| Date of birth: | Apr 7, 1948 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00019929 |
| Booking number: | 2004004884 |
| Booking date: | Jul 10, 2004 |
| Release date: | Jul 12, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - BAY COUNTY/ LEWD AND LASCIV |
| Offense date: | Jul 10, 2004 |
| Case number: | 04-17067 |
| Statute: | DEL.9999.999 - HOLD FOR BAY COUNTY |
| Offense date: | Jul 10, 2004 |