| Date of birth: | 1938 |
| Arresting agency: | A UNKNOWN |
| Booking number: | 04-01904 |
| Booking date: | Sep 13, 2004 |
| Release date: | Sep 14, 2004 |
| Jail name: | Washington County Jail |
| Location: | 100 W Cherry Ave, Washington, PA 15301 |
| Description: | CONTEMPT/FAILURE TO PAY FINES AND COSTS |