| Date of birth: | May 6, 1943 |
| Hair: | Gray |
| Eyes: | Brown |
| Hair length: | SHORT 1 TO 2 INCHES |
| Complexion: | MEDIUM |
| Martial status: | SEPARATED |
| Citizen: | UNITED STATES |
| Cob: | UNITED STATES |
| Facility: | MAIN |
| Booked at: | CLARION COUNTY |
| Booking date: | Nov 29, 2004 |
| Release date: | Nov 29, 2004 |
| Jail name: | Clarion County Jail |
| Location: | 309 T-580, Shippenville, PA 16254 |
| Case number: | MD-0000040-04 |
| Offense date: | Nov 29, 2004 |
| Code: | 236113 |
| Description: | ARREST FOR VIOLATION OF ORDER (PFA) |