| Hair: | Black |
| Eyes: | Brown |
| SO#: | P00801782 |
| Arresting agency: | Doctor Visit (added for converted Tiburon data only |
| Booking number: | 1136367 |
| Booking date: | Oct 20, 2011 |
| Release date: | Oct 21, 2011 |
| Booking location: | Fulton County, GA |
| Charge: | DEKALB CO SO, GA |
| Bond type: | $0 Other |