| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 000031496 |
| Releasing officer: | 088031 |
| Duration of custody: | 8 |
| Comments: | W/G:BAXTER OTN/NA |
| Birth place: | GA |
| Type: | OT |
| Side: | X |
| Description: | CROMATOSE STATE |
| Body part: | C |
| Type: | 02 |
| Side: | X |
| Description: | 101 AIRBORN |
| Body part: | A |
| Type: | 02 |
| Side: | X |
| Description: | EAGLE HEAD UPPER ARM |
| Body part: | A |
| Type: | OT |
| Side: | X |
| Description: | PARACHUTE VIET NAM |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000477528 |
| Arrest date: | Aug 16, 2005 |
| Arrest location: | JUDGE B. CAMPBELL COURTROOM |
| Booking date: | Aug 16, 2005 |
| Booking officer: | 002347 |
| Booking location: | Cobb County, GA |
| Warrant date: | Aug 16, 2005 |
| Warrant: | 918710-11 |
| Type: | MI |
| Section: | FROM COURT |
| Description: | DOWN FROM COURT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | No bail |
