| Date of birth: | 1948 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 2104 |
| Arrest number: | 9601258 |
| Arrest date: | Oct 19, 1996 |
| Arrest officer: | JOHN GARDNER |
| Booking date: | Oct 19, 1996 |
| Release date: | Dec 12, 1996 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 21209 |
| Bond amount: | $2,000 |
| Arrest code: | 42203 |