| Date of birth: | Jul 22, 1943 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00028807 |
| Booking number: | 2006006070 |
| Booking date: | Jul 22, 2006 |
| Release date: | Jul 23, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATT DOMV |
| Offense date: | Jul 22, 2006 |
| Bond amount: | $2,500 |