| Date of birth: | Jul 11, 1960 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 00134696 |
| Sid: | 08566775 |
| Booking location: | Jackson County, OR |
| Booking number: | 2013377 |
| Jail name: | Van Buren County Sheriff |
| Location: | 205 Kalamazoo St, Paw Paw, MI 49079 |
| Statute: | 4998-1 |
| Description: | NO LOCAL CHARGES, HOLD FOR OTHER AGENCY |
| Class: | M |
| Bond amount: | $0 |