| Date of birth: | 1940 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000005191 |
| Comments: | OTN/81365222 G/W SHELL |
| Birth place: | GA |
| Type: | 24 |
| Side: | R |
| Description: | CROSS/BTWN THUB/FING |
| Body part: | H |
| Type: | 25 |
| Side: | R |
| Description: | COBRA |
| Body part: | A |
| Type: | 24 |
| Side: | R |
| Description: | CROSS-BACK OF HAND |
| Body part: | H |
| Type: | 19 |
| Side: | R |
| Description: | "BETTY" |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000277609 |
| Arrest date: | Nov 5, 1999 |
| Arrest location: | 220 CLAY DR LOT #10 |
| Booking date: | Nov 5, 1999 |
| Booking officer: | REI212 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Counts: | 01/ |
| Code: | HOLD |
| Bond amount: | No bail |
