| Date of birth: | Oct 20, 1962 |
| Booking number: | 2016010859 |
| Booking date: | May 2, 2016 |
| Release date: | May 2, 2016 |
| Booking location: | Osage County, OK |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Description: | DOMESTIC ASSAULT & BATTERY/ABUSE |
| Code: | 210644000C |