| Date of birth: | Jul 23, 1935 |
| Hair: | Gray |
| Eyes: | Blue |
| Spn: | 103604 |
| Booking location: | Leon County, FL |
| Statute: | 784.03 |
| Release date: | Dec 12, 1996 |
| Offense date: | Nov 5, 1996 |
| Clerk case: | 1996MM17583A1 |
| Charge literal: | BATTERY/SIMPLE |
| Booking date: | Dec 12, 1996 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | SO96145499 |