| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000047129 |
| Releasing officer: | 098022 |
| Comments: | A/T E ISIN OTN/77587650 G/2012 W/1895 |
| Birth place: | CA |
| Type: | 02 |
| Side: | R |
| Description: | SNAKE |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | EAGLE |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | HEART W/WINGS |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000271562 |
| Arrest date: | Aug 22, 1999 |
| Arrest location: | 127 LABELLE LANE |
| Booking date: | Aug 23, 1999 |
| Booking location: | Cobb County, GA |
| Warrant date: | Aug 23, 1999 |
| Warrant: | 99-W-9612 |
| Type: | MU |
| Section: | 16-10-24(A) |
| Offense date: | Aug 22, 1999 |
| Description: | OBSTRUCT OF OFFIC M |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $15,000 |
| Warrant date: | Aug 23, 1999 |
| Warrant: | 99-W-9612 |
| Type: | FU |
| Section: | 16-5-21 |
| Offense date: | Aug 22, 1999 |
| Description: | AGGRAVATED ASSAULT |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |