| Date of birth: | 1963 |
| Hair: | Gray |
| Eyes: | Green |
| Jacket number: | 154639 |
| Arresting agency: | EPD |
| Arrest number: | 49724 |
| Arrest officer: | PEARCE |
| Booking date: | Mar 16, 2016 |
| Release date: | Mar 17, 2016 |
| Booking location: | Carter County, TN |
| Status: | PENDING |
| Offense date: | Mar 16, 2016 |
| Counts: | 1 |
| Charge number: | 77343 |
| Charge description: | Domestic Assault |
| Case number: | ST600-16 |
| Arrest code: | 39-13-111 |
| Agency: | EPD |