| Date of birth: | Jan 28, 1973 |
| Imprisonment status: | Misdemeanor Pre-Trial |
| Facility: | Southern Regional Jail |
| Booking date: | Dec 21, 2012 |
| Booking location: | Putnam County, WV |
| Issuing agency location: | FAYETTE COUNTY - Bail Amount: $10,500.00 |
| Court info number: | 12-f-1183 12-m-2359 |