| Hair: | Black |
| Eyes: | Black |
| SO#: | P00692505 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 1240679 |
| Booking date: | Oct 22, 2012 |
| Release date: | Nov 9, 2012 |
| Booking location: | Fulton County, GA |
| Charge: | U/S SBPP EF#678156 |
| Bond type: | $0 Other |