| Hair: | Brown |
| Eyes: | Hazel |
| Jacket number: | 1849 |
| Classification: | CO |
| Arresting agency: | MAG |
| Arrest number: | 31055 |
| Arrest date: | Nov 13, 2004 |
| Booking location: | Kentucky |
| Description: | PUBLIC INTOXICATION CONTROLLED SUBSTANCE |
| Arrest code: | 02303 |
| Description: | PRESCRIPTION CONT SUB NOT IN ORIGINAL CO |
| Arrest code: | 42055 |