| Date of birth: | 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000052655 |
| Releasing officer: | 002605 |
| Duration of custody: | 7 |
| Comments: | A//T SEPULVEDA/COLSON W/G OTN/118507583 |
| Birth place: | GA |
| Type: | 40 |
| Side: | R |
| Description: | ON BUTTOCK |
| Body part: | V |
| Arresting agency: | GA0330000 |
| Arrest number: | 000432537 |
| Arrest date: | May 16, 2004 |
| Arrest location: | ECKERD'S WADE GREEN RD |
| Booking date: | May 17, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Apr 22, 2004 |
| Warrant: | 03T484 |
| Type: | MI |
| Section: | 17-6-12 |
| Offense date: | Mar 22, 2004 |
| Description: | FAILURE TO APPEAR |
| Counts: | 01 |
| Code: | OCGA |
| Bond amount: | $2,000 |