| Date of birth: | 1955 |
| Hair: | Blond |
| Eyes: | Blue |
| SO#: | 000018832 |
| Releasing officer: | 095038 |
| Duration of custody: | 12 |
| Comments: | A/T L. JACKSON PROP W/G HOOD |
| Birth place: | GA |
| Type: | OT |
| Side: | L |
| Description: | ROSE |
| Body part: | C |
| Type: | OT |
| Side: | L |
| Description: | ROSES-LEAVES/WRIST |
| Body part: | A |
| Type: | OT |
| Side: | L |
| Description: | BLUEBIRD |
| Body part: | S |
| Type: | OT |
| Side: | L |
| Description: | PEACOCK |
| Body part: | S |
| Type: | OT |
| Side: | L |
| Description: | BLEEDING HEART |
| Body part: | C |
| Arresting agency: | GA0330000 |
| Arrest number: | 000686252 |
| Arrest date: | Jul 7, 2011 |
| Arrest location: | ARRENDALE STATE PRISON |
| Booking date: | Jul 7, 2011 |
| Booking location: | Cobb County, GA |
| Warrant date: | Jun 21, 2011 |
| Warrant: | 10W11078,11W500 |
| Type: | FI |
| Section: | FOR COURT |
| Description: | RETURN FOR COURT |
| Counts: | 01/ |
| Code: | CT |
| Bond amount: | No bail |
| Type: | NC |
| Section: | HOLD |
| Description: | HOLD OTHER AGENCY |
| Code: | HOLD |
| Bond amount: | No bail |
