| Hair: | Black |
| Eyes: | Blue |
| SO#: | P01035744 |
| Arresting agency: | Sandy Springs Police Department |
| Booking number: | 1243805 |
| Booking date: | Nov 17, 2012 |
| Release date: | Nov 19, 2012 |
| Booking location: | Fulton County, GA |
| Warrant: | EW071446 |
| Issuing authority: | GA0600000 |
| Charge: | SIMPLE BATTERY DV |
| Bond type: | $1,500 Other |