| Date of birth: | Jun 10, 1975 |
| Arresting agency: | Spartanburg County S.O. |
| Arrest officer: | Longshore M |
| Booking number: | 15-12637 |
| Booking date: | Dec 4, 2015 |
| Release date: | Dec 4, 2015 |
| Booking location: | Spartanburg County, SC |
| Warrant: | 2015A4210104670 |
| Statute: | 43-07-0070 2419 |
| Offense: | FALSE STATEMENT/APP MEDICAID |
| Bond amount: | $0 |