| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000028273 |
| Releasing officer: | 003156 |
| Duration of custody: | 18 |
| Comments: | A/T HERNDON W/GCIC |
| Birth place: | GA |
| Type: | 03 |
| Side: | X |
| Description: | BROKEN LT LEG 011896 |
| Body part: | C |
| Type: | OT |
| Side: | X |
| Description: | PINS IN RT HIP |
| Body part: | L |
| Type: | OT |
| Side: | X |
| Description: | PINS IN LT SHOULDER |
| Body part: | L |
| Type: | OT |
| Side: | X |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000555404 |
| Arrest date: | Sep 21, 2007 |
| Arrest location: | 1736 OAK HAVEN DR. MTA GA |
| Booking date: | Sep 21, 2007 |
| Booking officer: | 002516 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 12, 2007 |
| Warrant: | 04-4400 |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |