| Date of birth: | 1969 |
| Hair: | Black |
| Eyes: | Blue |
| Jacket number: | 6163 |
| Arresting agency: | BREATHITT COUNTY SHERIFF DEPT |
| Arrest number: | 364096624 |
| Arrest officer: | ordered into custody |
| Booking date: | Jan 30, 2017 |
| Booking location: | Kentucky |
| Counts: | 1 |
| Control number: | 16m00186 |
| Charge number: | 81057 |
| Arrest code: | 55555 |