| Date of birth: | Nov 22, 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| Supervision type: | PAROLE STATE |
| Supervision begin date: | Oct 30, 2009 |
| Scheduled termination date: | Feb 7, 2012 |
| Inmate status: | ACTIVE |
| DC number: | D36195 |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Booking location: | Manatee County, FL |