| Date of birth: | 1952 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000025668 |
| Releasing officer: | 095038 |
| Duration of custody: | 20 |
| Comments: | A/ PARKER T/ HICKS W/G SHARP PROP# 114 |
| Birth place: | GA |
| Type: | 19 |
| Side: | R |
| Description: | BETSY |
| Body part: | A |
| Type: | 14 |
| Side: | R |
| Description: | C.D.P. & L.R.W. |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | HEART/LJCS |
| Body part: | A |
| Type: | 12 |
| Side: | R |
| Description: | SPIDER |
| Body part: | A |
| Type: | 14 |
| Side: | R |
| Description: | C D P -O- LRW |
| Body part: | A |
| Arresting agency: | GA0330300 |
| Arrest number: | 000682972 |
| Arrest date: | May 27, 2011 |
| Arrest location: | FAIRGROUND ST @ SEMINOL |
| Booking date: | May 27, 2011 |
| Booking location: | Cobb County, GA |
| Booking location: | Cobb County, GA |
| Type: | PP |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |