| Date of birth: | Nov 13, 1969 |
| Marital status: | Divorced |
| Inmate number: | 03623 |
| Disability: | No |
| Citizen: | No |
| Booking number: | 02-05090 |
| Booking date: | Nov 25, 2003 |
| Release date: | Nov 25, 2003 |
| Booking location: | Robertson County, TN |
| Statute code: | 39-16-502 |
| Description: | FALSE REPORT TO AUTHORITIES |
| Court case: | 80449 |
| Bond type: | Secured Bond |
| Bond amount: | $250 |