| Date of birth: | Nov 29, 1950 |
| Hair length: | SHORT HAIR |
| State id: | 301-01-79-1 |
| Permanent id: | 04-00173 |
| Complexion: | MEDIUM |
| Cob: | USA |
| Citizen: | USA |
| Booking number: | 04-00391 |
| Booking date: | Jul 3, 2004 |
| Release date: | Jul 3, 2004 |
| Booking location: | Mifflin County, PA |
| Sentence: | 0 Y, 0 M, 0 D |
| Off date: | Jul 3, 2004 |
| Dis date: | Jul 3, 2004 |
| Description: | SIMPLE ASSAULT |
| Comm date: | Jul 3, 2004 |
| Case number: | CR-282-04 |
| Status: | Paid |
| Posted by: | COLLELO |
| Amount: | $2,500 |