| Date of birth: | 1955 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000046821 |
| Releasing officer: | 003465 |
| Duration of custody: | 9 |
| Comments: | A/CLARK T/CIPRIANO |
| Birth place: | GA |
| Type: | OT |
| Side: | X |
| Description: | GRAY IN HAIR/BEARD |
| Body part: | F |
| Type: | BD |
| Side: | X |
| Body part: | F |
| Type: | MU |
| Side: | X |
| Body part: | F |
| Arresting agency: | GA0330100 |
| Arrest number: | 000633209 |
| Arrest date: | Nov 11, 2009 |
| Arrest location: | 2594 VETERAND MEMORIAL HWY |
| Booking date: | Nov 11, 2009 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Code: | BFO |
| Bond amount: | No bail |
| Warrant date: | Nov 11, 2009 |
| Type: | NC |
| Section: | OTHER |
| Offense date: | Nov 11, 2009 |
| Description: | OTHER CHARGE (TEMP) |
| Counts: | 01/ |
| Code: | OTHE |
| Bond amount: | No bail |
| Warrant date: | Nov 11, 2009 |
| Type: | NC |
| Section: | 15-29 |
| Offense date: | Nov 11, 2009 |
| Description: | HINDERING LAW ENFORC |
| Counts: | 01/ |
| Code: | AUST |
| Bond amount: | No bail |
