| Date of birth: | 1938 |
| Hair: | Gray |
| Eyes: | Black |
| Warrant date: | May 12, 2013 |
| SO#: | 001009136 |
| Serial number: | 000821816 |
| Releasing officer: | S08097 |
| Case: | 13048993 |
| Birth place: | NY |
| Agency id: | GA0330200 |
| Arresting agency: | GA0330200-COBB CO PD |
| Arrest date: | May 12, 2013 |
| Arrest location: | DALLAS HWY AT OLD HAMILTON RD |
| Arrest officer: | S12046 |
| Booking date: | May 12, 2013 |
| Booking location: | Cobb County, GA |
| Type: | Misdemeanor Unindicted |
| Description: | Headlight Requirements (Misdemeanor) |
| Counts: | 1 |
| Code section: | OCGA40-8-22 |
| Bond amount: | $300 |
| Code section: | Cash Bond |
| Type: | Misdemeanor Unindicted |
| Description: | Driving, Suspended License |
| Counts: | 1 |
| Code section: | OCGA40-5-121 |
| Bond amount: | $1,000 |
| Number: | 1 |
| Amount: | $1,300 |
| Number: | 1 |
| Info: | Indigent Defense Fund |
| Amount: | $100 |
| Number: | 1 |
| Info: | Jail Construction & Staffing Act Fund |
| Amount: | $130 |
| Number: | 1 |
| Info: | Cobb County Bond Fee |
| Amount: | $20 |