| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 64271 |
| Inmate classification: | MISDEMEANOR |
| Badge: | 30 |
| Arresting agency: | FORREST GENERAL HOSPITAL POLICE |
| Arrest number: | 2012146887 |
| Arrest date: | Sep 17, 2015 |
| Arrest officer: | FORD |
| Booking date: | Sep 17, 2015 |
| Booking location: | Forrest County, MS |
| Crime type: | M |
| Court type: | JUSTICE COURT |
| Counts: | 1 |
| Charge number: | 119739 |
| Charge description: | DISORDERLY CONDUCT |
| Arrest date: | Sep 17, 2015 |
| Arrest code: | 97-35-3(1)(B) |
