| Hair: | Bald |
| Eyes: | Brown |
| SO#: | P01037494 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 1300283 |
| Booking date: | Jan 3, 2013 |
| Release date: | Jan 23, 2013 |
| Booking location: | Fulton County, GA |
| Charge: | U/S SBPP EF#563998 |
| Bond type: | $0 Other |