| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 000025268 |
| Releasing officer: | 003502 |
| Duration of custody: | 14 |
| Comments: | A/T:M.J. SABENS PROP#815 |
| Birth place: | GA |
| Type: | 41 |
| Side: | L |
| Body part: | A |
| Arresting agency: | GA0330200 |
| Arrest number: | 000693870 |
| Arrest date: | Oct 5, 2011 |
| Arrest location: | 1870 TEASLEY DR SMYRNA GA |
| Booking date: | Oct 6, 2011 |
| Booking location: | Cobb County, GA |
| Warrant date: | Oct 6, 2011 |
| Warrant: | 11-W-9351 |
| Type: | FU |
| Section: | 16-13-30(A) |
| Offense date: | Oct 5, 2011 |
| Description: | PSS/SEL/PUR/MA VGCSA |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | $5,000 |