| Date of birth: | Oct 28, 1956 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 83521 |
| Booking date: | Apr 30, 2004 |
| Booking location: | Elkhart County, IN |
| Reason detained: | PUBLIC INTOXICATION |
| Date released: | May 12, 2004 |
| Date added: | Apr 30, 2004 |
| Court: | EC |
| Cause no: | 20H010404CM6267 |
| Booking date: | Apr 30, 2004 |