| Date of birth: | 1935 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000017435 |
| Releasing officer: | 086004 |
| Comments: | OTN/72772836 W/G:LNORAH |
| Birth place: | GA |
| Arresting agency: | GA0330200 |
| Arrest number: | 000266342 |
| Arrest date: | Jun 17, 1999 |
| Arrest location: | WENDY HILL RD/ BENSEN POOLE |
| Booking date: | Jun 17, 1999 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 17, 1999 |
| Warrant: | 927503 |
| Type: | MU |
| Section: | 40-6-10 |
| Offense date: | Jun 17, 1999 |
| Description: | NO PROOF INSURANCE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $300 |
| Warrant date: | Jun 17, 1999 |
| Warrant: | 927502 |
| Type: | MU |
| Section: | 40-5-20 |
| Offense date: | Jun 17, 1999 |
| Description: | NO LICENSE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $100 |
