| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Green |
| Registration: | 510842 |
| Level: | Level III |
| Classification: | Level III |
| Arresting agency: | Klickitat County Sheriff's Department |
| Booking location: | Klickitat County, WA |
| Booking number: | 510842 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |