| Date of birth: | 1959 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 6362 |
| Classification: | CI |
| Arresting agency: | OTHER AGENCY (SEE COMMENTS) |
| Arrest number: | 9901684 |
| Arrest date: | Sep 9, 2004 |
| Arrest officer: | WEBSTER COUNTY |
| Booking date: | Sep 8, 2004 |
| Release date: | Oct 13, 2004 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 29383 |
| Charge description: | MANU A SCHEDULE II NON-NARC DRUG-AMPHETA |
| Arrest code: | 35700 |
| Status: | UNSPECIFIED |
| Charge number: | 29384 |
| Charge description: | PAROLE VIOLATION (FOR TECHNICAL VIOLATIO |
| Arrest code: | 02665 |