| Date of birth: | 1933 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000024249 |
| Releasing officer: | 097015 |
| Duration of custody: | 5 |
| Comments: | W/MCD186 G/MCD186 OTN/NA |
| Birth place: | TN |
| Type: | 02 |
| Side: | X |
| Description: | 2 BIRDS |
| Body part: | C |
| Type: | 02 |
| Side: | X |
| Description: | EAGLE |
| Body part: | A |
| Type: | 17 |
| Side: | X |
| Description: | US NAVY |
| Body part: | A |
| Type: | OT |
| Side: | X |
| Description: | 2 HEARTS MOM/DAD |
| Body part: | A |
| Type: | 02 |
| Side: | X |
| Description: | BEAR/ON FOREARM |
| Body part: | A |
| Arresting agency: | GA0330300 |
| Arrest number: | 000290371 |
| Arrest date: | Apr 13, 2000 |
| Arrest location: | 150 HAYNES ST. |
| Booking date: | Apr 13, 2000 |
| Booking location: | Cobb County, GA |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Code: | BFO |
| Bond amount: | No bail |
