| Date of birth: | 1952 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 001012457 |
| Serial number: | 000830061 |
| Releasing officer: | S95019 |
| Birth place: | NY |
| Agency id: | GA0330200 |
| Arresting agency: | GA0330200-COBB CO PD |
| Arrest date: | Aug 25, 2013 |
| Arrest location: | 4700 AUSTELL RD |
| Arrest officer: | S13006 |
| Booking date: | Aug 25, 2013 |
| Booking location: | Cobb County, GA |