| Date of birth: | 1970 |
| Hair: | Blond |
| Eyes: | Hazel |
| SO#: | 000246992 |
| Serial number: | 000832170 |
| Releasing officer: | S10017 |
| Birth place: | GA |
| Agency id: | GA0330200 |
| Arresting agency: | GA0330200-COBB CO PD |
| Arrest date: | Sep 24, 2013 |
| Arrest location: | 2595 BAKER RD |
| Arrest officer: | S13006 |
| Booking date: | Sep 24, 2013 |
| Booking location: | Cobb County, GA |