| Date of birth: | 1948 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 000009708 |
| Releasing officer: | 003777 |
| Duration of custody: | 14 |
| Comments: | W/G: BRADSHAW PROP# 1412 |
| Birth place: | AL |
| Type: | 02 |
| Side: | L |
| Description: | PANTHER |
| Body part: | A |
| Type: | 13 |
| Side: | L |
| Description: | HEART W/MOTHER |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000710444 |
| Arrest date: | Apr 24, 2012 |
| Arrest location: | 2863 LAKEMONT DR |
| Booking date: | Apr 24, 2012 |
| Booking officer: | 098059 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jul 6, 2011 |
| Warrant: | 10-4611-28 |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |