| Date of birth: | 1952 |
| Hair: | Blond |
| Eyes: | Hazel |
| SO#: | 000039908 |
| Releasing officer: | 003603 |
| Duration of custody: | 3 |
| Comments: | A/T-SELVIA PROP#1185 W/G-C ISOM |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | ROSE/BLUE BIRD |
| Body part: | B |
| Type: | OT |
| Side: | L |
| Description: | FEATHER |
| Body part: | C |
| Arresting agency: | GA0330200 |
| Arrest number: | 000685967 |
| Arrest date: | Jul 3, 2011 |
| Arrest location: | PINE VALLEY RD @ PAULDING CO |
| Booking date: | Jul 3, 2011 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jul 3, 2011 |
| Warrant: | 1913208 |
| Type: | MU |
| Section: | 40-6-391(A)1 |
| Offense date: | Jul 3, 2011 |
| Description: | DUI ALCOHOL MISD |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |
| Warrant date: | Jul 3, 2011 |
| Warrant: | 1913209 |
| Type: | MU |
| Section: | 40-6-48 |
| Offense date: | Jul 3, 2011 |
| Description: | IMPROPER LN CHANGE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $300 |