| Date of birth: | 1970 |
| Hair: | Bald |
| Eyes: | Brown |
| Jacket number: | 1047 |
| Inmate classification: | AWAIT SENT |
| Badge: | 62 |
| Arresting agency: | PROVIDENCE POLICE DEPARTMENT |
| Arrest number: | 958118 |
| Arrest date: | Jun 23, 2013 |
| Booking date: | Jun 23, 2013 |
| Booking location: | Webster County, KY |
| Control number: | BC26910 |
| Charge number: | 35209 |
| Charge description: | ASSAULT, 4TH DEGREE (DOMESTIC VIOLENCE) NO VISIBLE INJURY |
| Arrest code: | 00797 |