| Date of birth: | Jun 15, 1978 |
| Arresting agency: | RICHLAND COUNTY SHERIFF'S OFFICE |
| Booking number: | 20043656 |
| Booking date: | Nov 22, 2004 |
| Jail name: | Richland County Jail |
| Location: | 73 E 2 St, Mansfield, OH 44902 |
| Statute: | 2925.11 |
| Description: | DRUG ABUSE-SCHEDULE III-V |
| Class: | M |
| Bond amount: | $0 |