| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000023214 |
| Releasing officer: | 003603 |
| Duration of custody: | 100 |
| Comments: | A/T: C S HENDERSON W/GCIC-GILES PROP# 733 |
| Birth place: | TN |
| Type: | 46 |
| Side: | R |
| Description: | 3 IN SCAR ON FOREARM |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000693058 |
| Arrest date: | Sep 26, 2011 |
| Arrest location: | AUSTELL RD @ 280 |
| Booking date: | Sep 26, 2011 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 26, 2011 |
| Warrant: | 11-W-9004 |
| Type: | MI |
| Section: | 16-7-21 |
| Offense date: | Sep 26, 2011 |
| Description: | CRIMINAL TRESPASS |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
| Type: | NC |
| Section: | OTHER |
| Description: | OTHER CHARGE (TEMP) |
| Code: | OTHE |
| Bond amount: | $0 |
