| Date of birth: | 1945 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000007578 |
| Duration of custody: | 424 |
| Comments: | W/G/GOBELY OTN/117667734 |
| Birth place: | GA |
| Type: | 13 |
| Side: | L |
| Description: | PEACE SIGN |
| Body part: | A |
| Type: | 02 |
| Side: | L |
| Description: | BLACK PANTHER |
| Body part: | A |
| Type: | 14 |
| Side: | L |
| Description: | GERALD |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000418700 |
| Arrest date: | Dec 31, 2003 |
| Arrest location: | LORRAINE LODGE ROOM 128 |
| Booking date: | Dec 31, 2003 |
| Booking officer: | MEA208 |
| Booking location: | Cobb County, GA |
| Warrant date: | Oct 3, 2003 |
| Warrant: | EF-521492 |
| Type: | PP |
| Section: | 42-9-44 |
| Description: | VIOL. OF PAROLE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |