| Date of birth: | 1958 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000034366 |
| Releasing officer: | 003112 |
| Duration of custody: | 120 |
| Comments: | A/T FULLER W/G BURKE OTN/129035955 ****PROP 298 ****** |
| Birth place: | IN |
| Type: | 19 |
| Side: | R |
| Description: | "JEANNIE" |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000473066 |
| Arrest date: | Jul 2, 2005 |
| Arrest location: | DUE WEST/HWY 92 |
| Booking date: | Jul 2, 2005 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jul 2, 2005 |
| Warrant: | 05-W-7261 |
| Type: | FU |
| Section: | 16-9-1 |
| Offense date: | Jul 2, 2005 |
| Description: | FORGERY 1ST |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $2,500 |
| Warrant date: | Jul 2, 2005 |
| Warrant: | 05-W-7261 |
| Type: | MU |
| Section: | 16-10-24(A) |
| Offense date: | Jul 2, 2005 |
| Description: | OBSTRUCT OF OFFIC M |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |
