| Date of birth: | 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 34695 |
| Arresting agency: | McCracken County Sheriff's Department |
| Arrest number: | 2011015401 |
| Booking location: | McCracken County, KY |
| Status: | Open |
| Control number: | BL17686 |
| Charge number: | 178839 |
| Charge description: | ASSAULT, 4TH DEGREE (DOMESTIC VIOLENCE) MINOR INJURY |
| Arrest code: | 00798 |