| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| Registration: | 198161 |
| Level: | Level II |
| Classification: | Level II |
| Arresting agency: | Clark County Sheriff's Office |
| Booking location: | Clark County, WA |
| Booking number: | 198161 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Convicted date: | Dec 22, 1994 |
| State: | Washington |
| Description: | 9A.36.031 - Assault in the third degree., |
| Date convicted: | Dec 22, 1994 |
| Charges: | N/A |