| Date of birth: | 1973 |
| Committed by: | OTHER COUNTY |
| Description: | L. SIDE OF NECK-FROG |
| Description: | L. UPPER ARM- ROSE |
| Description: | L. BUT CHEECK -HEART W/TROUBLE |
| Arrest officer: | A UNKNOWN |
| Booking number: | 04-02103 |
| Booking date: | Oct 14, 2004 |
| Release date: | Jun 29, 2005 |
| Booking location: | Washington County, PA |
| Description: | HOLD OVER (PAYS PRISONER MAINTANANCE) |