| Date of birth: | Aug 15, 1958 |
| Hair length: | SHORT HAIR |
| State id: | 248-38-69-2 |
| Permanent id: | 04-00150 |
| Complexion: | DARK |
| Cob: | USA |
| Citizen: | USA |
| Booking number: | 04-00338 |
| Booking date: | Jun 15, 2004 |
| Release date: | Jun 17, 2004 |
| Booking location: | Mifflin County, PA |
| Sentence: | 0 Y, 0 M, 0 D |
| Off date: | Jun 15, 2004 |
| Dis date: | Jun 17, 2004 |
| Description: | VIOL ACT OR REGULATION |
| Comm date: | Jun 15, 2004 |
| Case number: | 1056-03 |