| Date of birth: | Jun 9, 1942 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00022134 |
| Booking number: | 2005000638 |
| Booking date: | Jan 21, 2005 |
| Release date: | Jan 25, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - WALTON CO. FTA |
| Offense date: | Jan 21, 2005 |
| Case number: | 02-CF-0261 |