| Date of birth: | 1959 |
| Hair: | Gray |
| Eyes: | Hazel |
| SO#: | 000036216 |
| Releasing officer: | 097087 |
| Duration of custody: | 7 |
| Comments: | W/G FLV |
| Birth place: | AL |
| Arresting agency: | GA0330000 |
| Arrest number: | 000613601 |
| Arrest date: | Apr 23, 2009 |
| Arrest location: | POLK CO JAIL |
| Booking date: | Apr 23, 2009 |
| Booking officer: | 099020 |
| Booking location: | Cobb County, GA |
| Warrant date: | Apr 11, 2008 |
| Warrant: | 06M5578 |
| Type: | MI |
| Section: | 17-6-12 |
| Description: | FAILURE TO APPEAR |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $4,000 CFP:$65.00 |