| Date of birth: | Jun 17, 1954 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00005333 |
| Booking date: | Sep 2, 2000 |
| Release date: | Sep 2, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.08 - ASSAULT;BATTERY ON PERSONS 65 YEARS OF AGE OR OLDER |
| Offense date: | Sep 2, 2000 |