| Date of birth: | 1954 |
| Hair: | Red |
| Eyes: | Blue |
| SO#: | 27716 |
| Releasing officer: | 2654 |
| Duration of custody: | 1 |
| Comments: | OTN/117862592 G/W M MOSS |
| Birth place: | SC |
| Booking officer: | 000055 |
| Booking date: | Apr 21, 2004 |
| Arrest number: | 000430152 |
| Arrest location: | COURT ROOM I |
| Arrest date: | Apr 21, 2004 |
| Arresting agency: | GA0330000 |
| Booking location: | Cobb County, GA |
| Type: | OT |
| Side: | R |
| Description: | WINGS/H.D. |
| Body part: | S |
| Arresting agency: | GA0330000 |
| Arrest number: | 430152 |
| Arrest date: | Apr 21, 2004 |
| Arrest location: | COURT ROOM I |
| Booking date: | Apr 21, 2004 |
| Booking officer: | 55 |
| Booking location: | Cobb County, GA |
| Warrant date: | Apr 21, 2004 |
| Warrant: | 04-W-4256 |
| Type: | MU |
| Section: | 16-5-23 |
| Offense date: | Mar 21, 2004 |
| Description: | SIMPLE BATTERY |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |
