| Date of birth: | 1990 |
| Committed by: | WILSON |
| Description: | RIGHT ARMCROSS |
| Description: | LEFT ARMHALF SLEEVE |
| Description: | STOMACHBLOCKS |
| Description: | LEFT SIDE OF RIBSRAMSEY |
| Booking number: | 12-03020 |
| Booking date: | Nov 28, 2012 |
| Release date: | Jan 27, 2013 |
| Booking location: | Washington County, PA |
| Description: | DRG LIC SUS/REV PURS TO SEC 3731/1547B1 |