| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 8148 |
| Classification: | CI |
| Arrest number: | 106314 |
| Arrest date: | Jan 2, 2004 |
| Booking date: | Jan 2, 2004 |
| Release date: | Feb 3, 2004 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 10815 |
| Charge description: | PAROLE VIOLATION (FOR FELONY OFFENSE) |
| Arrest code: | 93000 |
