| Date of birth: | 1950 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000028266 |
| Releasing officer: | 003463 |
| Duration of custody: | 8 |
| Comments: | A/CULPEPPER T/ MARTIN PROP# 1477 |
| Birth place: | GA |
| Type: | 19 |
| Side: | L |
| Description: | IOLA |
| Body part: | A |
| Type: | 09 |
| Side: | L |
| Description: | ROSE W/ SHIRLEY |
| Body part: | A |
| Type: | 19 |
| Side: | L |
| Description: | SHIRLEY |
| Body part: | A |
| Arresting agency: | GA0330300 |
| Arrest number: | 000637055 |
| Arrest date: | Dec 27, 2009 |
| Arrest location: | 132 W LEE CT |
| Booking date: | Dec 27, 2009 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 27, 2009 |
| Warrant: | 09-W-13933 |
| Type: | FU |
| Section: | 16-5-21 |
| Offense date: | Dec 27, 2009 |
| Description: | AGGRAVATED ASSAULT |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $5,000 |
| Warrant date: | Dec 27, 2009 |
| Warrant: | 09-W-13933 |
| Type: | MU |
| Section: | 16-5-23.1 |
| Offense date: | Dec 27, 2009 |
| Description: | BATTERY |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |