| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Hazel |
| Registration: | 341190 |
| Lifetime registration: | Yes |
| Level: | Sex Offender |
| Inmate status: | Out of Area |
| Arresting agency: | Indiana Sex and Violent Offender Registry |
| Booking date: | Sep 1, 2004 |
| Booking location: | Indiana |