| Date of birth: | 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000042088 |
| Releasing officer: | 091039 |
| Comments: | A/T BALLEW W/G MOTT OTN/117631931 |
| Birth place: | GA |
| Arresting agency: | GA0330000 |
| Arrest number: | 000421182 |
| Arrest date: | Jan 24, 2004 |
| Arrest location: | WHITE CO SO |
| Booking date: | Jan 24, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 26, 2003 |
| Warrant: | 03-W-6808 |
| Type: | FU |
| Section: | 16-9-20 |
| Offense date: | Feb 15, 2003 |
| Description: | BAD CHECK |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |
| Warrant date: | Jan 24, 2004 |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Counts: | 01/ |
| Code: | HOLD |
| Bond amount: | No bail |