| Date of birth: | Aug 16, 1927 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00025513 |
| Booking number: | 2005008421 |
| Booking date: | Oct 10, 2005 |
| Release date: | Oct 11, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Oct 10, 2005 |
| Case number: | 0511591 |