| Date of birth: | 1959 |
| Hair: | Blond |
| Eyes: | Blue |
| SO#: | 000042303 |
| Releasing officer: | 002560 |
| Duration of custody: | 328 |
| Comments: | G/W M MOSS OTN/118505310 |
| Birth place: | GA |
| Type: | 40 |
| Side: | L |
| Description: | COOKIE MARK |
| Body part: | L |
| Arresting agency: | GA0330000 |
| Arrest number: | 000432153 |
| Arrest date: | May 12, 2004 |
| Arrest location: | GREENE CO SO |
| Booking date: | May 12, 2004 |
| Booking officer: | BYE290 |
| Booking location: | Cobb County, GA |
| Warrant date: | Apr 22, 2004 |
| Warrant: | 03-1-9372-42 |
| Type: | FI |
| Section: | 15-6-8(5) |
| Description: | CONTEMPT CT SUPERIOR |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |
