| Date of birth: | Jan 3, 1964 |
| Imprisonment status: | Misdemeanor Pre-Trial |
| Facility: | Southern Regional Jail |
| Booking date: | Dec 28, 2012 |
| Booking location: | Putnam County, WV |
| Issuing agency location: | RALEIGH COUNTY COURT - Bail Amount: $500.00 |
| Court info number: | 12M-6673 |