| Date of birth: | 1955 |
| Hair: | Black |
| Eyes: | Brown |
| Spn: | 72005 |
| Inst start date: | Dec 5, 2012 |
| Inmate number: | 219706 |
| Jacket number: | 8441 |
| Inmate classification: | CD-3 |
| Badge: | 0000 |
| Arresting agency: | STATE INMATE TRANSFER |
| Arrest number: | 11701 |
| Arrest date: | Jan 30, 2013 |
| Arrest officer: | xxx |
| Booking date: | Feb 22, 2013 |
| Booking location: | Taylor County, KY |
| Booking location: | Kentucky |
| Charge number: | 21634 |
| Charge description: | KNOW FRAUDULENTLY USE ID CARD OR ELEC CODE FOR BNFTS |
| Arrest code: | 21443 |