| Date of birth: | 1933 |
| Hair: | Gray |
| Eyes: | Blue |
| Jacket number: | 71918 |
| Inmate classification: | C |
| Badge: | 413 |
| Arresting agency: | JACKSON PD |
| Arrest number: | 364087537 |
| Arrest officer: | Hollon |
| Booking date: | Nov 4, 2013 |
| Booking location: | Kentucky |
| Status: | PENDING |
| Crime type: | M |
| Counts: | 1 |
| Control number: | M332648 |
| Charge number: | 62147 |
| Charge description: | ASSAULT, 4TH DEGREE (DOMESTIC VIOLENCE) MINOR INJURY |
| Arrest code: | 00798 |