| Date of birth: | 1965 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 154402 |
| Arresting agency: | CARTER COUNTYS SHERIFFS DEPT |
| Arrest number: | 49121 |
| Arrest officer: | SGT VAUGN |
| Booking date: | Jan 5, 2016 |
| Release date: | Jan 6, 2016 |
| Booking location: | Carter County, TN |
| Offense date: | Jan 5, 2016 |
| Counts: | 1 |
| Charge number: | 76189 |
| Charge description: | Domestic Assault-SIMPLE |
| Case number: | ST2857-15 |
| Arrest code: | 39-13-111 |