| Date of birth: | 1952 |
| Hair: | Blond |
| Eyes: | Blue |
| Jacket number: | 8639 |
| Classification: | L1 |
| Arresting agency: | OTHER AGENCY (SEE COMMENTS) |
| Arrest number: | 9901678 |
| Arrest date: | Sep 8, 2004 |
| Arrest officer: | WEBSTER CO. |
| Booking date: | Sep 8, 2004 |
| Release date: | Oct 8, 2004 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 29371 |
| Charge description: | CRIMINAL TRESPASS - 2ND DEGREE |
| Arrest code: | 02624 |
| Status: | UNSPECIFIED |
| Charge number: | 29372 |
| Charge description: | DRUG PARAPHERNALIA; USE, POSSES, 1ST OFF |
| Arrest code: | 42075 |
| Status: | UNSPECIFIED |
| Charge number: | 29373 |
| Charge description: | POSSESSION OF ANHYDROUS |
| Arrest code: | 41801 |