| Date of birth: | 1947 |
| Committed by: | MASCARA |
| Description: | R. SIDE OF LOWER STOMACH |
| Arrest officer: | WASHINGTON COUNTY SHERIFF |
| Booking number: | 04-00265 |
| Booking date: | Feb 5, 2004 |
| Release date: | Feb 6, 2004 |
| Booking location: | Washington County, PA |
| Description: | DOMESTIC RELATIONS OFFICE BENCH WARRANT |