| Date of birth: | Oct 11, 1946 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00012373 |
| Booking date: | Jun 28, 2004 |
| Release date: | Jun 28, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Jun 13, 2002 |
| Release date: | Jun 13, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Jun 28, 2004 |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE |
| Offense date: | Jun 13, 2002 |
| Bond amount: | $500 |
