| Hair: | White |
| Eyes: | Blue |
| Jacket number: | 28483 |
| Classification: | M1B |
| Badge: | SELF |
| Arresting agency: | DAWSON COUNTY SHERIFF'S OFFICE |
| Arrest number: | 2004001552 |
| Arrest date: | Dec 9, 2004 |
| Arrest officer: | TURNED IN SELF |
| Booking location: | Dawson County, GA |
| Description: | THEFT BY CONVERSION |
| Control number: | 117989336 |
| Arrest code: | 16-8-4 |