| Date of birth: | Sep 20, 1957 |
| Hair: | Brown |
| Country: | USA |
| Complexion: | MEDIUM |
| Facility: | WAYMART |
| Booked at: | LACKAWANNA |
| Jacket number: | 26582 |
| Arresting agency: | ASHLAND POLICE DEPT. |
| Arrest number: | 2003034831 |
| Arrest date: | Nov 14, 2004 |
| Arrest officer: | DEERFIELD |
| Booking location: | Boyd County, KY |
| Jail name: | Pennsylvania Department of Corrections |
| Location: | 1920 Technology Pkwy, Mechanicsburg, PA 17050 |
| Description: | ALCOHOL INTOXICATION IN A PUBLIC PLACE (1ST & 2ND OFFENSES) |
| Arrest code: | 2304 |