| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000043836 |
| Releasing officer: | 097030 |
| Comments: | A/T:MATHIS/CAUSEY G/W:RADER OTN/107221262 |
| Birth place: | AL |
| Arresting agency: | GA0330200 |
| Arrest number: | 000374611 |
| Arrest date: | Sep 27, 2002 |
| Arrest location: | S. COBB DR @ BANK RD/SMYRNA |
| Booking date: | Sep 27, 2002 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 27, 2002 |
| Warrant: | 484083 |
| Type: | MU |
| Section: | 40-2-90 |
| Offense date: | Sep 27, 2002 |
| Description: | NON RESD/30 DAY TAG |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant date: | Sep 27, 2002 |
| Warrant: | 484084 |
| Type: | MU |
| Section: | 40-5-20 |
| Offense date: | Sep 27, 2002 |
| Description: | NO LICENSE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant date: | Sep 27, 2002 |
| Warrant: | 484085 |
| Type: | MU |
| Section: | 40-6-10 |
| Offense date: | Sep 27, 2002 |
| Description: | NO PROOF INSURANCE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $300 |