| Date of birth: | Jul 16, 1966 |
| Hair: | Black |
| Eyes: | Brown |
| Total fines: | $ 0.00 |
| Offense: | FALSE MEDICAID STATEMENT ON APPLICATION |
| File number: | 31927 |
| Arresting agency: | DCSO |
| Arrest date: | Mar 29, 2013 |
| Arrest officer: | REGISTER |
| Booking number: | 2013031548 |
| Booking date: | Mar 29, 2013 |
| Booking location: | Darlington County, SC |
| Offense: | FALSE / FALSE STATEMENT ON APPLICATION FOR ME |