| Date of birth: | Jan 25, 1947 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00017072 |
| Booking number: | 2003006195 |
| Booking date: | Oct 4, 2003 |
| Release date: | Oct 6, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RAWOV |
| Offense date: | Oct 4, 2003 |
| Bond amount: | $1,500 |
| Statute: | 316.193 - DUI |
| Offense date: | Oct 4, 2003 |
| Bond amount: | $1,500 |