| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 133136 |
| Inmate classification: | CIR CT |
| Badge: | 752 |
| Arresting agency: | KENTUCKY STATE POLICE |
| Arrest number: | 2004028144 |
| Arrest date: | May 1, 2015 |
| Arrest officer: | FURMAN |
| Booking date: | May 1, 2015 |
| Booking location: | Rowan County, KY |
| Offense date: | May 1, 2015 |
| Crime type: | M |
| Counts: | 1 |
| Control number: | BY27275 |
| Charge number: | 54799 |
| Charge description: | FALSE STMT/MISREPRESENT TO REC BENEFITS U/$100 |
| Case number: | 12-CR-00084 |
| Arrest date: | May 1, 2015 |
| Arrest code: | 21439 |
| Agency: | KENTUCKY STATE POLICE |