| Date of birth: | 1947 |
| Hair: | Blond |
| Eyes: | Green |
| Warrant date: | Apr 12, 2013 |
| Warrant: | 13-W-3687 |
| SO#: | 001008163 |
| Serial number: | 000819420 |
| Releasing officer: | S08097 |
| Case: | 1305925 |
| Birth place: | GA |
| Agency id: | GA0330000 |
| Feature type: | TAT R SHLD |
| Description: | CROWN OF THORNS W/STAR |
| Arresting agency: | GA0330000-COBB CO SHERIFF |
| Arrest date: | Apr 12, 2013 |
| Arrest location: | ACWORTH CITY JAIL |
| Arrest officer: | S06047 |
| Booking date: | Apr 13, 2013 |
| Booking location: | Cobb County, GA |
| Type: | Misdemeanor Unindicted |
| Description: | Simple Battery |
| Counts: | 1 |
| Code section: | OCGA16-5-23(a)(2) |
| Bond amount: | $0 |
| Code section: | Bonding Company |
| Number: | 1 |
| Amount: | $2,000 |
| Number: | 1 |
| Info: | Indigent Defense Fund |
| Amount: | $100 |
| Number: | 1 |
| Info: | Jail Construction |
| Amount: | $200 |
| Number: | 1 |
| Info: | Cobb County Sheriff's Office |
| Amount: | $20 |