| Date of birth: | 1956 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000043939 |
| Releasing officer: | 003465 |
| Duration of custody: | 4 |
| Comments: | A/T GORSKI PROP#428 W/G HOOD |
| Birth place: | GA |
| Type: | OT |
| Side: | R |
| Description: | LAZY EYE |
| Body part: | F |
| Type: | OT |
| Side: | R |
| Description: | MISSING FRONT TOOTH |
| Body part: | F |
| Type: | OT |
| Side: | R |
| Description: | MOLE AT EYE |
| Body part: | F |
| Type: | MU |
| Side: | R |
| Description: | BUCK TEETH |
| Body part: | F |
| Type: | OT |
| Side: | R |
| Body part: | F |
| Arresting agency: | GA0330000 |
| Arrest number: | 000690748 |
| Arrest date: | Aug 28, 2011 |
| Arrest location: | 1348 NATCHEZ TRACE #A |
| Booking date: | Aug 28, 2011 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 17, 2011 |
| Warrant: | 08-1-03067-35A |
| Type: | NC |
| Section: | 19-6-28 |
| Description: | CIVIL CONTEMPT |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail CFP:$350.00 |
