| Date of birth: | Jan 28, 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| State no: | A11203242 |
| State id: | A11203242 |
| Inmate number: | 158317 |
| Booking number: | 0400021330 |
| Booking date: | Sep 21, 2004 |
| Release date: | Sep 22, 2004 |
| Booking location: | Madera County, CA |
| Statute description: | DISORDERLY CONDUCT:DRUNK/ALCOHOL |
| Statute: | 647(F) PC |
| Charge number: | 1 |
| Bond amount: | $400 #1 |