| Date of birth: | 1958 |
| Hair: | Black |
| Eyes: | Black |
| SO#: | 000048220 |
| Releasing officer: | 002037 |
| Duration of custody: | 2 |
| Comments: | A/T: R.B. PAYNE/HA MILLER OTN:103904485 W/VALENTIN |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000343098 |
| Arrest date: | Nov 7, 2001 |
| Arrest location: | BEACH HAVEN TRAIL @ VININGS RU |
| Booking date: | Nov 7, 2001 |
| Booking location: | Cobb County, GA |
| Warrant date: | Nov 7, 2001 |
| Warrant: | 286739 |
| Type: | MU |
| Section: | 40-8-76.1 |
| Offense date: | Nov 7, 2001 |
| Description: | NOT WEARING SEAT BLT |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $100 |
| Warrant date: | Nov 7, 2001 |
| Warrant: | 286741 |
| Type: | MU |
| Section: | 40-5-121 |
| Offense date: | Nov 7, 2001 |
| Description: | REV/SUSP. DR. LIC. |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $500 |
