| Date of birth: | Oct 11, 1935 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00014585 |
| Booking date: | Jan 28, 2003 |
| Release date: | Jan 28, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 825.103 - ABUSE OF HANDICAPPED PERSON |
| Offense date: | Jan 28, 2003 |
| Case number: | 03CF216 |