| Hair: | Black |
| Eyes: | Brown |
| SO#: | P00685181 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 1302624 |
| Booking date: | Jan 25, 2013 |
| Release date: | Feb 2, 2013 |
| Booking location: | Fulton County, GA |
| Warrant: | 11SC98498 |
| Issuing authority: | GA0600000 |
| Charge: | U/S STATE SEX OFFE REG V* |
| Bond type: | $0 Other |