| Date of birth: | May 18, 1940 |
| Hair: | Gray |
| Eyes: | Green |
| Inmate number: | 00024562 |
| Booking number: | 2005010102 |
| Booking date: | Dec 9, 2005 |
| Release date: | Jan 10, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/WORTHLESS CHECK |
| Offense date: | Dec 9, 2005 |
| Case number: | 05MM7996 |
| Bond amount: | $250 |