| Date of birth: | 1920 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 2639 |
| Arrest number: | 9401211 |
| Arrest date: | Nov 24, 1994 |
| Arrest officer: | J.W. MORAN |
| Booking date: | Nov 24, 1994 |
| Release date: | Nov 24, 1994 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 16069 |
| Bond amount: | $145 |
| Arrest code: | 1112 |