| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000038754 |
| Releasing officer: | 002114 |
| Duration of custody: | 11 |
| Comments: | A/T HOUTSTON OTN/102369595 G/W: WASHINGTON |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | FLOWER W/LEAVES |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | VAMPIRE FACE |
| Body part: | S |
| Type: | OT |
| Side: | R |
| Description: | PEGASUS |
| Body part: | A |
| Type: | 03 |
| Side: | R |
| Description: | EAGLE |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000349407 |
| Arrest date: | Jan 13, 2002 |
| Arrest location: | DOUGLAS CO. SO |
| Booking date: | Jan 13, 2002 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 18, 2001 |
| Warrant: | 00-T-13570 |
| Type: | MI |
| Section: | 42-8-38 |
| Offense date: | Nov 13, 2001 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
