| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000056784 |
| Releasing officer: | 096067 |
| Duration of custody: | 1 |
| Comments: | A/T LACARUBA G/W S COMBS OTN/108983232 **PROP 29** |
| Birth place: | GA |
| Type: | 14 |
| Side: | X |
| Description: | WISEST |
| Body part: | B |
| Type: | 14 |
| Side: | X |
| Description: | I'M WAITING FOR THE |
| Body part: | B |
| Type: | OT |
| Side: | X |
| Description: | BAMBOO |
| Body part: | C |
| Type: | 02 |
| Side: | X |
| Description: | 2 PANDA BEARS |
| Body part: | B |
| Type: | 14 |
| Side: | X |
| Description: | HOPELESS |
| Body part: | C |
| Type: | OT |
| Side: | X |
| Description: | HEART W/BANDAID |
| Body part: | C |
| Type: | OT |
| Side: | X |
| Description: | WIZARD & DRAGON |
| Body part: | S |
| Type: | 02 |
| Side: | X |
| Description: | BEAR/EAGLE/INDIAN |
| Body part: | A |
| Type: | 14 |
| Side: | X |
| Description: | SUSAN/COVERED 5/4/03 |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000395329 |
| Arrest date: | May 4, 2003 |
| Arrest location: | 2016 OLIVE SPRINGS RD |
| Booking date: | May 4, 2003 |
| Booking location: | Cobb County, GA |
| Warrant date: | May 4, 2003 |
| Warrant: | 03-W-4782 |
| Type: | MU |
| Section: | 16-5-23 |
| Offense date: | May 4, 2003 |
| Description: | SIMPLE BATTERY |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |
