| Date of birth: | Oct 1, 1927 |
| Hair: | Gray |
| Eyes: | Green |
| Inmate number: | 00028757 |
| Booking number: | 2006005944 |
| Booking date: | Jul 19, 2006 |
| Release date: | Jul 20, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR(PERMANENT REVOCATION) |
| Offense date: | Jul 19, 2006 |
| Bond amount: | $1,500 |
| Statute: | 320.261 - ATTACHING TAG NOT ASSIGNED |
| Offense date: | Jul 19, 2006 |
| Bond amount: | $1,500 |
| Statute: | DEL.9999.999 - NO INSURANCE |
| Offense date: | Jul 19, 2006 |
| Bond amount: | $1,500 |