| Date of birth: | 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Warrant date: | Jul 31, 2013 |
| Warrant: | 13-W-NA37 |
| SO#: | 001011608 |
| Serial number: | 000828033 |
| Releasing officer: | S04021 |
| Case: | 13-9-2857A |
| Birth place: | NY |
| Agency id: | GA0330000 |
| Arresting agency: | GA0330000-COBB CO SHERIFF |
| Arrest date: | Jul 31, 2013 |
| Arrest location: | CCADC |
| Arrest officer: | S12022 |
| Booking date: | Jul 31, 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 |
| Type: | Felony Indicted |
| Description: | Conspiracy to Defraud the State or Political Subdivision (Felony) |
| Counts: | 1 |
| Code section: | OCGA16-10-21 |
| Bond amount: | $0 |
| Type: | Felony Indicted |
| Description: | Violation of the Georgia Rico (Racketeer Incluenced and Corrupt Organizations) Act (Felony) |
| Counts: | 1 |
| Code section: | OCGA16-14-4 |
| Bond amount: | $0 |
| Number: | 1 |
| Amount: | $25,000 |
| Number: | 1 |
| Info: | Indigent Defense Fund |
| Amount: | $100 |
| Number: | 1 |
| Info: | Jail Construction & Staffing Act Fund |
| Amount: | $2,500 |
| Number: | 1 |
| Info: | Cobb County Bond Fee |
| Amount: | $20 |
