| Date of birth: | Jul 30, 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 80556 |
| Arresting agency: | IN0200000 |
| Arrest date: | Jan 12, 2003 |
| Arrest location: | 29062 LARK ST. |
| Booking date: | Jan 12, 2003 |
| Booking location: | Elkhart County, IN |
| Reason detained: | DOMESTIC BATTERY |
| Date released: | Jan 13, 2003 |
| Date added: | Jan 13, 2003 |
| Court date time: | Jan 27, 2003 |
| Court: | S-1 |
| Booking date: | Jan 12, 2003 |
| Bond amount: | $1,500 |