| Date of birth: | 1939 |
| Hair: | Gray |
| Eyes: | Green |
| SO#: | 000015508 |
| Releasing officer: | 086004 |
| Comments: | WALKIN W/G:ANDREWS OTN/72516986 |
| Birth place: | GA |
| Arresting agency: | GA0330000 |
| Arrest number: | 000267429 |
| Arrest date: | Jun 30, 1999 |
| Arrest location: | CCADC |
| Booking date: | Jun 30, 1999 |
| Booking officer: | SELF00 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 22, 1999 |
| Warrant: | 99-W-6985 |
| Type: | MU |
| Section: | 16-13-75 |
| Offense date: | Jun 21, 1999 |
| Description: | DRGS ORGNAL CNTAINER |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $500 |