| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 000038298 |
| Releasing officer: | 089011 |
| Duration of custody: | 1 |
| Comments: | A/HERMAN T/JORDAN OTN/74845466 |
| Birth place: | GA |
| Type: | 25 |
| Side: | R |
| Description: | BOTTLE WITH SNAKES |
| Body part: | A |
| Type: | 25 |
| Side: | R |
| Description: | COBRA |
| Body part: | A |
| Type: | 13 |
| Side: | R |
| Description: | DEATH REEPER |
| Body part: | A |
| Type: | 26 |
| Side: | R |
| Description: | PANTHER |
| Body part: | A |
| Type: | 02 |
| Side: | R |
| Description: | SNAKE |
| Body part: | A |
| Type: | 25 |
| Side: | R |
| Description: | LUSY |
| Body part: | A |
| Type: | 19 |
| Side: | R |
| Description: | LOVE LUSY |
| Body part: | H |
| Type: | 19 |
| Side: | R |
| Description: | VIRGINA BIRD |
| Body part: | H |
| Type: | 03 |
| Side: | R |
| Description: | DEATH REPER |
| Body part: | A |
| Type: | 03 |
| Side: | R |
| Description: | REBEL FLAG |
| Body part: | A |
| Type: | 13 |
| Side: | R |
| Description: | BUSTER |
| Body part: | A |
| Type: | 13 |
| Side: | R |
| Description: | DRAGON WRIST |
| Body part: | A |
| Type: | 20 |
| Side: | R |
| Description: | BORN TO LOOSE |
| Body part: | A |
| Type: | 26 |
| Side: | R |
| Body part: | A |
| Type: | 25 |
| Side: | R |
| Body part: | H |
| Type: | 13 |
| Side: | R |
| Body part: | H |
| Arresting agency: | GA0330200 |
| Arrest number: | 000250582 |
| Arrest date: | Dec 4, 1998 |
| Arrest location: | COBB CO POLICE PERSONS OFFICE |
| Booking date: | Dec 4, 1998 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 4, 1998 |
| Warrant: | 98W0014550 |
| Type: | FU |
| Section: | 16-5-21 |
| Offense date: | Dec 4, 1998 |
| Description: | AGGRAVATED ASSAULT |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $25,000 |
