| Hair: | Black |
| Eyes: | Brown |
| SO#: | P00606492 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 0936750 |
| Booking date: | Nov 16, 2009 |
| Release date: | Nov 20, 2009 |
| Booking location: | Fulton County, GA |
| Charge: | U/S SBPP EF518820 |
| Bond type: | $0 Other |