| Date of birth: | Feb 7, 1957 |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Booking number: | 51087 |
| Jail name: | Lincoln County Sheriff |
| Location: | 302 N Jeffers St, North Platte, NE 69101 |
| Statute: | 1313 |
| Description: | SIMPLE ASSAULT 3RD DEGREE |
| Bond amount: | $0 |