| Date of birth: | 1952 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000020483 |
| Releasing officer: | 002406 |
| Duration of custody: | 117 |
| Comments: | W/G:BAXTER OTN/112983544 |
| Birth place: | SC |
| Type: | 09 |
| Side: | X |
| Description: | MAPLE LEAF |
| Body part: | B |
| Type: | 14 |
| Side: | X |
| Description: | PISCES |
| Body part: | B |
| Type: | 25 |
| Side: | X |
| Description: | SNAKE ON A KNIFE |
| Body part: | A |
| Type: | 25 |
| Side: | X |
| Description: | DRAGONS |
| Body part: | C |
| Type: | 26 |
| Side: | X |
| Description: | SKULL W/HAT |
| Body part: | A |
| Type: | 03 |
| Side: | X |
| Description: | EAGLE LOWER ARM |
| Body part: | A |
| Type: | 03 |
| Side: | X |
| Description: | PARROT UPPER ARM |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000411691 |
| Arrest date: | Oct 15, 2003 |
| Arrest location: | COBB CO JAIL |
| Booking date: | Oct 15, 2003 |
| Booking officer: | WALKIN |
| Booking location: | Cobb County, GA |
| Warrant date: | Oct 8, 2003 |
| Warrant: | 02-M-2539 |
| Type: | MI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
