| Date of birth: | Nov 13, 1968 |
| Hair: | Gray |
| Eyes: | Green |
| Hair length: | BALD |
| State id: | 189-01-46-3 |
| Permanent id: | 13-00038 |
| Housing section: | SPECIAL NEEDS |
| Housing block: | E |
| Complexion: | LIGHT SKINNED |
| Cob: | USA |
| Citizen: | USA |
| Booking number: | 13-00096 |
| Booking date: | Jan 24, 2013 |
| Booking location: | Mifflin County, PA |