| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000016903 |
| Releasing officer: | 002502 |
| Duration of custody: | 617 |
| Comments: | W/G-MCD186 OTN/116717112 |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | MB INTIALS |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000446579 |
| Arrest date: | Oct 1, 2004 |
| Arrest location: | GWINNETT CO JAIL |
| Booking date: | Oct 1, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 23, 2003 |
| Warrant: | 02 426 05 |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
