| Date of birth: | 1949 |
| Hair: | Grey/partly grey |
| Eyes: | Blue |
| Jacket number: | 1074 |
| Inmate classification: | AWAIT SENT |
| Badge: | 3967 |
| Arresting agency: | PROVIDENCE POLICE DEPARTMENT |
| Arrest number: | 958161 |
| Arrest date: | Jul 10, 2013 |
| Booking date: | Jul 10, 2013 |
| Booking location: | Webster County, KY |
| Charge number: | 35268 |
| Charge description: | ASSAULT, 4TH DEGREE (MINOR INJURY) |
| Arrest code: | 00796 |