| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 000020631 |
| Releasing officer: | 002355 |
| Duration of custody: | 4 |
| Comments: | W/G/GOBELY OTN/116204141 |
| Birth place: | AR |
| Type: | OT |
| Side: | L |
| Description: | 2 LIGHTING BOLTS |
| Body part: | H |
| Type: | 14 |
| Side: | L |
| Description: | "USMC" |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000430409 |
| Arrest date: | Apr 23, 2004 |
| Arrest location: | DOUGLAS COUNTY JAIL |
| Booking date: | Apr 23, 2004 |
| Booking officer: | GIL375 |
| Booking location: | Cobb County, GA |
| Warrant date: | Mar 5, 2004 |
| Warrant: | 03M1027 |
| Type: | MI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
