| Date of birth: | Jul 15, 1946 |
| Hair: | Gray |
| Eyes: | Brown |
| Spn: | 171718 |
| Booking location: | Leon County, FL |
| Release date: | Dec 10, 2004 |
| Offense date: | Dec 7, 2004 |
| Clerk case: | 2004HH2489A1 |
| Charge literal: | GADSDEN CO #04-664 FTA PWBC |
| Booking date: | Dec 7, 2004 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | 04-40047 |