| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000005622 |
| Duration of custody: | 1 |
| Comments: | A/T: P. WALDORF W/G: BRADSHAW |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | SCORPION |
| Body part: | L |
| Type: | OT |
| Side: | L |
| Description: | LIZARD |
| Body part: | B |
| Type: | 14 |
| Side: | L |
| Description: | J M |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | CROSS |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000622262 |
| Arrest date: | Jul 20, 2009 |
| Arrest location: | 1350 JOYNER AVE |
| Booking date: | Jul 20, 2009 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jul 20, 2009 |
| Warrant: | 09-W-7999 |
| Type: | MU |
| Section: | 16-5-20 |
| Offense date: | Jul 20, 2009 |
| Description: | SIMPLE ASSAULT |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $2,500 |
| Warrant date: | Jul 20, 2009 |
| Warrant: | 09-W-7999 |
| Type: | MU |
| Section: | 16-11-103 |
| Offense date: | Jul 20, 2009 |
| Description: | DISCH WEAO NEAR ST |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $0 |
