| Date of birth: | Jan 7, 1954 |
| Hair: | Brown |
| Eyes: | Hazel |
| Facility: | Indio Jail |
| Case number: | O112890019 |
| Arresting agency: | Palm Desert |
| Arrest date: | Oct 17, 2011 |
| Arrest location: | 82695 DR CARREON BLVD. INDIO |
| Booking number: | 201143640 |
| Booking date: | Oct 17, 2011 |
| Release date: | Oct 19, 2011 |
| Booking location: | Riverside County, CA |
| Type: | FEL |
| Disposition date: | 825 |
| Description: | INFLIC CORP INJ SPSE/COH |
| Charge: | 273.5 |
| Booking type: | PC |