| Date of birth: | 1940 |
| Hair: | White |
| Eyes: | Blue |
| Registration: | 1324126 |
| Level: | Level III |
| Comments: | " Probation Conditions |
| Classification: | Level III |
| Description: | on Back (MULTIPLE MOLES) |
| Booking location: | Mason County, WA |
| Booking number: | 1324126 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |