| Date of birth: | 1974 |
| Jacket number: | 130917 |
| Arresting agency: | Harrison Co Sheriff |
| Arrest number: | 366059 |
| Arrest date: | Mar 14, 2013 |
| Booking date: | Mar 14, 2013 |
| Release date: | Mar 14, 2013 |
| Booking location: | Harrison County, MS |
| Description: | FORGERY (PRESCRIPTION) |
| Court type: | OTHER |
| Bond type: | NOT BONDABLE |
| Arrest code: | 1004 |