| Date of birth: | 1951 |
| Hair: | Gray |
| Eyes: | Hazel |
| SO#: | 000039400 |
| Releasing officer: | 096067 |
| Duration of custody: | 124 |
| Comments: | A/T DOYCE OTN/102385931 W/G DSEPULVEDA |
| Birth place: | GA |
| Type: | 14 |
| Side: | R |
| Description: | "PAM" |
| Body part: | A |
| Type: | 13 |
| Side: | R |
| Description: | TWO FEATHER |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | FEATHER |
| Body part: | A |
| Arresting agency: | GA0330300 |
| Arrest number: | 000340888 |
| Arrest date: | Oct 15, 2001 |
| Arrest location: | PAULDING COUNTY JAIL |
| Booking date: | Oct 15, 2001 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Counts: | 01/ |
| Code: | BFO |
| Bond amount: | No bail |
| Type: | NC |
| Section: | OTHER |
| Description: | OTHER CHARGE (TEMP) |
| Code: | OTHE |
| Bond amount: | No bail |