| Date of birth: | 1965 |
| Hair: | Bald |
| Eyes: | Brown |
| Jacket number: | 130320 |
| Arresting agency: | DESOTO COUNTY SHERIFF DEPARTMENT |
| Arrest number: | 2010094714 |
| Arrest date: | Apr 9, 2013 |
| Booking date: | Apr 9, 2013 |
| Booking location: | De Soto County, MS |
| Status: | OPEN |
| Court type: | JUSTICE/CIRCUIT |
| Charge number: | 169350 |
| Charge description: | FORGED,FALSE,OR FRAUDULENT PRESCRIPTION |
| Bond type: | CASH |
| Bond amount: | $150,000 |
| Arrest code: | 41-29-144(2) |