| Date of birth: | 1959 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000029895 |
| Releasing officer: | 002410 |
| Duration of custody: | 810 |
| Comments: | A/KEIM T/PALMIOTTA W/G:JACKSONBRADLEY OTN/117669296 |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | SNAKE WITH ETCH |
| Body part: | A |
| Arresting agency: | GA0330300 |
| Arrest number: | 000418380 |
| Arrest date: | Dec 27, 2003 |
| Arrest location: | 83 HOWARD ST/MTTA |
| Booking date: | Dec 27, 2003 |
| Booking location: | Cobb County, GA |
| Warrant date: | Oct 21, 2003 |
| Warrant: | 00-9-4268 |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |