| Date of birth: | 1962 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 000042629 |
| Releasing officer: | 003603 |
| Duration of custody: | 102 |
| Comments: | A/T HUVAL, CUNNINGHAM W/G SIMPSON |
| Birth place: | GA |
| Type: | 24 |
| Side: | R |
| Description: | CROSS |
| Body part: | H |
| Type: | OT |
| Side: | R |
| Description: | RIBBON/HEART |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | SKULL/KNIFE |
| Body part: | A |
| Type: | 24 |
| Side: | R |
| Description: | CROSS |
| Body part: | A |
| Type: | 13 |
| Side: | R |
| Description: | HEART W/RIBBON |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000650937 |
| Arrest date: | May 27, 2010 |
| Arrest location: | DOUGLAS GENERAL HOSPITAL |
| Booking date: | May 27, 2010 |
| Booking location: | Cobb County, GA |
| Warrant date: | Apr 24, 2009 |
| Warrant: | 06-2744-18 |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |