| Date of birth: | 1972 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 9504 |
| Inmate classification: | TC |
| Badge: | 00000 |
| Arresting agency: | GREENSBURG POLICE DEPARTMENT |
| Arrest number: | 15429 |
| Arrest date: | Sep 19, 2013 |
| Arrest officer: | 0000 |
| Booking date: | Sep 19, 2013 |
| Booking location: | Taylor County, KY |