| Hair: | Brown |
| Eyes: | Brown |
| SO#: | P00884234 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 1115124 |
| Booking date: | May 3, 2011 |
| Release date: | May 5, 2011 |
| Booking location: | Fulton County, GA |
| Charge: | GREENE CO SO , GA |
| Bond type: | $0 Other |