| Date of birth: | 1962 |
| Hair: | Gray |
| Eyes: | Brown |
| Booking number: | 20150851 |
| Booked date: | May 7, 2015 |
| Booking location: | Hancock County, OH |
| Counts: | 1 |
| Charge description: | FALSIFICATION - PUBLIC OFFICIAL, MISLEAD (2921.13A3) |
| Agency: | HANCOCK COUNTY SHERIFF'S OFFICE |