| Date of birth: | 1978 |
| Hair: | Brown |
| Eyes: | Green |
| Jacket number: | 28624 |
| Arresting agency: | SWEETWATER COUNTY SHERIFF |
| Arrest number: | 39029 |
| Arrest date: | May 23, 2013 |
| Booking date: | May 23, 2013 |
| Booking location: | Sweetwater County, WY |
| Court type: | FORGEY |
| Charge number: | 61108 |
| Charge description: | WRNT-NO INSURANCE-SCCE |
| Bond type: | CASH |
| Bond amount: | $290 |
| Arrest code: | WARRANT |