| Date of birth: | 1914 |
| Eyes: | Green |
| Jacket number: | 2802 |
| Arrest number: | 9501616 |
| Arrest date: | Mar 12, 1995 |
| Arrest officer: | GARDNER, JOHN |
| Booking date: | Mar 12, 1995 |
| Release date: | Mar 13, 1995 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 16754 |
| Bond amount: | $500 |
| Arrest code: | 2104 |