| Date of birth: | Sep 6, 1942 |
| Hair: | Salt/pepper |
| Eyes: | Blue |
| Inmate number: | 00020865 |
| Booking number: | 2004006980 |
| Booking date: | Oct 1, 2004 |
| Release date: | Oct 3, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CIVIL COMMITMENT |
| Offense date: | Oct 1, 2004 |
| Case number: | 84-337-FD-1 |