| Date of birth: | 1955 |
| Hair: | Blond |
| Eyes: | Green |
| SO#: | 000053472 |
| Releasing officer: | 003560 |
| Duration of custody: | 30 |
| Comments: | A/T HICKS W/G E AYERS PROP#1946 |
| Birth place: | GA |
| Type: | 13 |
| Side: | R |
| Description: | PEACH/TRIBAL ANKLE |
| Body part: | L |
| Type: | 03 |
| Side: | R |
| Description: | PEACOCK |
| Body part: | C |
| Arresting agency: | GA0330300 |
| Arrest number: | 000697303 |
| Arrest date: | Nov 15, 2011 |
| Arrest location: | 240 LEMON ST |
| Booking date: | Nov 15, 2011 |
| Booking location: | Cobb County, GA |
| Type: | MI |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Counts: | 01/ |
| Code: | BFO |
| Bond amount: | No bail |
| Warrant date: | Nov 3, 2011 |
| Warrant: | 10TR09150 |
| Type: | NC |
| Section: | 42-8-38 |
| Description: | VIOLATION PROBATION |
| Counts: | 01/ |
| Code: | MTTA |
| Bond amount: | No bail |
