| Date of birth: | 1955 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000027892 |
| Releasing officer: | 003161 |
| Comments: | T/CUNNINGHAM W/G-ELLIS OTN/117072421 |
| Birth place: | GA |
| Arresting agency: | GA0330000 |
| Arrest number: | 000453939 |
| Arrest date: | Dec 16, 2004 |
| Arrest location: | COBB CO DETENTION CENTER |
| Booking date: | Dec 17, 2004 |
| Booking officer: | WALKIN |
| Booking location: | Cobb County, GA |
| Warrant date: | Apr 5, 2004 |
| Warrant: | 04-W-13635 |
| Type: | FU |
| Section: | 16-10-20 |
| Offense date: | Apr 5, 2004 |
| Description: | FALSE STATEMENTS |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |