| Date of birth: | 1944 |
| Hair: | Gray |
| Eyes: | Brown |
| Jacket number: | 61014 |
| Inmate classification: | Other |
| Badge: | 336 |
| Arresting agency: | DAWSON COUNTY SHERIFF'S OFFICE |
| Arrest number: | 2011004821 |
| Arrest date: | Sep 1, 2013 |
| Arrest officer: | MULLIS, RANDALL DEAN |
| Booking date: | Sep 1, 2013 |
| Booking location: | Dawson County, GA |