| Date of birth: | Aug 22, 1962 |
| Supervising officer: | Bevis, Ellis |
| Mdoc: | L3076 |
| Flat time date: | Nov 15, 2011 |
| Booking location: | Montgomery County, MS |
| Offense 3: | PRODUCING CONTROLLED SUBSTANCE |
| Offense 2: | POSSESSION OF CONTROLLED SUBST |
| Offense 1: | POSSESSION OF CONTROLLED SUBST |