| Date of birth: | 1956 |
| Hair: | Gray |
| Eyes: | Brown |
| Warrant date: | May 2, 2013 |
| Warrant: | 13-w-4225 |
| SO#: | 001008830 |
| Serial number: | 000821040 |
| Case: | 13040802 |
| Birth place: | NJ |
| Agency id: | GA0330000 |
| Arresting agency: | GA0330000-COBB CO SHERIFF |
| Arrest date: | May 2, 2013 |
| Arrest location: | EMORY HOSPITAL |
| Arrest officer: | S11006 |
| Booking date: | May 3, 2013 |
| Booking location: | Cobb County, GA |
| Type: | Misdemeanor Unindicted |
| Description: | Simple Battery (Misdemeanor) |
| Counts: | 1 |
| Code section: | OCGA16-5-23 |
| Bond amount: | $0 |
| Number: | 1 |
| Amount: | $1,000 |
| Number: | 1 |
| Info: | Indigent Defense Fund |
| Amount: | $100 |
| Number: | 1 |
| Info: | Cobb County Sheriff's Office |
| Amount: | $20 |
