| Hair: | Black |
| Eyes: | Brown |
| SO#: | P00419016 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 1220686 |
| Booking date: | May 24, 2012 |
| Release date: | Jun 29, 2012 |
| Booking location: | Fulton County, GA |
| Charge: | U/S SBPP EF# 725217 |
| Bond type: | $0 Other |