| Date of birth: | Feb 19, 1962 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 106337 |
| Booking location: | Richland County, SC |
| Warrant code: | I939242 |
| Offensedescription: | False / False statement by medical provider to Department of Health and Human Services |
| Bondcourt: | COUNTY |
| Bond type: | SB |
| Bond amount: | $150,000 |