| Date of birth: | 1967 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 001010745 |
| Serial number: | 000825882 |
| Releasing officer: | S02084 |
| Birth place: | GA |
| Agency id: | GA0330200 |
| Arresting agency: | GA0330200-COBB CO PD |
| Arrest date: | Jul 2, 2013 |
| Arrest location: | 340 SIX FLAGS DR |
| Arrest officer: | S06031 |
| Booking date: | Jul 2, 2013 |
| Booking location: | Cobb County, GA |