| Date of birth: | 1936 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000022899 |
| Releasing officer: | 086004 |
| Comments: | W/NORAH G/(86016) |
| Birth place: | GA |
| Type: | 08 |
| Side: | L |
| Description: | LADY AND A FLAG |
| Body part: | A |
| Type: | 03 |
| Side: | L |
| Description: | SMALL BIRD |
| Body part: | A |
| Type: | 25 |
| Side: | L |
| Description: | COBRA |
| Body part: | A |
| Type: | 03 |
| Side: | L |
| Description: | FADED OWL |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | KNIFE & ROSE |
| Body part: | A |
| Arresting agency: | SELF |
| Arrest number: | 000311984 |
| Arrest date: | Dec 15, 2000 |
| Arrest location: | CCADC |
| Booking date: | Dec 15, 2000 |
| Booking officer: | 094003 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 15, 2000 |
| Warrant: | 00-9-4656 |
| Type: | FI |
| Section: | INDICTMENT |
| Description: | INDICTMENT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | $50,000 |