| Date of birth: | 1965 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000751410 |
| Serial number: | 000821613 |
| Releasing officer: | S07057 |
| Birth place: | NEW YORK |
| Agency id: | GA0330000 |
| Arresting agency: | GA0330000-COBB CO SHERIFF |
| Arrest date: | May 9, 2013 |
| Arrest location: | 55 ELIZABETH CHURCH ST MUST MI |
| Arrest officer: | S13007 |
| Booking date: | May 10, 2013 |
| Booking location: | Cobb County, GA |