| Date of birth: | 1971 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 11441 |
| Inmate classification: | CLASS CL1 |
| Arrest number: | 957973 |
| Booking date: | May 16, 2013 |
| Booking location: | Webster County, KY |
| Charge number: | 35003 |
| Charge description: | FORGERY OF A PRESCRIPTION 2ND OR SUB. OFFENSES |
| Arrest code: | 25014 |