| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Blue |
| Registration: | 00008510 |
| Arresting agency: | Carroll County Sheriff's Office |
| Booking location: | Carroll County, GA |
| Description: | 16-5-20 - Simple Assault |
| Date convicted: | Aug 11, 2003 |
| Conviction state: | Georgia |
| Charges: | N/A |