| Date of birth: | 1956 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000054818 |
| Releasing officer: | 003506 |
| Duration of custody: | 1 |
| Comments: | A/T MIDDENDORF W/G E AYERS |
| Birth place: | TX |
| Type: | 02 |
| Side: | X |
| Description: | LION |
| Body part: | B |
| Type: | 13 |
| Side: | X |
| Description: | PLAYBOY BUNNY |
| Body part: | A |
| Type: | 09 |
| Side: | X |
| Description: | ROSE |
| Body part: | A |
| Type: | 24 |
| Side: | X |
| Description: | CROSS |
| Body part: | H |
| Type: | 13 |
| Side: | X |
| Description: | DOLLAR BILL SIGN "$" |
| Body part: | H |
| Type: | OT |
| Side: | X |
| Description: | EXECUTIONER |
| Body part: | A |
| Type: | OT |
| Side: | X |
| Description: | DAGGER THRU ROSE |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000617549 |
| Arrest date: | Jun 1, 2009 |
| Arrest location: | MAXIM @ THORTON |
| Booking date: | Jun 1, 2009 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 2, 2009 |
| Warrant: | 09-W-6080 |
| Type: | FU |
| Section: | 16-8-2 |
| Offense date: | Jun 1, 2009 |
| Description: | THEFT BY TAKING |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $2,500 |