| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000018510 |
| Releasing officer: | 001746 |
| Duration of custody: | 102 |
| Comments: | W/G/STOREY OTN/117689110 |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | ROLLING STONES |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000425857 |
| Arrest date: | Mar 10, 2004 |
| Arrest location: | BARTOW CO JAIL |
| Booking date: | Mar 10, 2004 |
| Booking officer: | 000046 |
| Booking location: | Cobb County, GA |
| Warrant date: | Feb 5, 2004 |
| Warrant: | 03-M-4644 |
| Type: | MI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
