| Date of birth: | May 31, 1937 |
| Classification: | 3 High |
| Booking number: | 4751058 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Details: | 9999-SEE OTHER INFO 9999-CONTACT ACIC FOR SPECIFIC OFFENSE INFORMATION |