| Date of birth: | 1942 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000040961 |
| Releasing officer: | 097016 |
| Duration of custody: | 411 |
| Comments: | A/CLARK BONDING CO W/G/FORD OTN/74189791 |
| Birth place: | TN |
| Type: | 19 |
| Side: | R |
| Description: | SHIRLEY |
| Body part: | A |
| Type: | 20 |
| Side: | R |
| Description: | STAN |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000244124 |
| Arrest date: | Sep 8, 1998 |
| Arrest location: | CCADC |
| Booking date: | Sep 8, 1998 |
| Booking location: | Cobb County, GA |
| Warrant date: | Aug 19, 1998 |
| Warrant: | 98T4823 |
| Type: | MI |
| Section: | 17-6-12 |
| Description: | FAILURE TO APPEAR |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Feb 18, 1998 |
| Warrant: | 98T4823 |
| Type: | MI |
| Section: | BND OFF BOND |
| Description: | BONDSMAN OFF BOND |
| Counts: | 01/ |
| Code: | BOB |
| Bond amount: | No bail |
