| Date of birth: | Jul 18, 1960 |
| Eyes: | Blue |
| Hair length: | SHAVED HEAD |
| State id: | 186-58-42-9 |
| Permanent id: | 12-00362 |
| Housing section: | DORM |
| Housing block: | G |
| Complexion: | LIGHT SKINNED |
| Cob: | USA |
| Citizen: | USA |
| Booking number: | 12-01047 |
| Booking date: | Nov 15, 2012 |
| Booking location: | Mifflin County, PA |