| Date of birth: | 1942 |
| Hair: | Blond |
| Eyes: | Blue |
| SO#: | 000044591 |
| Releasing officer: | 097087 |
| Duration of custody: | 1 |
| Comments: | A/T LEWIS OTN/128661466 W/G FLV **PROP 1004** |
| Birth place: | MY |
| Arresting agency: | GA0330300 |
| Arrest number: | 000476231 |
| Arrest date: | Aug 4, 2005 |
| Arrest location: | 1880 WEST OAK PARKWAY |
| Booking date: | Aug 4, 2005 |
| Booking location: | Cobb County, GA |
| Warrant date: | Aug 4, 2005 |
| Warrant: | 05-W-8612 |
| Type: | MU |
| Section: | 16-8-2 |
| Offense date: | Aug 4, 2005 |
| Description: | THEFT BY TAKING |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |