| Date of birth: | 1966 |
| Jacket number: | 48092 |
| Bond agency: | INSTANT BAIL BONDING |
| Arresting agency: | 2410 |
| Arrest number: | 353216 |
| Arrest date: | Nov 9, 2011 |
| Booking date: | Nov 10, 2011 |
| Release date: | Nov 10, 2011 |
| Booking location: | Harrison County, MS |
| Description: | FORGERY (PRESCRIPTION) |
| Court type: | 2ND JUSTICE |
| Bond type: | SURETY BOND |
| Bond amount: | $10,000 |
| Arrest code: | 1004 |