| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 000757993 |
| Serial number: | 000845155 |
| Releasing officer: | 000059 |
| Birth place: | NJ |
| Agency id: | GA0330000 |
| Arresting agency: | GA0330000-COBB CO SHERIFF |
| Arrest date: | Apr 9, 2014 |
| Arrest location: | 50 BARRETT PKWY/PUBLIX |
| Arrest officer: | S13051 |
| Booking date: | Apr 9, 2014 |
| Booking location: | Cobb County, GA |