| Date of birth: | 1960 |
| Hair: | Gray |
| Eyes: | Blue |
| Jacket number: | 8473 |
| Classification: | CI |
| Arresting agency: | OTHER AGENCY (SEE COMMENTS) |
| Arrest number: | 9901288 |
| Arrest date: | Jun 16, 2004 |
| Arrest officer: | HOPKINS COUNTY |
| Booking date: | Jun 16, 2004 |
| Release date: | Aug 16, 2004 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 28818 |
| Charge description: | PAROLE VIOLATION (FOR FELONY OFFENSE) |
| Case number: | 03-CR-360 |
| Arrest code: | 93000 |