| Date of birth: | 1961 |
| Arresting agency: | CARROLL TWP. |
| Booking number: | 04-02069 |
| Booking date: | Oct 8, 2004 |
| Release date: | Nov 7, 2004 |
| Jail name: | Washington County Jail |
| Location: | 100 W Cherry Ave, Washington, PA 15301 |
| Description: | DR UND INF OF ALC & CONT SUBS 2ND OFF |