| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 119963 |
| Classification: | FANP |
| Badge: | 973 |
| Arresting agency: | KENTUCKY STATE POLICE |
| Arrest number: | 73896 |
| Arrest date: | Aug 13, 2012 |
| Arrest officer: | KSP-SHIVE |
| Booking location: | Barren County, KY |
| Description: | FORGERY OF A PRESCRIPTION, 1ST OFFENSE |
| Court type: | DISTRICT COURT |
| Control number: | J799148 |
| Bond type: | CASH |
| Bond amount: | $5,000 |
| Arrest code: | 25013 |