| Date of birth: | 1962 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000054767 |
| Releasing officer: | 003026 |
| Duration of custody: | 10215 |
| Comments: | A/T: CREIGHTON W/G LOPS PROP# 684 |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | NATIVE AMERICAN PIC |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | BLACK PANTHER |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000639409 |
| Arrest date: | Jan 24, 2010 |
| Arrest location: | RIDGEVIEW INSTITUTE |
| Booking date: | Jan 24, 2010 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jan 23, 2010 |
| Warrant: | 10-W-722 |
| Type: | MI |
| Section: | 16-5-23 |
| Offense date: | Jan 23, 2010 |
| Description: | SIMPLE BATTERY |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Jan 23, 2010 |
| Warrant: | 10-W-722 |
| Type: | FI |
| Section: | 16-7-1 |
| Offense date: | Jan 23, 2010 |
| Description: | BURGLARY |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | No bail |
| Warrant date: | Jan 23, 2010 |
| Warrant: | 10-W-722 |
| Type: | FI |
| Section: | 16-13-30(A) |
| Offense date: | Jan 23, 2010 |
| Description: | PSS/SEL/PUR/MA VGCSA |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | No bail |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |