| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000044101 |
| Releasing officer: | 002407 |
| Comments: | W/G MUNOZ A/T:MAHMOODZADEH |
| Birth place: | AL |
| Arresting agency: | GA0330000 |
| Arrest number: | 000623376 |
| Arrest date: | Aug 1, 2009 |
| Arrest location: | 1160 FOREST GLEN CT |
| Booking date: | Aug 1, 2009 |
| Booking location: | Cobb County, GA |
| Warrant date: | Aug 1, 2009 |
| Warrant: | 09-W-8490 |
| Type: | MU |
| Section: | 16-5-20 |
| Offense date: | Aug 1, 2009 |
| Description: | SIMPLE ASSAULT |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $0 |