| Date of birth: | 1927 |
| Hair: | White |
| Eyes: | Brown |
| Registration: | 342305 |
| Level: | Pending Court Order |
| Inmate status: | Pending Court Order |
| Inmate number: | 1277123 |
| Comments: | ADDRESS OF AMBASADOR HEALTH CARE |
| Arresting agency: | Wayne County IN Sheriff's Office |
| Booking location: | Wayne County, IN |
| Arresting agency: | Indiana Sex and Violent Offender Registry |
| Booking location: | Indiana |
| Description: | 35-42-4-3 - Child Molesting |
| Date released: | Sep 3, 2002 |
| Date convicted: | Mar 16, 2001 |
| Conviction state: | Indiana |
| Description: | 35-42-4-3 - Child Molesting |
| Date released: | Sep 3, 2002 |
| Date convicted: | Mar 16, 2001 |
| Conviction state: | Indiana |
| Charges: | N/A |