| Date of birth: | 1955 |
| Hair: | Blond |
| Eyes: | Blue |
| SO#: | 000017721 |
| Releasing officer: | 003533 |
| Duration of custody: | 121 |
| Comments: | A/DAVIS T/CHURCH W/G:CJACKSON |
| Birth place: | GA |
| Arresting agency: | GA0330000 |
| Arrest number: | 000635878 |
| Arrest date: | Dec 11, 2009 |
| Arrest location: | PUBLIX MARIETTA GA |
| Booking date: | Dec 11, 2009 |
| Booking officer: | 002576 |
| Booking location: | Cobb County, GA |
| Warrant date: | Dec 2, 2009 |
| Warrant: | 09-9-4194-40 |
| Type: | FI |
| Section: | 17-6-12 |
| Offense date: | Nov 30, 2009 |
| Description: | FAILURE TO APPEAR |
| Counts: | 01/N |
| Code: | OCGA |
| Bond amount: | No bail |
