| Date of birth: | 1933 |
| Hair: | Brown |
| Eyes: | Brown |
| Jacket number: | 3846 |
| Arrest number: | 9601164 |
| Arrest date: | Oct 1, 1996 |
| Arrest officer: | GARDNER, JOHN |
| Booking date: | Oct 1, 1996 |
| Release date: | Oct 2, 1996 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 21041 |
| Bond amount: | $500 |
| Arrest code: | 2104 |