| Date of birth: | 1935 |
| Committed by: | A.P.O. |
| Description: | L. SIDE OF NECK |
| Description: | MIDDLE OF CHEST |
| Arrest officer: | A UNKNOWN |
| Booking number: | 04-01538 |
| Booking date: | Jul 26, 2004 |
| Release date: | Aug 13, 2004 |
| Booking location: | Washington County, PA |
| Description: | WASHINGTON COUNTY PAROLE DETAINER (HELD TILL DATE OR COURT) |
| Description: | WASHINGTON COUNTY PAROLE REVOCATION (BALANCE OF SENTENCE) |