| Date of birth: | May 9, 1962 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 1011576 |
| Arresting agency: | KENTON COUNTY SHERIFF |
| Arrest number: | 836064 |
| Arrest date: | Apr 30, 2015 |
| Arrest officer: | NELSON |
| Booking date: | Apr 30, 2015 |
| Booking location: | Kenton County, KY |
| Warrant: | E05910002081917 |
| Crime type: | F |
| Counts: | 1 |
| Control number: | BY11849 |
| Charge number: | 454572 |
| Charge description: | MAKE FALSE STATE.TO PREVENT REDUCT OF BENEFT O/100 |
| Arrest date: | Apr 30, 2015 |
| Arrest code: | 21258 |