| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 000051174 |
| Releasing officer: | 002765 |
| Comments: | OTN/NA W/GCIC-GILES |
| Birth place: | PA |
| Type: | OT |
| Side: | L |
| Description: | TAZ |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Body part: | X |
| Arresting agency: | SELF |
| Arrest number: | 000514255 |
| Arrest date: | Aug 22, 2006 |
| Arrest location: | CCADC |
| Booking date: | Aug 22, 2006 |
| Booking officer: | WALKIN |
| Booking location: | Cobb County, GA |
| Warrant date: | Aug 16, 2006 |
| Warrant: | 23644-45 |
| Type: | MI |
| Section: | FROM COURT |
| Description: | DOWN FROM COURT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | No bail |