| Date of birth: | Dec 3, 1938 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| Facility: | LOWELL ANNEX |
| DC number: | Q05257 |
| Custody: | MEDIUM |
| Release date: | May 1, 2004 |
| Booking location: | Bay County, FL |
| Sentence length: | 1Y 3M 0D |
| Discharge date: | Jan 23, 2004 |
| Offense date: | Feb 1, 2003 |
| Offense: | FELONY BATTERY |
| County: | BAY |
| Case number: | 0300329 |