| Date of birth: | Sep 1, 1960 |
| Hair: | Gray |
| Eyes: | Brown |
| Hair length: | SHORT HAIR |
| State id: | 175-46-91-1 |
| Permanent id: | 12-00352 |
| Housing section: | DORM |
| Housing block: | G |
| Complexion: | FAIR SKINNED |
| Cob: | USA |
| Citizen: | USA |
| Booking number: | 12-01023 |
| Booking date: | Nov 8, 2012 |
| Booking location: | Mifflin County, PA |