| Date of birth: | 1946 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 8446 |
| Classification: | CI |
| Arresting agency: | HENDERSON COUNTY |
| Arrest number: | 9901248 |
| Arrest date: | Jun 8, 2004 |
| Arrest officer: | HENDERSON CO |
| Booking date: | Jun 8, 2004 |
| Release date: | Jul 20, 2004 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 28743 |
| Charge description: | ASSAULT 3RD DEGREE - POLICE/PROBATION OF |
| Arrest code: | 13113 |