| Date of birth: | Oct 10, 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00013705 |
| Booking date: | Oct 14, 2002 |
| Release date: | Oct 15, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WORTHLESS CHECK-MAKE/UTTER/ISSUE |
| Offense date: | Oct 14, 2002 |
| Case number: | 02-1832 |