| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Black |
| SO#: | 001010086 |
| Serial number: | 000824192 |
| Releasing officer: | S06048 |
| Birth place: | US-GEORGIA |
| Agency id: | GA0330200 |
| Arresting agency: | GA0330200-COBB CO PD |
| Arrest date: | Jun 11, 2013 |
| Arrest location: | 5015 FLOYD RD MABLETON GA |
| Arrest officer: | S00054 |
| Booking date: | Jun 11, 2013 |
| Booking location: | Cobb County, GA |