| Date of birth: | 1949 |
| Hair: | Black |
| Eyes: | Brown |
| Supervision end date: | Jan 5, 2010 |
| Supervision begin date: | Jan 5, 2005 |
| Risk assessment rating: | Assessment Pending |
| Pid: | 85632 |
| Current location: | Interstate Compact |
| Booking location: | Campbell County, KY |
| Time service requirement: | Not Applicable |
| Sentence length: | 0 years 0 months 0 days |
| Offense: | CRIMINAL POSSESSION FORGED INSTRUMENT-2ND DEGREE-IDENTIFY |
| Krs code: | 516.060 |
| Indictment count: | 001 |
| Indictment: | 04-CR-166 |
| Crime date: | Jan 5, 2005 |
| Conviction date: | Jan 5, 2005 |
| Conviction county: | Campbell |