| Date of birth: | 1948 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000008535 |
| Releasing officer: | 002637 |
| Comments: | A/T BARBEAU W/G-SHELNUTT OTN/118448595 |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000435491 |
| Arrest date: | Jun 14, 2004 |
| Arrest location: | COBB PKWY/KENNESAW DUE WEST |
| Booking date: | Jun 14, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 14, 2004 |
| Warrant: | 752135 |
| Type: | MU |
| Section: | 16-10-25 |
| Offense date: | Jun 14, 2004 |
| Description: | GIVING FALSE NAME |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $300 |
| Warrant date: | Jun 14, 2004 |
| Warrant: | 752134 |
| Type: | MU |
| Section: | 40-5-20 |
| Offense date: | Jun 14, 2004 |
| Description: | NO LICENSE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
