| Date of birth: | Apr 3, 1942 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00007266 |
| Booking number: | 2004002449 |
| Booking date: | Apr 8, 2004 |
| Release date: | Apr 8, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WC |
| Offense date: | Apr 8, 2004 |
| Bond amount: | $1,000 |