| Date of birth: | Aug 10, 1945 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00018737 |
| Booking number: | 2004002024 |
| Booking date: | Mar 23, 2004 |
| Release date: | Mar 26, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - DI W/C(FELONY) |
| Offense date: | Mar 23, 2004 |
| Case number: | 01CF1537SA |
| Bond amount: | $5,000 |
| Statute: | 832.05 - DI W/C(MISD) |
| Offense date: | Mar 23, 2004 |
| Case number: | 01MM9042SA |
| Bond amount: | $5,000 |
