| Date of birth: | Jan 16, 1941 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00015212 |
| Booking number: | 2003002005 |
| Booking date: | Apr 5, 2003 |
| Release date: | Apr 6, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 790.01 - CC FIREARM |
| Offense date: | Apr 5, 2003 |
| Bond amount: | $2,000 |
| Statute: | 790.10 - IMPROPER EXHIBIT FIREARM |
| Offense date: | Apr 5, 2003 |
| Bond amount: | $2,000 |