLE |
| Body part: | V |
| Type: | 12 |
| Side: | R |
| Description: | BUTTERFLY |
| Body part: | C |
| Arresting agency: | GA0330300 |
| Arrest number: | 000424598 |
| Arrest date: | Feb 27, 2004 |
| Arrest location: | POWDER SPRINGS/CHESTNUT HILL |
| Booking date: | Feb 27, 2004 |
| Booking location: | Cobb County, GA |
| Type: | MU |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Counts: | 01/ |
| Code: | HOLD |
| Bond amount: | No bail |
