| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 000034306 |
| Releasing officer: | 003555 |
| Duration of custody: | 12 |
| Comments: | A/T GORSKI |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | SHOULDER/MUSHROOM |
| Body part: | A |
| Type: | 02 |
| Side: | R |
| Description: | SPIDER |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000658179 |
| Arrest date: | Aug 13, 2010 |
| Arrest location: | JACKSON STATE PRISON |
| Booking date: | Aug 13, 2010 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 8, 2008 |
| Warrant: | 08-9-3663-48 |
| Type: | FI |
| Section: | 17-6-12 |
| Offense date: | Dec 5, 2008 |
| Description: | FAILURE TO APPEAR |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $1,000 |