| Date of birth: | 1967 |
| Hair: | Brn |
| Eyes: | Blue |
| Jacket number: | 73523 |
| Inmate classification: | C |
| Badge: | 908 |
| Arresting agency: | BREATHITT COUNTY SHERIFF DEPT |
| Arrest number: | 364092630 |
| Arrest officer: | Noble |
| Booking date: | Sep 12, 2015 |
| Booking location: | Kentucky |
| Crime type: | M |
| Counts: | 1 |
| Control number: | M907490 |
| Charge number: | 72801 |
| Charge description: | ASSAULT, 4TH DEGREE (MINOR INJURY) |
| Arrest code: | 00796 |