| Date of birth: | 1957 |
| Description: | HIP SERGERY |
| Booking number: | 04-01278 |
| Booking date: | Jun 20, 2004 |
| Release date: | Jul 25, 2004 |
| Jail name: | Washington County Jail |
| Location: | 100 W Cherry Ave, Washington, PA 15301 |
| Description: | DRVG UND INF ALCO & CONTROL SUBS 3RD OFF |