| Hair: | Brn |
| Eyes: | Brn |
| Jacket number: | 13907 |
| Classification: | CO |
| Arresting agency: | MAG |
| Arrest number: | 31054 |
| Arrest date: | Nov 13, 2004 |
| Arrest officer: | HAZLETTE |
| Booking location: | Kentucky |
| Description: | PUBLIC INTOXICATION CONTROLLED SUBSTANCE |
| Control number: | G950920 |
| Arrest code: | 02303 |
| Description: | PRESCRIPTION CONT SUB NOT IN ORIGINAL CO |
| Control number: | G950920 |
| Arrest code: | 42055 |