| Date of birth: | 1962 |
| Hair: | Gray |
| Eyes: | Brown |
| Registration: | 827348 |
| Level: | Level III |
| Classification: | Level III |
| Arresting agency: | Okanogan County Sheriff's Office |
| Booking location: | Okanogan County, WA |
| Booking number: | 827348 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Description: | 9A.36.120 - Assault of a child in the first degree., |
| Charges: | N/A |