| Date of birth: | 1978 |
| Jacket number: | 54769 |
| Arresting agency: | 2400 |
| Arrest number: | 353136 |
| Arrest date: | Nov 7, 2011 |
| Booking date: | Nov 7, 2011 |
| Release date: | Nov 7, 2011 |
| Booking location: | Harrison County, MS |
| Description: | FORGERY (PRESCRIPTION) |
| Court type: | 1ST CIRCUIT |
| Court date: | Jan 26, 2012 |
| Control number: | 01-08-1005 |
| Bond type: | NO CHARGE |
| Arrest code: | 1004 |