| Date of birth: | 1946 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 3760 |
| Arrest number: | 9600938 |
| Arrest date: | Aug 4, 1996 |
| Arrest officer: | TPR GRAHAM |
| Booking date: | Aug 4, 1996 |
| Release date: | Aug 4, 1996 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 20624 |
| Bond amount: | $200 |
| Arrest code: | 401 |