| Date of birth: | 1979 |
| Hair: | Bald |
| Eyes: | Brown |
| Held in: | 4B-DR03 |
| Ccn: | 461940 |
| Arrest date: | Sep 16, 2011 |
| Booking date: | Sep 16, 2011 |
| Booking location: | Lafayette Parish, LA |
| Literal: | PROHIBITED ACTS; ALL SCHEDULES |
| Code: | [40:971 (A)] |
| Bond amount: | ($5000) |
| Literal: | INSURANCE FRAUD |
| Code: | [22:1243] |
| Bond amount: | ($5000) |
| Literal: | IDENTITY THEFT CHARGE |
| Code: | [14:67.16] |
| Bond amount: | ($5000) |
| Literal: | MEDICAID FRAUD CHARGE |
| Code: | [14:70.1] |
| Bond amount: | ($5000) |
| Literal: | PROHIBITED ACTIVITIES (DRUG RA |
| Code: | [15:1353] |
| Bond amount: | ($10000) |
