| Date of birth: | 1959 |
| Hair: | Gray |
| Eyes: | Hazel |
| SO#: | 000029365 |
| Releasing officer: | 003507 |
| Duration of custody: | 316 |
| Comments: | A/T HALL PROP 1568 W/D.SMITH |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | SURGERY |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000666827 |
| Arrest date: | Nov 19, 2010 |
| Arrest location: | CCADC WALKIN |
| Booking date: | Nov 19, 2010 |
| Booking location: | Cobb County, GA |
| Warrant: | 09-W-369 |
| Type: | FI |
| Section: | FROM COURT |
| Description: | DOWN FROM COURT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | No bail |
