| Date of birth: | Jan 13, 1956 |
| Facility: | Delinquent |
| Booking number: | 194985 |
| Jail name: | Indiana Department of Corrections |
| Location: | 302 W Washington St, Indianapolis, IN 46204 |
| Discharge date: | Apr 21, 2009 |
| Description: | IDENTITY DECEPTION |
| Conviction type: | FD |
| Court file number: | 35-43-5-3.5 |
| Case number: | 45G04-0901-FD-00014 |
| County: | LAKE |