| Date of birth: | 1962 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 000039243 |
| Releasing officer: | 003753 |
| Duration of custody: | 128 |
| Comments: | W/G LOPS PROP# 110 |
| Birth place: | GA |
| Type: | 40 |
| Side: | R |
| Description: | BICEPT |
| Body part: | A |
| Type: | 25 |
| Side: | R |
| Description: | SNAKE ON ROSE BUSH |
| Body part: | A |
| Type: | 26 |
| Side: | R |
| Description: | SKULL & BANDANA |
| Body part: | A |
| Type: | 03 |
| Side: | R |
| Description: | EAGLE |
| Body part: | A |
| Type: | OT |
| Side: | R |
| Description: | INDIAN |
| Body part: | S |
| Type: | 02 |
| Side: | R |
| Description: | SNAKE W/ROSE /SKULL |
| Body part: | A |
| Type: | 02 |
| Side: | R |
| Description: | SKULL EAGLE |
| Body part: | A |
| Arresting agency: | GA0330000 |
| Arrest number: | 000621655 |
| Arrest date: | Jul 15, 2009 |
| Arrest location: | DOUGLASVILLE PD |
| Booking date: | Jul 15, 2009 |
| Booking officer: | 002611 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 25, 2007 |
| Warrant: | 05-0887-33B |
| Type: | FI |
| Section: | 42-8-38 |
| Description: | VIOL. OF PROBATION |
| Counts: | 01/ |
| Code: | OCGA |
| Bond amount: | No bail |