| Date of birth: | Apr 27, 1951 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00025452 |
| Booking number: | 2005008292 |
| Booking date: | Oct 5, 2005 |
| Release date: | Oct 6, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045 - AGGRAVATED BATTERY |
| Offense date: | Oct 5, 2005 |
| Bond amount: | $1,500 |