| Date of birth: | 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 9455 |
| Badge: | J11 |
| Arresting agency: | MHP |
| Arrest number: | 17765 |
| Arrest date: | Apr 7, 2013 |
| Arrest officer: | MHP |
| Booking date: | Apr 7, 2013 |
| Booking location: | Perry County, MS |
| Charge number: | 22055 |
| Charge description: | D. U. I.-REFUSE TEST |
| Arrest code: | 241 |