| Date of birth: | 1954 |
| Hair: | Gray/partially gray |
| Eyes: | Hazel |
| Jacket number: | 10802 |
| Inmate classification: | CI |
| Badge: | 40 |
| Arresting agency: | LCDC |
| Arrest number: | 8580 |
| Arrest date: | Jul 3, 2016 |
| Booking date: | Jul 8, 2016 |
| Booking location: | Leslie County, KY |
| Crime type: | F |
| Counts: | 1 |
| Charge number: | 21298 |
| Charge description: | THEFT OF IDENTITY OF ANOTHER W/O CONSENT |
| Arrest date: | Jul 3, 2016 |
| Arrest code: | 23310 |