| Date of birth: | 1944 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 3817 |
| Arrest number: | 9601085 |
| Arrest date: | Sep 13, 1996 |
| Arrest officer: | LEWIS, MIKE |
| Booking date: | Sep 13, 1996 |
| Release date: | Sep 17, 1996 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 20892 |
| Bond amount: | $1,000 |
| Arrest code: | 2405 |