| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 000047728 |
| Releasing officer: | 002556 |
| Duration of custody: | 10515 |
| Comments: | OTN/108606142 W/G S.MOORE |
| Birth place: | GA |
| Type: | 25 |
| Side: | R |
| Description: | DRAGON |
| Body part: | A |
| Type: | 03 |
| Side: | R |
| Description: | EAGLE |
| Body part: | S |
| Arresting agency: | GA0330000 |
| Arrest number: | 000415587 |
| Arrest date: | Nov 24, 2003 |
| Arrest location: | PAULDING CO JAIL |
| Booking date: | Nov 24, 2003 |
| Booking officer: | 001075 |
| Booking location: | Cobb County, GA |
| Warrant date: | Nov 7, 2003 |
| Warrant: | 03M4030 |
| Type: | MI |
| Section: | 42-8-38 |
| Offense date: | Nov 7, 2003 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |