| Date of birth: | Dec 26, 1936 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00031707 |
| Booking number: | 2007002755 |
| Booking date: | Apr 7, 2007 |
| Release date: | May 18, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POCS/POP/POM/POCS SCRIP DRUG/POSS FICTICIOUS D/L/RAWOV |
| Offense date: | Apr 7, 2007 |
| Case number: | 07CF878S |
| Statute: | 893.13 - POM |
| Offense date: | Apr 7, 2007 |
| Statute: | 499.03 - POSS SCRIPT DRUG W/O SCRIPT(SOMA) |
| Offense date: | Apr 7, 2007 |
| Statute: | 893.147 - POP |
| Offense date: | Apr 7, 2007 |
| Statute: | 843.03 - OBSTRUCT BY DISGUISE |
| Offense date: | Apr 7, 2007 |