| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Jacket number: | 12970 |
| Inmate classification: | AWAIT SENT |
| Badge: | 3961 |
| Arresting agency: | PROVIDENCE POLICE DEPARTMENT |
| Arrest number: | 957913 |
| Arrest date: | May 3, 2013 |
| Booking date: | May 3, 2013 |
| Booking location: | Webster County, KY |
| Charge number: | 34912 |
| Charge description: | ASSAULT, 4TH DEGREE (DOMESTIC VIOLENCE) MINOR INJURY |
| Arrest code: | 00798 |