| Date of birth: | Feb 2, 1964 |
| Hair: | Blo |
| Eyes: | Green |
| Arresting agency: | NCS |
| Arrest date: | May 1, 2012 |
| Booking number: | 20120000001248 |
| Booking location: | Nassau County, NY |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Statute: | 784.03 |
| Description: | BATTERY- DOMESTIC |
| Counts: | 1 |
| Bond amount: | $0 |