| Date of birth: | 1957 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000025391 |
| Releasing officer: | 003502 |
| Duration of custody: | 3 |
| Comments: | A/T- GALLORWAY W/G-M HAMPTON PROP# 942 |
| Birth place: | GA |
| Type: | 40 |
| Side: | L |
| Description: | ELBOW AREA |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000681614 |
| Arrest date: | May 10, 2011 |
| Arrest location: | 3237 FERN VALLEY DR |
| Booking date: | May 11, 2011 |
| Booking location: | Cobb County, GA |
| Booking location: | Cobb County, GA |
| Warrant date: | May 11, 2011 |
| Warrant: | 11-W-4345 |
| Type: | FU |
| Section: | 16-13-30(A) |
| Offense date: | May 11, 2011 |
| Description: | PSS/SEL/PUR/MA VGCSA |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $10,000 |
| Warrant date: | May 11, 2011 |
| Warrant: | 11-W-4345 |
| Type: | MU |
| Section: | 16-5-60 |
| Offense date: | May 11, 2011 |
| Description: | RECKLESS CONDUCT |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $0 |
| Type: | NC |
| Section: | OTHER |
| Description: | OTHER CHARGE (TEMP) |
| Counts: | 01/ |
| Code: | OTHE |
| Bond amount: | $0 |
