| Date of birth: | 1930 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000015078 |
| Releasing officer: | 091031 |
| Duration of custody: | 4 |
| Birth place: | KY |
| Arresting agency: | GA0330000 |
| Arrest number: | 000633389 |
| Arrest date: | Nov 13, 2009 |
| Arrest location: | DOUGLAS CO |
| Booking date: | Nov 13, 2009 |
| Booking officer: | 097076 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Counts: | 01/ |
| Code: | HOLD |
| Bond amount: | No bail |
| Warrant date: | Nov 3, 2009 |
| Warrant: | 07-W-4178 |
| Type: | FI |
| Section: | FOR COURT |
| Description: | RETURN FOR COURT |
| Counts: | 01/IN |
| Code: | CT |
| Bond amount: | No bail |