| Date of birth: | Dec 19, 1935 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00017811 |
| Number: | 00017811 |
| Booking number: | 2004001829 |
| Booking date: | Mar 15, 2004 |
| Release date: | Mar 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Dec 20, 2003 |
| Release date: | Dec 23, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DUI |
| Offense date: | Mar 15, 2004 |
| Case number: | 03CT3427S |
| Bond amount: | $500 |
| Statute: | 316.193 - DUI/W TRAFFIC CRASH |
| Offense date: | Dec 20, 2003 |
| Bond amount: | $5,000 |