| Date of birth: | Mar 11, 1945 |
| Eyes: | Brown |
| Marital status: | Divorced |
| Inmate number: | 03428 |
| Disability: | No |
| Citizen: | No |
| Booking number: | 02-04674 |
| Booking date: | Oct 20, 2003 |
| Release date: | Oct 20, 2003 |
| Booking location: | Robertson County, TN |
| Statute code: | 39-16-502 |
| Description: | FALSE REPORT TO AUTHORITIES |
| Court case: | 77161 |
| Bond type: | Secured Bond |
| Bond amount: | $500 |