| Date of birth: | 1960 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000041788 |
| Releasing officer: | 003560 |
| Duration of custody: | 11 |
| Comments: | A/T JERRAM/COVINGTON W/G LOPS PROP# 583 |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | TWO HEARTS |
| Body part: | A |
| Arresting agency: | GA033035G |
| Arrest number: | 000693472 |
| Arrest date: | Sep 30, 2011 |
| Arrest location: | 2270 ADDISON RD |
| Booking date: | Sep 30, 2011 |
| Booking location: | Cobb County, GA |
| Warrant date: | Sep 27, 2011 |
| Warrant: | EF-640728 |
| Type: | PP |
| Section: | 42-9-44 |
| Description: | VIOL. OF PAROLE |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |