| Date of birth: | 1950 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 000027037 |
| Releasing officer: | 003560 |
| Duration of custody: | 9 |
| Comments: | A/ADKINS T/HICKS W/GCIC-GILES PROP#1373 |
| Birth place: | GA |
| Type: | OT |
| Side: | X |
| Description: | GOLD TOOTH |
| Body part: | F |
| Type: | 14 |
| Side: | X |
| Description: | MARIETTA GA ST SYMBL |
| Body part: | A |
| Type: | MU |
| Side: | X |
| Body part: | F |
| Type: | BD |
| Side: | X |
| Body part: | F |
| Arresting agency: | GA0330300 |
| Arrest number: | 000691932 |
| Arrest date: | Sep 12, 2011 |
| Arrest location: | 240 LEMON ST |
| Booking date: | Sep 12, 2011 |
| Booking location: | Cobb County, GA |
| Type: | NC |
| Section: | BOARD OTHER |
| Description: | BOARD FOR OTH AGENCY |
| Code: | BFO |
| Bond amount: | No bail |
| Warrant date: | Sep 12, 2011 |
| Type: | NC |
| Section: | 42-8-38 |
| Description: | VIOLATION PROBATION |
| Counts: | 01/ |
| Code: | MTTA |
| Bond amount: | No bail |