| Date of birth: | 1963 |
| Hair: | Gray |
| Eyes: | Blue |
| Jacket number: | 24897 |
| Arresting agency: | EPD |
| Arrest number: | 39384 |
| Arrest officer: | PIERCE |
| Booking date: | Apr 19, 2013 |
| Booking location: | Carter County, TN |
| Status: | PENDING |
| Charge number: | 59635 |
| Charge description: | Simple Assault Domestic |
| Arrest code: | 39-13-111 |