| Date of birth: | 1913 |
| Hair: | Gray |
| Eyes: | Brown |
| Jacket number: | 3058 |
| Arrest number: | 9502232 |
| Arrest date: | Jul 22, 1995 |
| Arrest officer: | LEWIS, MIKE |
| Booking date: | Jul 22, 1995 |
| Release date: | Jul 25, 1995 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 17747 |
| Bond amount: | $500 |
| Arrest code: | 149 |