| Date of birth: | 1937 |
| Hair: | Gray |
| Eyes: | Brown |
| Registration: | 1096837 |
| Level: | Level II |
| Arresting agency: | Okanogan County Sheriff's Office |
| Booking location: | Okanogan County, WA |
| Description: | 9A.36.031 - Assault in the third degree., |
| Date convicted: | Mar 6, 2003 |
| Charges: | N/A |