| Date of birth: | May 8, 1948 |
| Hair: | Gray |
| Eyes: | Hazel |
| Number: | 00004308 |
| Booking date: | Jun 26, 2000 |
| Release date: | Aug 7, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WC 10 CTS |
| Offense date: | Jun 26, 2000 |
| Case number: | 97-6932MM |
| Statute: | 948.06 - VOP/UTTERING FORGED INST. |
| Offense date: | Jun 26, 2000 |
| Case number: | 96-1118CFA |