| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 8582 |
| Classification: | CC1 |
| Arresting agency: | OTHER AGENCY (SEE COMMENTS) |
| Arrest number: | 9901534 |
| Arrest date: | Aug 11, 2004 |
| Arrest officer: | DAVIESS COUNTY |
| Booking date: | Aug 11, 2004 |
| Release date: | Oct 28, 2004 |
| Booking location: | Fulton County, KY |
| Status: | UNSPECIFIED |
| Charge number: | 29165 |
| Charge description: | FLAGRANT NON SUPPORT |
| Arrest code: | 38010 |