| Date of birth: | Jan 19, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 83119 |
| Booking date: | Mar 5, 2004 |
| Booking location: | Elkhart County, IN |
| Reason detained: | OTHER OFFENSE NOT LISTED/HOLD FOR BLACKFORD CO. |
| Date released: | Mar 9, 2004 |
| Date added: | Mar 5, 2004 |
| Booking date: | Mar 5, 2004 |