| Date of birth: | Oct 27, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate status: | R |
| Arresting agency: | HCSO |
| Booking number: | 45932 |
| Booking date: | Jan 13, 2004 |
| Release date: | Jan 14, 2004 |
| Booking location: | Sandusky County, OH |
| Offense description: | MEDICAID FRAUD (FEL) |
| Offense: | 2913.40(FEL) |
| Case number: | CRA 0301110 A |