| Date of birth: | 1947 |
| Hair: | Black |
| Eyes: | Brown |
| Classification: | Level II |
| Registration: | 281216 |
| Level: | Level II |
| Booking number: | 281216 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Arresting agency: | Pacific County Sheriff's Office |
| Booking location: | Pacific County, WA |
| Convicted date: | May 18, 2004 |
| State: | Washington |
| Description: | 9999 - OTHER CODE |
| Date convicted: | May 18, 2004 |
| Conviction state: | Washington |
| Charges: | N/A |