| Date of birth: | 1961 |
| Hair: | Gray |
| Eyes: | Brown |
| Warrant date: | Mar 6, 2013 |
| Warrant: | 11-W-NA42 |
| SO#: | 000904457 |
| Serial number: | 000816407 |
| Case: | 11-9-3361 |
| Birth place: | LA |
| Agency id: | OTHER |
| Arresting agency: | OTHER-OTHER |
| Arrest date: | Mar 4, 2013 |
| Arrest location: | MIAMI , FL |
| Arrest officer: | S12048 |
| Booking date: | Mar 6, 2013 |
| Booking location: | Cobb County, GA |
| Type: | Felony Indicted |
| Description: | Violation of Medical Assistance Act of 1977 (Felony) |
| Counts: | 1 |
| Code section: | OCGA49-4-146.1(C) |
| Bond amount: | $0 |
| Number: | 1 |
| Info: | Indigent Defense Fund |
| Amount: | $100 |
