| Hair: | Bald |
| Eyes: | Brown |
| SO#: | P01017796 |
| Arresting agency: | Johns Creek Police Department |
| Booking number: | 1142279 |
| Booking date: | Dec 10, 2011 |
| Release date: | Dec 12, 2011 |
| Booking location: | Fulton County, GA |
| Charge: | SIMPLE ASSAULT-DV SPC |
| Bond type: | $1,000 Other |