| Hair: | Grey or partially grey |
| Eyes: | Brown |
| SO#: | P01042731 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 1314919 |
| Booking date: | May 20, 2013 |
| Release date: | Jul 19, 2013 |
| Booking location: | Fulton County, GA |
| Charge: | U/S SBPP EF#718838 |