| Date of birth: | Feb 3, 1964 |
| Arresting agency: | Western Reception & Diagnostic Corr Ctr |
| Jail name: | Missouri State Prison |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Description: | POSS CNTRL SUB EXCPT 35G>CANBNOID |
| Charges: | N/A |