| Date of birth: | 1977 |
| Hair: | Brown |
| Eyes: | Blue |
| Jacket number: | 8272 |
| Inmate classification: | CD-3 |
| Badge: | XXX |
| Arresting agency: | STATE INMATE TRANSFER |
| Arrest number: | 11239 |
| Arrest date: | Jan 2, 2013 |
| Arrest officer: | XXX |
| Booking date: | Jan 2, 2013 |
| Booking location: | Taylor County, KY |
| Charge number: | 20876 |
| Charge description: | ASSAULT, 4TH DEGREE (NO VISIBLE INJURY) |
| Arrest code: | 00795 |