| Date of birth: | Jun 21, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 12356501 |
| Booked at: | BUCKS COUNTY |
| Citizen: | UNITED STATES OF AMERICA |
| Booking date: | Apr 1, 2004 |
| Release date: | May 11, 2004 |
| Booking location: | Bucks County, PA |
| Description: | VOP |
| Code: | 99999 |
| Case number: | 2002004388 |