| Date of birth: | 1929 |
| Hair: | Gray |
| Eyes: | Blue |
| Visitation day: | TUESDAY 7:30AM - 9:30AM |
| Inmate number: | 00050872 |
| Housing location: | DELTA-SECF |
| Booking number: | 2013005301 |
| Booking date: | Sep 7, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 831.02 - PASS COUNTERFEITED ALTERED INSTRUMENT |
| Offense date: | Sep 7, 2013 |
| Case number: | 13-7506 |
| Bond amount: | $1,000 |