| Hair: | Black |
| Eyes: | Brown |
| SO#: | P01040977 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 1309810 |
| Booking date: | Apr 2, 2013 |
| Release date: | Apr 15, 2013 |
| Booking location: | Fulton County, GA |
| Charge: | U/S SBPP EF#742282 |
| Bond type: | $0 Other |