|
| Name ID | 25573 |
| Local ID | 25573 |
| Date of Birth | 07-11-1967 |
| Age | 57 |
| Race | W |
| Sex | M |
| Eye Color | BRO |
| Hair Color | GRY |
| Weight | 185 |
| Height | 6 01 |
| Admit Date | 03-17-2025 |
| Admit Time | 10:56 AM |
| Address |
6464 BONLEE BENNETT ROAD,
BEARCREEK
NC
27207
|
| Housing Location | B1003G-1 |
| Confining Agency | Lee |
|