| Date of birth: | Nov 19, 1943 |
| Hair: | Salt/pepper |
| Eyes: | Brown |
| Inmate number: | 00019855 |
| Booking number: | 2004004721 |
| Booking date: | Jul 4, 2004 |
| Release date: | Jul 7, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.03 - NVDL |
| Offense date: | Jul 4, 2004 |
| Bond amount: | $1,000 |
| Statute: | 316.193 - DUI |
| Offense date: | Jul 4, 2004 |
| Bond amount: | $1,000 |
