| Date of birth: | Jan 3, 1961 |
| Hair: | Blond |
| Eyes: | Blue |
| Inmate number: | 83402 |
| Arresting agency: | IN0200000 |
| Arrest date: | Apr 14, 2004 |
| Booking date: | Apr 14, 2004 |
| Booking location: | Elkhart County, IN |
| Reason detained: | ALTERING ORIGINAL / SPECIAL ID # |
| Date released: | Apr 14, 2004 |
| Date added: | Apr 14, 2004 |
| Court date time: | Apr 26, 2004 |
| Court: | S-2 |
| Cause no: | 20D020403FC70 |
| Booking date: | Apr 14, 2004 |
| Bond amount: | $5,000 |