| Date of birth: | Nov 21, 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00003741 |
| Booking number: | 2000004498 |
| Booking date: | May 26, 2000 |
| Release date: | May 27, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | May 26, 2000 |
| Case number: | 004471 |