| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 8593 |
| Classification: | L3 |
| Arresting agency: | OTHER AGENCY (SEE COMMENTS) |
| Arrest number: | 9901558 |
| Arrest date: | Aug 13, 2004 |
| Arrest officer: | UN HNOWN |
| Booking date: | Aug 13, 2004 |
| Release date: | Nov 2, 2004 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 29210 |
| Charge description: | OBTAIN CONT SUB BY FRAUD/FALSE STMT/FORG |
| Arrest code: | 42035 |
