| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000029819 |
| Releasing officer: | 003645 |
| Duration of custody: | 1 |
| Comments: | A/SMALL T/RANDOLPH |
| Birth place: | GA |
| Arresting agency: | GA0330800 |
| Arrest number: | 000622435 |
| Arrest date: | Jul 22, 2009 |
| Arrest location: | 4181 ATLANTA ST |
| Booking date: | Jul 22, 2009 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jul 22, 2009 |
| Warrant: | 09-W-8073 |
| Type: | FU |
| Section: | 16-9-1 |
| Offense date: | Jul 22, 2009 |
| Description: | FORGERY 1ST |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $2,500 |
| Warrant date: | Jul 22, 2009 |
| Warrant: | 09-W-8073 |
| Type: | FU |
| Section: | 16-9-1 |
| Offense date: | Jul 22, 2009 |
| Description: | FORGERY 1ST |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $0 |
