| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 000049276 |
| Releasing officer: | 003776 |
| Duration of custody: | 3 |
| Birth place: | GA |
| Arresting agency: | GA0330000 |
| Arrest number: | 000662137 |
| Arrest date: | Sep 26, 2010 |
| Arrest location: | CCADC VISITATION CENTER |
| Booking date: | Sep 26, 2010 |
| Booking officer: | WALKIN |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Code: | BFO |
| Bond amount: | No bail |