| Date of birth: | Aug 18, 1964 |
| Supervising officer: | Edwards, John |
| Mdoc: | 138921 |
| Flat time date: | Dec 28, 2012 |
| Booking location: | Oktibbeha County, MS |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Offense 2: | IDENTITY THEFT |
| Offense 1: | UTTERING FORGERY |