| Date of birth: | 1961 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 55800 |
| Inmate classification: | MISDEMEANOR |
| Badge: | DPS25 |
| Arresting agency: | FORREST GENERAL HOSPITAL POLICE |
| Arrest number: | 2012111820 |
| Arrest date: | Aug 20, 2013 |
| Arrest officer: | CAFFEY |
| Booking date: | Aug 20, 2013 |
| Booking location: | Forrest County, MS |
| Offense date: | Aug 20, 2013 |
| Crime type: | M |
| Court type: | JUSTICE COURT |
| Counts: | 1 |
| Charge number: | 73600 |
| Charge description: | MV - NO INSURANCE |
| Arrest date: | Aug 20, 2013 |
| Arrest code: | 63-15-4 |
| Agency: | FORREST GENERAL HOSPITAL POLICE |
| Offense date: | Aug 20, 2013 |
| Crime type: | M |
| Court type: | JUSTICE COURT |
| Counts: | 1 |
| Charge number: | 73601 |
| Charge description: | SUSPENDED DRIVER'S LICENSE |
| Arrest date: | Aug 20, 2013 |
| Arrest code: | 63-1-57 |
| Agency: | FORREST GENERAL HOSPITAL POLICE |
| Offense date: | Aug 20, 2013 |
| Crime type: | M |
| Court type: | JUSTICE COURT |
| Counts: | 1 |
| Charge number: | 73602 |
| Charge description: | LEAVING SCENE OF ACCIDENT |
| Arrest date: | Aug 20, 2013 |
| Arrest code: | 0110 |
| Agency: | FORREST GENERAL HOSPITAL POLICE |
