| Date of birth: | Mar 31, 1928 |
| Hair: | Gray |
| Eyes: | Brown |
| Hair length: | MEDIUM LENGTH |
| Complexion: | Light Brown |
| Martial status: | SINGLE |
| Citizen: | United States Citizen |
| Cob: | United States Citizen |
| Facility: | MAIN |
| Booked at: | Wyandotte |
| Booking date: | Dec 31, 2003 |
| Release date: | Jan 22, 2004 |
| Jail name: | Wyandotte County Sheriff |
| Location: | 710 N 7 St., Kansas City, KS 66101 |
| Case number: | 348511 |
| Offense date: | Dec 31, 2003 |
| Code: | 22-16 |
| Description: | KCK ASSAULT |
| Grade: | M |
