| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000012863 |
| Releasing officer: | 096067 |
| Duration of custody: | 1 |
| Comments: | A/WILLARD T/CLERE W/G-SHELNUTT OTN/NA |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | JACKIE |
| Body part: | A |
| Type: | 13 |
| Side: | L |
| Description: | PEACE SIGN |
| Body part: | R |
| Arresting agency: | GA0330200 |
| Arrest number: | 000431269 |
| Arrest date: | May 3, 2004 |
| Arrest location: | 3267 HICKORY GROVE RD |
| Booking date: | May 3, 2004 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 22, 2004 |
| Warrant: | 03-K-1758 |
| Type: | FI |
| Section: | 15-7-4 |
| Offense date: | Jan 22, 2004 |
| Description: | CONTEMPT CT. STATE |
| Code: | OCGA |
| Bond amount: | No bail CFP:$250.00 |
