| Date of birth: | 1918 |
| Hair: | Brown |
| Eyes: | Hazel |
| Jacket number: | 3859 |
| Arrest number: | 9601195 |
| Arrest date: | Oct 7, 1996 |
| Arrest officer: | TODD COOPER |
| Booking date: | Oct 7, 1996 |
| Release date: | Oct 8, 1996 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 21095 |
| Bond amount: | $2,000 |
| Arrest code: | 2648 |
