| Date of birth: | Oct 26, 1960 |
| Hair: | Gray |
| Eyes: | Blue |
| Hair length: | THREE TO FOUR INCHES |
| Permanent id: | 00-05253 |
| Marital status: | SINGLE |
| Current location: | MAIN |
| Current housing section: | MALE |
| Current housing cell: | 144 |
| Current housing block: | MIN |
| Current housing bed: | 18A |
| Booked at: | CLARION COUNTY |
| Complexion: | FAIR SKINNED |
| Cob: | UNITED STATES |
| Citizen: | UNITED STATES |
| Booking number: | 16-455 |
| Booking date: | Sep 19, 2016 |
| Booking location: | Clarion County, PA |
| Number: | MJ-18301-MD-0000014-2016 |