| Date of birth: | Jan 15, 1969 |
| Booking number: | 212400 |
| Release date: | Nov 20, 2011 |
| Jail name: | Indiana Department of Corrections |
| Location: | 302 W Washington St, Indianapolis, IN 46204 |
| Discharge date: | Jan 26, 2011 |
| Description: | IDENTITY DECEPTION |
| Conviction type: | FD |
| Court file number: | 35-43-5-3.5 |
| Case number: | 43D01 1010 FC 163 |
| County: | KOSCIUSKO |
| Release date: | Nov 20, 2011 |