| Hair: | Black |
| Eyes: | Brown |
| SO#: | P00774951 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 1104813 |
| Booking date: | Feb 9, 2011 |
| Release date: | Mar 3, 2011 |
| Booking location: | Fulton County, GA |
| Charge: | U/S SBPP OS#317563 |
| Bond type: | $0 Other |