| Date of birth: | Jun 21, 1982 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 00118187 |
| Sid: | 17711219 |
| Booking date: | Oct 29, 2016 |
| Release date: | Oct 29, 2016 |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Booking location: | Jackson County, OR |