| Date of birth: | Sep 27, 1929 |
| Hair: | Gray |
| Eyes: | Hazel |
| Permanent address: | 1502 US ROUTE 2 RANDOLPH, NEW HAMPSHIRE 03593 Coos County T - 362 Randolph Hill Road Randolph, NEW HAMPSHIRE 03593 Coos County |
| Court: | Berlin District |
| Adjudication date: | Jan 14, 2015 |
| Booking location: | Coos County, NH |