| Date of birth: | Jun 12, 1933 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00003021 |
| Booking date: | Apr 10, 2000 |
| Release date: | Jul 14, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - ABUSE OF CHILD (FELONY) |
| Offense date: | Apr 10, 2000 |
| Case number: | 00-578CFA |