| Date of birth: | Feb 3, 1974 |
| Eyes: | Black |
| Complexion: | MEDIUM |
| Martial status: | SEPARATED |
| Citizen: | UNITED STATES |
| Cob: | UNITED STATES |
| Facility: | MAIN |
| Booked at: | CLARION COUNTY |
| Permanent location: | MERCER |
| Inmate number: | HW3633 |
| Current location: | MERCER |
| Committing county: | VENANGO |
| Booking date: | May 1, 1996 |
| Release date: | May 8, 1996 |
| Jail name: | Clarion County Jail |
| Location: | 309 T-580, Shippenville, PA 16254 |
| Booking location: | Venango County, PA |