| Date of birth: | 1982 |
| Inmate number: | 510556 |
| Cell: | TB |
| Arrest date: | Sep 18, 2012 |
| Arrest location: | 105 N RANGE LINE RD |
| Booking location: | Jasper County, MO |
| Arrest number: | 25409 |
| Booking location: | Jasper County, MO |
| Description: | FORGERY |
| Count: | 1 |
| Time out: | 091912 1853 |
| Time in: | 091812 1853 |
| Do: | BS |
| Charge: | JCSD FORGERY PC 24HRS. |