| Date of birth: | 1949 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000908868 |
| Serial number: | 000826108 |
| Releasing officer: | S94019 |
| Birth place: | OR |
| Agency id: | GA0330200 |
| Arresting agency: | GA0330200-COBB CO PD |
| Arrest date: | Jul 5, 2013 |
| Arrest location: | ATLANTA RD @ BROWNWOOD LN |
| Arrest officer: | S12022 |
| Booking date: | Jul 5, 2013 |
| Booking location: | Cobb County, GA |