| Date of birth: | Feb 25, 1945 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00001202 |
| Booking date: | Mar 16, 2005 |
| Release date: | Mar 25, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/OPEN CONTAINER (CITY), TRESPASSING (2CTS) |
| Offense date: | Mar 16, 2005 |
| Case number: | 05MO279 |