| Date of birth: | Feb 14, 1940 |
| Hair: | Blond/strawberry |
| Eyes: | Hazel |
| Number: | 00017665 |
| Booking date: | Dec 4, 2003 |
| Release date: | Dec 11, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.136A - POCS |
| Offense date: | Dec 4, 2003 |
| Bond amount: | $2,500 |
| Statute: | 893.147 - POSS OF PARAP |
| Offense date: | Dec 4, 2003 |
| Bond amount: | $2,500 |
| Statute: | DEL.9999.999 - NO INSURANCE |
| Offense date: | Dec 4, 2003 |
| Bond amount: | $2,500 |
| Statute: | DEL.9999.999 - NO MOTO VEH REGISTRATION |
| Offense date: | Dec 4, 2003 |
| Bond amount: | $2,500 |
