| Date of birth: | Jan 21, 1953 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00023521 |
| Booking number: | 2005003753 |
| Booking date: | May 5, 2005 |
| Release date: | May 6, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (SIMPLE) |
| Offense date: | May 5, 2005 |