| Date of birth: | Jan 14, 1954 |
| Eyes: | Brown |
| Marital status: | Single |
| Inmate number: | 05257 |
| Disability: | No |
| Complexion: | DARK |
| Citizen: | No |
| Booking number: | 04-08945 |
| Booking date: | Dec 21, 2004 |
| Release date: | Dec 22, 2004 |
| Booking location: | Robertson County, TN |
| Statute code: | 39-16-301 |
| Description: | CRIMINAL IMPERSONATION |
| Bond type: | Secured Bond |
| Bond amount: | $5,000 |