| Date of birth: | Aug 11, 1944 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00029902 |
| Booking number: | 2006008723 |
| Booking date: | Oct 19, 2006 |
| Release date: | Oct 20, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - POLK COUNTY-WC |
| Offense date: | Oct 19, 2006 |
| Bond amount: | $250 |