| Date of birth: | Sep 21, 1933 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 103856 |
| Booking location: | Leon County, FL |
| Statute: | 784.03 |
| Release date: | Dec 26, 1996 |
| Offense date: | Dec 25, 1996 |
| Clerk case: | 1996MM18345A1 |
| Charge literal: | BATTERY DOMESTIC |
| Booking date: | Dec 25, 1996 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | TL96045094 |