| Date of birth: | May 14, 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| Spn: | 102021 |
| Booking location: | Leon County, FL |
| Statute: | 784.03 |
| Release date: | Oct 13, 1996 |
| Offense date: | Oct 13, 1996 |
| Clerk case: | 1996MM13886A1 |
| Charge literal: | DOMESTIC BATTERY |
| Booking date: | Oct 13, 1996 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Bond amount: | $500 |
| Agency report: | TL96035663 |