| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 000038942 |
| Releasing officer: | 003560 |
| Duration of custody: | 1 |
| Comments: | A/T CHURCH PROP 596 W/GCJACKSON |
| Birth place: | IL |
| Arresting agency: | GA0330000 |
| Arrest number: | 000693474 |
| Arrest date: | Sep 30, 2011 |
| Arrest location: | SANDY SPRINGS PD |
| Booking date: | Sep 30, 2011 |
| Booking location: | Cobb County, GA |
| Warrant date: | Aug 11, 2011 |
| Warrant: | 11-W-7438 |
| Type: | MU |
| Section: | 16-5-23.1 |
| Offense date: | Aug 11, 2011 |
| Description: | BATTERY |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $3,000 |
| Warrant date: | Aug 11, 2011 |
| Warrant: | 11-W-7438 |
| Type: | MU |
| Section: | 16-7-21 |
| Offense date: | Aug 11, 2011 |
| Description: | CRIMINAL TRESPASS |
| Counts: | 01/IN |
| Code: | OCGA |
| Bond amount: | $0 |
| Type: | NC |
| Section: | OTHER |
| Offense date: | Sep 30, 2011 |
| Description: | OTHER CHARGE (TEMP) |
| Counts: | 01/ |
| Code: | OTHE |
| Bond amount: | $0 |