| Date of birth: | 1954 |
| Hair: | Blond |
| Eyes: | Hazel |
| Warrant date: | Sep 1, 2013 |
| Warrant: | 13-W-8429 |
| SO#: | 001012677 |
| Serial number: | 000830570 |
| Releasing officer: | S04021 |
| Case: | 0113016730 |
| Birth place: | TN |
| Agency id: | GA0330000 |
| Arresting agency: | GA0330000-COBB CO SHERIFF |
| Arrest date: | Sep 1, 2013 |
| Arrest location: | KENNESTONE HOSPITAL |
| Arrest officer: | S06031 |
| Booking date: | Sep 1, 2013 |
| Booking location: | Cobb County, GA |
| Type: | Misdemeanor Unindicted |
| Description: | Criminal Trespass (Misdemeanor) |
| Counts: | 1 |
| Code section: | OCGA16-7-21(a) |
| Bond amount: | $0 |
| Number: | 1 |
| Amount: | $1,000 |
| Number: | 1 |
| Info: | Indigent Defense Fund |
| Amount: | $100 |
| Number: | 1 |
| Info: | Cobb County Bond Fee |
| Amount: | $20 |
