| Date of birth: | 1936 |
| Hair: | White |
| Eyes: | Brown |
| Registration: | 2223856 |
| Description: | Scar on forearm () |
| Description: | Scar on Chest () |
| Description: | Scar on Neck () |
| Booking number: | 12683801 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Booking location: | Clay County, IL |
| Details: | CrimeCode: 99.99 CrimeDesc: OUT OF STATE CONVICTION/CRIME |
| Details: | CrimeCode: 99.99 CrimeDesc: OUT OF STATE CONVICTION/CRIME |
| Description: | 9999 - OTHER CRIME |
| Charges: | N/A |