| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 10971 |
| Inmate classification: | TC |
| Badge: | 424 |
| Arresting agency: | CAMPBELLSVILLE POLICE |
| Arrest number: | 25208 |
| Arrest date: | Sep 7, 2014 |
| Arrest officer: | HOUK |
| Booking date: | Sep 7, 2014 |
| Booking location: | Taylor County, KY |
| Crime type: | M |
| Counts: | 1 |
| Control number: | M091554 |
| Charge number: | 41209 |
| Charge description: | ASSAULT, 4TH DEGREE (DOMESTIC VIOLENCE) MINOR INJURY |
| Arrest date: | Sep 7, 2014 |
| Arrest code: | 00798 |