| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 001008165 |
| Serial number: | 000819422 |
| Releasing officer: | S00006 |
| Birth place: | SC |
| Agency id: | GA0330300 |
| Arresting agency: | GA0330300-MARIETTA POLICE DEPT |
| Arrest date: | Apr 12, 2013 |
| Arrest location: | 1200 ROSWELL RD |
| Arrest officer: | S06047 |
| Booking date: | Apr 13, 2013 |
| Booking location: | Cobb County, GA |