| Date of birth: | 1957 |
| Jacket number: | 124415 |
| Bond agency: | D AND D BAIL BONDS |
| Arresting agency: | 2410 |
| Arrest number: | 356747 |
| Arrest date: | Mar 16, 2012 |
| Booking date: | Mar 16, 2012 |
| Release date: | Mar 16, 2012 |
| Booking location: | Harrison County, MS |
| Description: | FORGERY (PRESCRIPTION) |
| Court type: | 1ST JUSTICE |
| Bond type: | SURETY BOND |
| Bond amount: | $30,000 |
| Arrest code: | 1004 |