| Date of birth: | Oct 21, 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 84018 |
| Arresting agency: | IN0200000 |
| Arrest date: | Jul 6, 2004 |
| Arrest location: | CR 14 MIDDLETON RD |
| Booking date: | Jul 6, 2004 |
| Booking location: | Elkhart County, IN |
| Reason detained: | CONVERSION |
| Date released: | Jan 3, 2005 |
| Date added: | Jul 6, 2004 |
| Court date time: | Sep 8, 2004 |
| Court: | S-6 |
| Cause no: | 20D060407FD603 |
| Booking date: | Jul 6, 2004 |