| Date of birth: | Jun 23, 1952 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 1012576 |
| Arresting agency: | COVINGTON POLICE |
| Arrest number: | 839837 |
| Arrest date: | Sep 7, 2015 |
| Arrest officer: | FAIN |
| Booking date: | Sep 7, 2015 |
| Booking location: | Kenton County, KY |
| Warrant: | E05910002257030 |
| Crime type: | F |
| Counts: | 1 |
| Control number: | BM65398 |
| Charge number: | 461240 |
| Charge description: | MAKE FALSE STATE.TO PREVENT REDUCT OF BENEFT O/100 |
| Bond type: | CASH |
| Bond amount: | $2,500 |
| Arrest date: | Sep 7, 2015 |
| Arrest code: | 21258 |