| Date of birth: | Jul 25, 1962 |
| Hair length: | SHORT HAIR |
| State id: | 14050353 |
| Permanent id: | 02-00022 |
| Complexion: | MEDIUM |
| Cob: | USA |
| Citizen: | USA |
| Booking number: | 04-00473 |
| Booking date: | Aug 9, 2004 |
| Release date: | Oct 5, 2004 |
| Booking location: | Mifflin County, PA |
| Sentence: | 0 Y, 0 M, 90 D |
| Sent type: | ST |
| Sent date: | Aug 9, 2004 |
| Off date: | May 5, 2004 |
| Dis date: | Oct 5, 2004 |
| Description: | DRG LIC SUS/REV PURS TO SEC 3731/1547B1 |
| Conv date: | Aug 9, 2004 |
| Comm date: | Aug 9, 2004 |
| Case number: | TR-569-04 |
