| Date of birth: | 1969 |
| Hair: | Gray |
| Eyes: | Hazel |
| Jacket number: | 155172 |
| Arresting agency: | THP |
| Arrest number: | 51215 |
| Arrest officer: | Trooper Gregory |
| Booking date: | Aug 15, 2016 |
| Booking location: | Carter County, TN |
| Offense date: | Aug 14, 2016 |
| Counts: | 1 |
| Control number: | 57324 |
| Charge number: | 79939 |
| Charge description: | Criminal Impersonation |
| Case number: | 57324 |
| Arrest code: | 39-16-301 |
| Offense date: | Aug 14, 2016 |
| Counts: | 1 |
| Charge number: | 79940 |
| Charge description: | Identity Theft |
| Case number: | 57324 |
| Arrest code: | 39-14-150 |
